The impact of financial crisis and austerity policies in Andalusia, Spain: disentangling the mechanisms of social inequalities in health through the perceptions and experiences of experts and the general population

Álvarez‐Gálvez, Javier; Suárez-Lledó, Víctor; Martínez-Cousinou, Gloria; Muniategui-Azkona, Eider; Portillo, Auxiliadora González

doi:10.1186/s12939-019-1013-3

Cited by 14 publications

(10 citation statements)

References 32 publications

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“…The 2008 financial crisis was significantly lower in the Pacific than in the Atlantic countries, and it affected southern countries in Europe considerably more than northern. The mental health impact of the 2008 crisis in Europe, especially Italy and Spain, has been extensively analysed [ 34 , 35 ] and may facilitate useful information to develop models to estimate the emerging impact of COVID-19 in different countries. Social adversity and inequity issues and their relationship with mental health and COVID-19 deserve special attention [36] .…”

Section: Resultsmentioning

confidence: 99%

International experiences of the active period of COVID-19 - Mental health care

Rosenberg

Mendoza

Tabatabaei‐Jafari

et al. 2020

Health Policy and Technology

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Highlights Overall, COVID-19 has had massive impacts on mental health care internationally. Most mental health systems were under-resourced and under-prepared, both to manage existing clients and to manage new clients. There were significant differences between sites, depending on the explosivity of COVID-19 and the readiness of the mental health system. Integrated, community mental health systems exhibited greater adaptability in contrast to services which depended on face-to-face and hospital-based care. There is an urgent requirement to use the lessons of COVID to drive the next wave of mental health reform, which should prioritise local, community and digital solutions.

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Section: Resultsmentioning

confidence: 99%

International experiences of the active period of COVID-19 - Mental health care

Rosenberg

Mendoza

Tabatabaei‐Jafari

et al. 2020

Health Policy and Technology

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“…Within this growing scientific interest, various studies have investigated the impact of the economic slowdown on the population’s health and healthcare, both in Spain [ 14 , 15 , 16 ] and in other European countries [ 7 , 17 , 18 , 19 ], as well as in other continents [ 20 , 21 ]. The 2008 economic crisis coincided with the implementation of austerity policies that reduced the capacity of the Spanish public health system.…”

Section: Introductionmentioning

confidence: 99%

Changes in Socioeconomic Inequalities in Amenable Mortality after the Economic Crisis in Cities of the Spanish Mediterranean Coast

Pereyra-Zamora

Copete

Oliva-Arocas

et al. 2020

IJERPH

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Several studies have described a decreasing trend in amenable mortality, as well as the existence of socioeconomic inequalities that affect it. However, their evolution, particularly in small urban areas, has largely been overlooked. The aim of this study is to analyse the socioeconomic inequalities in amenable mortality in three cities of the Valencian Community, namely, Alicante, Castellon, and Valencia, as well as their evolution before and after the start of the economic crisis (2000–2007 and 2008–2015). The units of analysis have been the census tracts and a deprivation index has been calculated to classify them according to their level of socioeconomic deprivation. Deaths and population were also grouped by sex, age group, period, and five levels of deprivation. The specific rates by sex, age group, deprivation level, and period were calculated for the total number of deaths due to all causes and amenable mortality and Poisson regression models were adjusted in order to estimate the relative risk. This study confirms that the inequalities between areas of greater and lesser deprivation in both all-cause mortality and amenable mortality persisted along the two study periods in the three cities. It also shows that these inequalities appear with greater risk of death in the areas of greatest deprivation, although not uniformly. In general, the risks of death from all causes and amenable mortality have decreased significantly from one period to the other, although not in all the groups studied. The evolution of death risks from before the onset of the crisis to the period after presented, overall, a general pro-cyclical trend. However, there are population subgroups for which the trend was counter-cyclical. The use of the deprivation index has made it possible to identify specific geographical areas with vulnerable populations in all three cities and, at the same time, to identify the change in the level of deprivation (ascending or descending) of the geographical areas throughout the two periods. It is precisely these areas where more attention is needed in order to reduce inequalities.

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“…The people obliged to turn to the public social services system are impacted by changes in social policies [28,29]; hence, the main casualties of the present state of the social services are the majority of their users [30,31].…”

Section: Introductionmentioning

confidence: 99%

The Sustainability of Public Social Services: A Qualitative Study

et al. 2020

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The 2008 global economic crisis heightened social inequality and drastically reduced equal opportunities for many people. It had negative consequences for social regulation in many European countries, which have dismantled their public social policies. The objective of the study was to describe social workers’ perceptions of their lived experiences in different areas of the public social services system. A qualitative study was developed, based on a hermeneutic approach. Six in-depth interviews and two focus groups were conducted with 20 social workers employed by community social services and the Andalusian public health service (Spain). The professionals agreed that the public social services system has been eroded, that the lack of resources has consequences for workers and the general public alike, and that the public authorities and the administration are responsible for this situation. Social services have become distributors of scarce resources rather than a social protection system that empowers and accompanies the most vulnerable. The system must provide the necessary resources and structures so that they can escape the situation of poverty, exclusion and social injustice.

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The impact of financial crisis and austerity policies in Andalusia, Spain: disentangling the mechanisms of social inequalities in health through the perceptions and experiences of experts and the general population

Cited by 14 publications

References 32 publications

International experiences of the active period of COVID-19 - Mental health care

International experiences of the active period of COVID-19 - Mental health care

Changes in Socioeconomic Inequalities in Amenable Mortality after the Economic Crisis in Cities of the Spanish Mediterranean Coast

The Sustainability of Public Social Services: A Qualitative Study

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