Background: Population health is influenced by interactions between environmental determinants, which are captured by dimensions and indicators. This study aims to systematically review key environmental determinants and respective dimensions and indicators, relevant to evaluate population health in urban settings, and to understand their potential implications into policies. Methods: A search of literature published between 2008 and 2018 was conducted in PubMed, Web of Science, Scopus and SciELO Portugal databases, on studies with evidence on association between an environmental determinant and a health outcome in urban contexts. Health determinants, dimensions and indicators researched in the selected studies were synthetized, and associations analyzed. An independent assessment of quality of the studies was performed. Key conclusions and policy recommendations were extracted to build a framework to analyze environment related population health and policies in urban settings. Results: Ninety four studies of varied methodological approaches and quality met the inclusion criteria. The review identified positive associations between all environmental determinants-socioeconomic, built environment, natural environment, healthcare, behaviors, and health outcomes-overall mortality and morbidity, in urban settings. Improvements in income, education, air quality, occupation status, mobility and smoking habits indicators have positive impact in overall mortality and chronic diseases morbidity indicators. Initiatives to improve population health in which policymakers can be more evidence-informed include socioeconomic, natural environment and built environment determinants. Conclusions: There is scope and need to further explore which environmental determinants and dimensions most contribute to population health to create a series of robust evidence-based measures to better inform urban planning policies.
In this article we discuss changes in the relationships among gender, paid work, and unpaid work in Portugal in the context of the European Union. Based on a research program developed since 1997 on the relationship between family and work, and exploring data from several national and international surveys, such as the European Social Survey, the analyses focus on several topics: changes in demographic indicators; the substantial growth of women's participation, especially mothers, in the labor market; paid work, unpaid work, the welfare state, and existing policies; care solutions and arrangements and social networks; the relationship between women's activity rates and fertility rates, women's attachment to work, and finally, values and attitudes about work and family life. The main goal was to understand and explain specific features of the Portuguese case in a European comparative perspective.
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