A good investment: promoting health in cities and neighbourhoods
Por:
Diez, E, Avino, D, Paredes-Carbonell, JJ, Segura, J, Suarez, O, Gerez, MD, Perez, A, Daban, F, Camprubi, L
Publicada:
1 nov 2016
Resumen:
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. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U.
Filiaciones:
Diez, E:
Agencia Salut Publ Barcelona, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Avino, D:
Ctr Salud Publ Alzira Valencia, Valencia, Spain
Fdn Invest Sanitaria & Biomed Comunitat Valeniana, Valencia, Spain
Paredes-Carbonell, JJ:
Ctr Salud Publ Alzira Valencia, Valencia, Spain
Fdn Invest Sanitaria & Biomed Comunitat Valeniana, Valencia, Spain
Direccio Gen Salut Publ, Valencia, Spain
Segura, J:
Ayuntamiento Madrid, Subdirecc Gen Prevenc & Promoc Salud, Madrid Salud, Madrid, Spain
Suarez, O:
Principado Asturias, Observ Salud OBSA, Direcc Gen Salud Publ, Oviedo, Spain
Gerez, MD:
Ayuntamiento San Fernando Henares, San Fernando De Henares, Madrid, Spain
Perez, A:
Agencia Salut Publ Barcelona, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Daban, F:
Agencia Salut Publ Barcelona, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Camprubi, L:
Agencia Salut Publ Barcelona, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Gold
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