Economic crisis and communicable disease control in Europe: A scoping study among national experts

Rechel, B; Suhrcke, Marc; Tsolova, Svetla; Suk, Jonathan E.; Desai, Monica; McKee, Martin; Stuckler, David; Abubakar, Ibrahim; Hunter, Paul R.; Senek, Michaela; Semenza, Jan C.

doi:10.1016/j.healthpol.2011.06.013

Cited by 43 publications

(36 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…TB is considered to be a disease of the socially and economically disadvantaged, since its incidence is exacerbated by socioeconomic factors, inconsistent or partial treatment practices and immigration from countries in which the disease is endemic [6,9,10]. Reducing inequalities in TB incidence in Europe is, therefore, a goal that needs to be addressed, especially since the recent global financial crisis is expected to exacerbate health inequalities [11,12]. However, the relatively small contribution of TB to overall mortality and morbidity makes the statistical analysis not feasible on the individual level and an ecological study is needed.…”

mentioning

confidence: 99%

Social determinants of tuberculosis in Europe: a prospective ecological study

et al. 2012

Self Cite

View full text Add to dashboard Cite

Tuberculosis (TB) is considered to be a disease of poverty, since its incidence is exacerbated by socioeconomic factors, inconsistent or partial treatment practices, and immigration from endemic countries.A prospective country level study, using a comprehensive dataset of TB incidence and prevalence taken from countries within the World Health Organization (WHO) European region, was conducted. We employed quintile regression to investigate the prospective association between baseline (measured in 2000) and a nation's wealth, level of egalitarianism, migration rate, health-related lifestyle and social capital with TB incidence and prevalence over a 10-yr period (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009).We found that ,50% of TB variation is accounted for by a nation's wealth and level of egalitarianism. We observed a negative prospective association between logged gross domestic product and TB rates, and a positive prospective association between income inequality and TB.National income levels per capita and income inequality are important predictors for TB incidence and prevalence in the WHO European region. They account for 50% of country-level variation, indicating the importance of a combined absolute and relative socioeconomic disadvantage in the development of TB. These findings also provide a tool for forecasting potential fluctuations in the level of TB epidemics in the WHO European region, with respect to socioeconomic changes.

show abstract

mentioning

confidence: 99%

Social determinants of tuberculosis in Europe: a prospective ecological study

et al. 2012

Self Cite

View full text Add to dashboard Cite

show abstract

“…On the one hand, the professionals interviewed were already beginning to experience funding cuts, in line with the general tendency among governments in times of recession to reduce public spending by implementing changes in funding, prioritisation and governmental regulation, and by decentralising health services [38]. That could be explained because they are considered as "unproductive" components of government spending [20].…”

Section: Discussionmentioning

confidence: 83%

“…The effects of the reforms prompted by the current economic crisis on IPV resources have not been explored in Spain [35]. An exploration of service providers' opinions and concerns about areas under threat could serve as a first step in formulating policy and research actions [36][37][38]. Meanwhile, at an organisational level, it is necessary to study how professionals tackle changing conditions [39].…”

Section: Introductionmentioning

confidence: 99%

Economic crisis, immigrant women and changing availability of intimate partner violence services: a qualitative study of professionals¿ perceptions in Spain

Briones-Vozmediano

Agudelo‐Suárez

Goicolea

et al. 2014

International Journal for Equity in Health

View full text Add to dashboard Cite

Introduction: Since 2008, Spain has been in the throes of an economic crisis. This recession particularly affects the living conditions of vulnerable populations, and has also led to a reversal in social policies and a reduction in resources. In this context, the aim of this study was to explore intimate partner violence (IPV) service providers' perceptions of the impact of the current economic crisis on these resources in Spain and on their capacity to respond to immigrant women's needs experiencing IPV. Methods: A qualitative study was performed based on 43 semi-structured in-depth interviews to social workers, psychologists, intercultural mediators, judges, lawyers, police officers and health professionals from different services dealing with IPV (both, public and NGO's) and cities in Spain (Barcelona, Madrid, Valencia and Alicante) in 2011. Transcripts were imported into qualitative analysis software (Atlas.ti), and analysed using qualitative content analysis. Results: We identified four categories related to the perceived impact of the current economic crisis: a) "Immigrant women have it harder now", b) "IPV and immigration resources are the first in line for cuts", c) " Fewer staff means a less effective service" and d) "Equality and IPV policies are no longer a government priority". A cross-cutting theme emerged from these categories: immigrant women are triply affected; by IPV, by the crisis, and by structural violence. Conclusion: The professionals interviewed felt that present resources in Spain are insufficient to meet the needs of immigrant women, and that the situation might worsen in the future.

show abstract

“…Also, because with the economic crisis, immunization programmes targeting migrant population, are the most frequently preventive programs that might be affected. As a result, Hepatitis B vaccination programmes have suffered financial reductions within some EU countries 51 .…”

Section: Vaccinated Preventable Diseasesmentioning

confidence: 99%

New times for migrants' health in Europe

Reyes-Urueña

Noori

Pharris

et al. 2014

Rev. esp. sanid. penit.

View full text Add to dashboard Cite

Patterns of migration can change greatly over time, with the size and composition of migrant populations reflecting both, current and historical patterns of migration flows. The recent economic crisis has caused a decrease on migration flows towards the most affected areas, as well as cut offs in health interventions addressed to migrants.The objective of this paper is to review available data about interventions on migrants' health in Europe, and to describe changes in migrant health policies across Europe after the economic crisis, that can have a negative effect in their health status.Although migrants have the right to health care under legal settlements issued by the EU, there is no a standard European approach to offer health care to migrants, since; policies in each EU Member State are developed according to specific migrant experience, political climate, and attitudes towards migration.Migrants use to face greater health problems and major health care access barriers, compared with their counterparts from the EU. Therefore, migrant health policies should focus in protects this vulnerable group, especially during economic hardship, taking into account economic and socio-demographic risk factors. There is an especial need for research in the cost-effectiveness of investing in the health care of the migrant population, demonstrating the benefit of such, even in the health of the European native population, and the need for constant intervention despite of resource constraints.Keywords: Emigration and Immigration; Europe; Prisons; Communicable Diseases; Basic health services; Políticas Públicas de Salud; HIV; Tuberculosis. NuEvoS TiEmpoS pARA lA SAlud dE EmigRANTES EN EuRopA RESumENLos patrones de emigración pueden cambiar considerablemente con el paso del tiempo, y el tamaño y composición de la población de emigrantes pueden reflejar los patrones actuales e históricos de los flujos de emigración.La reciente crisis económica ha provocado un decremento en flujos de emigración hacia las zonas más afectadas y reducciones en asistencia sanitaria para emigrantes. El objetivo de este estudio es revisar la información disponible sobre intervención sobre la salud de los emigrantes en Europa y describir los cambios en políticas de salud para los mismos en el continente después de la crisis económica que pueden repercutir de forma negativa en su estado de salud.Aunque los emigrantes tienen el derecho de asistencia sanitaria bajo acuerdos legales emitidos por la UE, no existe una política común en Europa en cuanto a la provisión de asistencia sanitaria para emigrantes, ya que las políticas en cada estado miembro de la UE se han desarrollado según experiencias concretas relacionadas con los emigrantes, el clima político y las actitudes hacia la inmigración.Los emigrantes suelen encontrarse con mayores problemas de salud y barreras considerables en la asistencia sanitaria en comparación a sus co-residentes de la UE. Por tanto las políticas de salud para emigrantes deben enfocarse en proteger a este grupo vulnerab...

show abstract

Economic crisis and communicable disease control in Europe: A scoping study among national experts

Cited by 43 publications

References 19 publications

Social determinants of tuberculosis in Europe: a prospective ecological study

Social determinants of tuberculosis in Europe: a prospective ecological study

Economic crisis, immigrant women and changing availability of intimate partner violence services: a qualitative study of professionals¿ perceptions in Spain

New times for migrants' health in Europe

Contact Info

Product

Resources

About