Evidence map›Paper›PMID 37266309›Full record

ArticleHealth and human rights2023

Food Security as a Social Determinant of Health: Tackling Inequalities in Primary Health Care in Spain.

Mireia Campanera, Mercè Gasull, Mabel Gracia-Arnaiz

Abstract read
In one paragraph

Article in Health and human rights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Implementing a screening protocol for food insecure patients within a long-term acute care hospital (LTACH): A community health needs assessment (CHNA).Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
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  8. Article
  9. Review
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  15. Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries.International journal of social determinants of health and health services · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Mireia CampaneraPostdoctoral researcher in the Department of Anthropology, Philosophy and Social Work at the University Rovira i Virgili, Tarragona, Spain.
Mercè GasullLecturer in the Department of Nursing at the University Rovira i Virgili, Tarragona, Spain.
Mabel Gracia-ArnaizProfessor in the Department of Anthropology, Philosophy and Social Work at the University Rovira i Virgili, Tarragona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Food insecurity can be understood as a manifestation of health inequality and thus a deprivation of the right to health. This paper explores the strategies followed in primary health care centers in Spain to care for people struggling to regularly access healthy, safe, and sufficient food. Ethnographically based, our study analyzes, on the one hand, the resources available to primary health care teams to assess the social determinants of health and, on the other, the importance that professionals give to food in the diagnosis, treatment, and prevention of diseases related to inequality. Given that our study was carried out during the recent economic and health crises, the results show the difficulties faced by these centers in responding to constantly changing social needs. Budget cuts, a lack of specific or structural actions, and the invisibilization of particular expressions of inequality have proven challenging to the aim of providing integrated care capable of recognizing the environmental factors that condition patient health. In the case of food insecurity, our study found that there are no instruments in primary care centers to identify and therefore address this insecurity. We explore whether this is due mainly to the growing lack of means or more to the fact that the relationship between material living conditions, food, and health has been downplayed-and the responsibility of the health system in guaranteeing the right to food correspondingly diluted.

Indexed as

Health Status DisparitiesSocial Determinants of HealthFood SecurityFood SupplyHuman RightsHumansPrimary Health CareSocioeconomic FactorsSpain

Identifiers

PMID37266309
PMCPMC9973507

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.