Social and health policies or interventions to tackle health inequalities in European cities: a scoping review

BMC Public Health

Carme Borrell⁴  Jitse P van Dijk³  Bo Burstrom⁵  Rasmus Hoffmann²  Sergio Salas-Nicás¹  Joana Morrison⁶  Èlia Diez⁴  Mariona Pons-Vigués⁷ 

[1] Agència de Salut Pública de Barcelona, Barcelona, Spain;Erasmus Medical Center, Rotterdam, Netherlands;Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovakia;Institut d’Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain;Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden;Department of Epidemiology and Public Health, University College London, London, UK;Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain

关键词: Scoping review;    Urban health;    Cities;    Interventions;    Public policies;    Health inequalities;   

Others  :  1135497
DOI  :  10.1186/1471-2458-14-198

 received in 2013-07-29, accepted in 2014-02-04,  发布年份 2014

【 摘 要 】

Background

Health inequalities can be tackled with appropriate health and social policies, involving all community groups and governments, from local to global. The objective of this study was to carry out a scoping review on social and health policies or interventions to tackle health inequalities in European cities published in scientific journals.

Methods

Scoping review. The search was done in “PubMed” and the “Sociological Abstracts” database and was limited to articles published between 1995 and 2011. The inclusion criteria were: interventions had to take place in European cities and they had to state the reduction of health inequalities among their objectives.

Results

A total of 54 papers were included, of which 35.2% used an experimental design, and 74.1% were carried out in the United Kingdom. The whole city was the setting in 27.8% of them and 44.4% were based on promoting healthy behaviours. Adults and children were the most frequent target population and half of the interventions had a universal approach and the other half a selective one. Half of the interventions were evaluated and showed positive results.

Conclusions

Although health behaviours are not the main determinants of health inequalities, the majority of the selected documents were based on evaluations of interventions focusing on them.

【 授权许可】

   
2014 Pons-Vigués et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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