Population health inequalities across and within european metropolitan areas through the lens of the euro-healthy population health index

Claudia Costa*, Paula Santana, Sani Dimitroulopoulou, Bo Burstrom, Carme Borrell, Jürgen Schweikart, Dagmar Dzurova, Nicolás Zangarini, Klea Katsouyanni, Patrick Deboseree, Ângela Freitas, Christina Mitsakou, Evangelia Samoli, Sotiris Vardoulakis, Marc Marí Dell’Olmo, Mercè Gotsens, Michala Lustigova, Diana Corman, Giuseppe Costa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban inequalities, calls for integrated and multidimensional approaches. The aim of this study is to analyse inequalities in health determinants and health outcomes across and within nine metropolitan areas: Athens, Barcelona, Berlin-Brandenburg, Brussels, Lisbon, London, Prague, Stockholm and Turin. We use the EURO-HEALTHY Population Health Index (PHI), a tool that measures health in two components: Health Determinants and Health Outcomes. The application of this tool revealed important inequalities between metropolitan areas: Better scores were found in Northern cities when compared with their Southern and Eastern counterparts in both components. The analysis of geographical patterns within metropolitan areas showed that there are intra-urban inequalities, and, in most cities, they appear to form spatial clusters. Identifying which urban areas are measurably worse off, in either Health Determinants or Health Outcomes, or both, provides a basis for redirecting local action and for ongoing comparisons with other metropolitan areas.

Original languageEnglish
Article number836
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number5
DOIs
Publication statusPublished - 1 Mar 2019

Bibliographical note

Funding Information:
Funding: This research was conducted under the EURO-HEALTHY project, which was funded by the European Union’s Horizon 2020 research and innovation programme, Grant Agreement No 643398, and received support from the Centre of Studies in Geography and Spatial Planning (CEGOT), funded by national funds through the Foundation for Science and Technology (FCT) under the reference UID/GEO/04084/2013.

Publisher Copyright:
© 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Europe
  • Health determinants
  • Health outcomes
  • Metropolitan areas
  • Municipalities
  • Population health index

Fingerprint

Dive into the research topics of 'Population health inequalities across and within european metropolitan areas through the lens of the euro-healthy population health index'. Together they form a unique fingerprint.

Cite this