Salud en todas las políticas en la Comunitat Valenciana: pasos hacia la evaluación del impacto en salud

Más-Pons, Rosa; Barona-Vilar, Carmen; Ninyoles, Guillem; García, Ana M.

doi:10.1016/j.gaceta.2018.09.002

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…One of the limitations of this study is the possibility of extrapolating these results to contexts other than the Valencian Community. The effects that social and economic conditions exert on the health of the population and the distribution of these determinants generate inequalities in health and in the possibility of adopting healthy lifestyles ( 39 ), so that in other populations with different social and economic conditions the results could be different. On the other hand, the handling of the concepts of sedentary lifestyle and physical inactivity presents some difficulties in scientific studies related to nursing, since this discipline recognizes physical inactivity as a diagnosis, catalogued by the NANDA International (NANDA-I) classification as Sedentary Lifestyle (SL) and defined as a lifestyle characterized by a low level of physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…These interventions incorporate the health perspective in the planning of public policies in non-health sectors, such as housing, labor, education or environmental policies, among others. Among the recommendations proposed for these interventions, grants were included for local entities and non-profit organizations in the Valencian Community that promote the integration of groups with diversity through physical activity and sport ( 39 ). Finally, as the severity index has been identified as the main predictor of the time spent in physical activity by the population of the Valencian Community, if a population-based intervention based on the individual is desired, it would be necessary to take it into account.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of physical activity in older adults 65 years and older: findings in health survey of the Valencian Community

Trujillo-Barberá,

García-Martínez,

Sánchez-Martínez

et al. 2023

Front. Public Health

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BackgroundPhysical activity is part of a healthy lifestyle in the older adult and is related to multiple variables that promote this behavior.ObjectiveTo identify the relationship and predictive power of sociodemographic variables, multimorbidity, severity index, risk of poor mental health, social support, affective support and confidential support with the time devoted to physical activity in the population over 65 years of age in the Valencian Community.MethodsCross-sectional descriptive analytical study of the data collected in the Health Survey of the Valencian Community on a total of 3,199 people over 65 years of age. The study variables were age, sex, educational level, marital status, social class, multimorbidity, severity index collected with the EQ-5D-5L tool, risk of poor mental health collected with the Goldberg general health questionnaire (GHQ-12), and perceived social, affective and confidential support collected with the Duke-Unc social support scale (Duke-UNC-11).ResultsAll variables, except affective support, are significantly related to the time of physical activity performed by people older than 65 years. The severity index has a predictive capacity of 13.7% of physical activity performed and age is able to predict 1.2% of this variable.ConclusionSex, age, education, social class, marital status, multimorbidity, risk of poor mental health or social support and confidentiality are related to the physical activity time of the Valencian population over 65 years of age. On the other hand, the variables severity index and age have been identified as variables capable of predicting up to 14.8% of the variance of the physical activity time variable in our study population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictors of physical activity in older adults 65 years and older: findings in health survey of the Valencian Community

Trujillo-Barberá,

García-Martínez,

Sánchez-Martínez

et al. 2023

Front. Public Health

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“…This work consists of a cross-sectional study conducted with the objective of adapting the simplified tool for the HIA of regional policies ( Fem Salut? questionnaire) (13) so that it can be used at the local level. It also aims to design a procedure to facilitate the analysis of the possible health impacts of municipal initiatives, as well as their distribution among the population.…”

Section: Methodsmentioning

confidence: 99%

“…The Valencian Community, one of the seventeen Spanish autonomous regions, located in the east of Spain and with just over 5 millions inhabitants, is committed to this approach (12). It has a policy framework that regulates it, as well as an instrument to incorporate the framework of social determinants and health inequalities into the policies put forward by the different departments of the regional government (13). After validating the methodology implemented at this level, it is time for the local authorities to act.…”

Section: Research-article2022mentioning

confidence: 99%

Health impact assessment of local policies: methodology and tools

Más-Pons

Caturla-Bastit

Bisbal-Sanz³

et al. 2022

Glob Health Promot

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The aim of this work was to design some tools and a procedure for performing the Health Impact Assessment of municipal policies. A working group made up of municipal and public health specialists from the Valencian Community (Spain) was set up. After reviewing the tools used in other contexts, the Fem Salut? questionnaire for the simplified Health Impact Assessment of regional policies was adapted for use at the local level. A pilot study was carried out in six municipalities and local initiatives promoted by different sectors were analysed. Two workshops were held per municipality (with specialists and with citizens) and participatory techniques were used to identify the possible impacts on the social determinants of health, the population groups more particularly affected and the proposals for improvement. The feasibility of the methodology and the difficulties involved in carrying it out were discussed. A procedure was defined for the Health Impact Assessment of local initiatives in six steps: Describe (the municipality and the project), Extract (screening phase), Co-produce (participatory workshops), Integrate (the scientific evidence with the qualitative information obtained), Disseminate (to politicians, specialists and community) and Evaluate (direct and indirect results) (DECIDE). A guide was developed to facilitate its application at the local level along with two complementary tools (a questionnaire and worksheets). The technical group rated the process as simple and flexible, as well as being easy to adapt to the characteristics of the municipality and project. In addition to the cross-sectoral approach, the incorporation of citizen participation in the process is an important added value.

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“…In order to achieve equitable health care and guarantee the provisions of article 27 of Organic Law 3/2007 for effective equality between men and women, it is necessary to continue research into gender inequalities in health and access to health care services. Currently, the integration of a gender perspective in health programs is being promoted (Gil-Borrelli et al 2017;Mas-Pons et al 2018;Puig-Barrachina et al 2019). It is important that the development of these health programs consider the impact of gender roles, norms, and health inequalities.…”

Section: Introductionmentioning

confidence: 99%

Influence of Gender Determinants on Informal Care and Health Service Utilization in Spain: Ten Years after the Approval of the Equality Law

Sánchez-Recio

García-Ael

Topa

2021

Administrative Sciences

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The existence of gender inequalities in health, in the use of health services, and in the development of informal care has been demonstrated throughout scientific literature. In Spain, a law was passed in 2007 to promote effective equality between men and women. Despite this, different studies have shown that the previous gender inequalities are still present in Spanish society. For all these reasons, the objective of this paper is to study the differences by sex in informal care and in the use of emergency care, and to identify the existence of gender inequalities in Spain 10 years after the adoption of the aforementioned equality law. In this case, we development a cross-sectional study based on the 2017 Spanish National Health Survey of the Spanish population aged 16 and over. To analyze the influence of gender determinants on informal care and emergency care utilization, logistic regressions were performed, model 1 was adjusted for age, and model 2 was further adjusted too by the variables of the Andersen care demand model. The results showed that informal care and the use of the emergency care continues to be higher in women than in men. Informal care in women was related to a higher level of education. In emergency care, the older the age, the lower the probability of utilization, and living in a rural municipality was related to a higher probability of utilization for both sexes. Finally, we concluded that there is still a need for studies that analyze gender inequalities in different contexts, such as the informal care and the use of health services. This is especially relevant in Spain, where economic changes have led to a change in roles, mainly for women, and new management strategies are needed to achieve equity in care and effective equality between men and women.

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Salud en todas las políticas en la Comunitat Valenciana: pasos hacia la evaluación del impacto en salud

Cited by 4 publications

References 2 publications

Predictors of physical activity in older adults 65 years and older: findings in health survey of the Valencian Community

Predictors of physical activity in older adults 65 years and older: findings in health survey of the Valencian Community

Health impact assessment of local policies: methodology and tools

Influence of Gender Determinants on Informal Care and Health Service Utilization in Spain: Ten Years after the Approval of the Equality Law

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