Crisis económica, pobreza e infancia. ¿Qué podemos esperar en el corto y largo plazo para los “niños y niñas de la crisis”? Informe SESPAS 2014

Flores, Manuel; García-Gómez, Pilar; Zunzunegui, Marı́a Victoria

doi:10.1016/j.gaceta.2014.02.021

Cited by 23 publications

(16 citation statements)

References 34 publications

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“…En Cataluña, durante los años de crisis, ha aumentado el gradiente social en la obesidad infantil y en las desigualdades en calidad de vida relacionada con la salud (Rajmil et al, 2013). Las consecuencias a largo plazo de las privaciones de los niños de hoy serán previsiblemente importantes en el futuro (Flores et al, 2014), de ahí que se abogue por la intervención pública temprana desde sectores como la educación para garantizar una nutrición adecuada. Arroyo-Borrell et al (2017), utilizan la ENS para analizar si el estado de salud de las madres y sus determinantes socioeconómicos pueden influir en la salud mental de los hijos.…”

Section: Problemas De Salud En Grupos Seleccionadosunclassified

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Oliva‐Moreno

Peña

López-Valcarcel

et al. 2019

CICE

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La reciente crisis económica vivida en España, pese al sufrimiento y pérdida de bienestar ocasionadas, no parece haber afectado de una manera severa, al menos a corto plazo, a la mortalidad y la salud autopercibida de la población general. No obstante, sí se ha producido un impacto negativo sobre la salud mental, especialmente entre los varones. Asimismo, hay grupos vulnerables de población cuya salud ha empeorado durante este periodo, intensificándose las desigualdades sociales en la misma. Dada la alarmante evolución observada en los indicadores sociales de desigualdad de rentas y tasas de pobreza y riesgo de exclusión social, conviene ser cautos con los resultados identificados en el corto plazo y vigilantes sobre la evolución de la salud de la población en el medio y largo plazo, a la vez que se extraen las conclusiones oportunas sobre las políticas e intervenciones a implementar en futuras situaciones de crisis.

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Section: Problemas De Salud En Grupos Seleccionadosunclassified

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Oliva‐Moreno

Peña

López-Valcarcel

et al. 2019

CICE

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“…In Catalonia, during the years of crisis, the social gradient of childhood obesity steepened, and there were greater inequalities in health-related quality of life [36]. The long-term consequences of this deprivation affecting children today are expected to be very significant in the future [37], and in consequence many scientists are calling for prompt intervention by public authorities, in sectors such as education, in order to ensure that children receive adequate nutrition. Table A1 in web annex contains the summary of the reviewed studies with methods and main results.…”

Section: The Impact On Health Parametersmentioning

confidence: 99%

Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain

López-Valcarcel

Pérez

2016

Appl Health Econ Health Policy

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This paper reviews economic and medical research publications to determine the extent to which the measures applied in Spain to control public health spending following the economic and financial crisis that began in 2008 have affected healthcare utilization, health and fairness within the public healthcare system. The majority of the studies examined focus on the most controversial cutbacks that came into force in mid-2012. The conclusions drawn, in general, are inconclusive. The consequences of this new policy of healthcare austerity are apparent in terms of access to the system but no systematic effects on the health of the general population are reported. Studies based on indicators of premature mortality, avoidable mortality or self-perceived health have not found clear negative effects of the crisis on public health. The increased demands for co-payment provoked a short-term cutback in the consumption of medicines, but this effect faded after 12-18 months. No deterioration in the health of immigrants after the onset of the crisis was unambigously detected. The impact of the recession in the general population in diseases associated with mental health is well documented, although the high levels of unemployment are identified as direct causes, and therefore it is social policies rather than measures affecting the healthcare system that would be primarily responsible. In addition, some health problems have a clear social dimension, which seems to have become more acute during the crisis, affecting in particular the most vulnerable population groups and the most disadvantaged social classes, thus widening the inequality gap. 3 Key points for decision makers Some health problems have a clear social dimension, which seems to have become more acute during the crisis  The public health system has borne a disproportionate share of the burden of spending cuts provoked by the crisis, but it has managed to avoid irreversible deterioration. The most tangible consequences of healthcare spending cuts and austerity measures concern problems of access to health care, both for specific population groups (undocumented immigrants) and for patients in general (longer waiting lists). The studies have common limitations: use of cross-sectional data and no consideration of lags between the cause (economic recession) and its effects (mortality, morbidity). In order to better estimate the effects of the crisis on health population, up-to-date data of cohorts from clinical records and registries would be needed. No attempt has been made in Spain so far to reform the health system with a view to achieving its long-term sustainability, in response to the 2008 recession and for preventing future recessions

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“…Age was categorized based on clinical criteria for children's growth (0-1, 2-4, [5][6][7][8][9][10][11][12][13][14]. Sex was a stratification variable.…”

Section: Exposure Variable and Covariatesmentioning

confidence: 99%

Socioeconomic inequalities in children under 15 with medical complexity: A population-based study

Carrilero

Ruiz-Muñoz

Dalmau-Bueno

et al. 2019

Preprint

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Background Health inequalities from the first stages of life onwards have consequences for children’s health status and for their future development. Children’s health is profoundly affected by the socioeconomic position (SEP) of their parents. The situation is even more disruptive in children with medically complex (CMC) conditions. The aim of this study is to describe the characteristics and related pathologies of CMC in Catalonia, and to assess the presence of socioeconomic inequalities.Methods Cross-sectional study and cluster analysis of the diseases in the CMC population under the age of 15 in Catalonia in 2016 using administrative data. Each pathology cluster obtained was described and its association with socioeconomic position (SEP) determined. The Adjusted Morbidity Groups (Catalan acronym GMA) classification system was used to identify the CMC. Main outcome measures: SEP, GMA score, sex, and age distribution were recorded in both populations (CMC and non-CMC) and in each of the clusters identified.Results 71% of the CMC population have at least one parent with no employment or an annual income of less than €18,000. Four comorbidity clusters were identified in CMC: respiratory (47%), neurodevelopmental (18%), hemato-oncological (12%), and perinatal disorders (23%). CMC experience higher levels of poverty and social disadvantage in all clusters. SES-cluster association results were: in the respiratory OR, 2.1 in boys and 2.1 in girls; in the neurodevelopmental disease, OR 2.0 in boys and 1.8 in girls; in the hemato-oncology OR, 1.7 in boys and 1.8 in girls; and in the perinatal OR, 1.7 in boys and 1.8 in girls.Conclusions There are socioeconomic health inequalities in childhood across a broad spectrum of health outcomes. Children with lower SEP are more likely to have CMC conditions. All clusters showed SEP inequalities and respiratory and neurodevelopment clusters are the most prevalent.

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Crisis económica, pobreza e infancia. ¿Qué podemos esperar en el corto y largo plazo para los “niños y niñas de la crisis”? Informe SESPAS 2014

Cited by 23 publications

References 34 publications

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain

Socioeconomic inequalities in children under 15 with medical complexity: A population-based study

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