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PubMed | Observatorio de Salud OBSA, Ayuntamiento de San Fernando de Henares, Subdireccion General de Prevencion y Promocion de la Salud and CIBER ISCIII
Type: | Journal: Gaceta sanitaria | Year: 2016

Local administration is responsible for health-related areas, and evidence of the health impact of urban policies is available. Barriers and recommendations for the full implementation of health promotion in cities and neighbourhoods have been described. The barriers to the promotion of urban health are broad: the lack of leadership and political will, reflectes the allocation of health outcomes to health services, as well as technical, political and public misconceptions about the root causes of health and wellbeing. Ideologies and prejudices, non-evidence-based policies, narrow sectoral cultures, short political periods, lack of population-based health information and few opportunities for participation limit the opportunities for urban health. Local policies on early childhood, healthy schools, employment, active transport, parks, leisure and community services, housing, urban planning, food protection and environmental health have great positive impacts on health. Key tools include the political prioritisation of health and equity, the commitment to Health in All Policies and the participation of communities, social movements and civil society. This requires well organised and funded structures and processes, as well as equity-based health information and capacity building in the health sector, other sectors and society. We conclude that local policies have a great potential for maximising health and equity and equity. The recommendations for carrying them out are increasingly solid and feasible.

Sastre Paz M.,Subdireccion General de Prevencion y Promocion de la Salud | Zoni A.C.,Servicio de Informes de Salud y Estudios | Esparza Olcina M.J.,CS Barcelona | del Cura Gonzalez M.I.,Rey Juan Carlos University
Pediatria de Atencion Primaria | Year: 2016

Main objective: to describe the prevalence and analyze the sociodemographic factors associated with having suffered unintentional injury in the population under 15 years in Spain in 2011. Secondary objectives: to describe the place where the accident occurs, the assistance and the damage occurred. Methods: cross-sectional study using individual data from the National Health Survey (2011/2012). A descriptive and multivariate analysis was carried out, stratified by sex, using logistic regression. Results: the prevalence of injuries was 7.68% (95% confidence interval: 6.97-8.39); being more common in boys and between 5 and 15 years old. Most of the injuries occurred at home (25.3%). 75.6% of the injured went to an emergency department. The most common damage was superficial bruises or injuries (63.5%). Conclusions: the prevalence of unintentional injuries among children resident in Spain in 2011 was 7.68%. The factors associated with being injured in the pediatric population are being a boy and being older than one year. © 2016, Spanish Association of Primary Care Pediatrics. All rights reserved.

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