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Contributos para o estudo dos determinantes sociais de saúde na área metropolitana de Lisboa
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Advisor(s)
Abstract(s)
A saúde é determinada por um conjunto multifacetado de fatores, nem sempre fáceis de
selecionar e analisar, mas cujo estudo é essencial para a adoção de respostas adequadas, duradouras
e promotoras de comunidades mais justas e saudáveis. O presente artigo visa estudar os
determinantes sociais de saúde na Área Metropolitana de Lisboa (AML), especificamente:
pobreza/privação material; habitação; acesso à saúde; trabalho; e educação. A pesquisa e análise
documental focada nos determinantes em estudo foi suportada por diferentes fontes oficiais
nacionais e regionais.
O estudo dos determinantes na AML evidenciou tendências positivas e negativas. É a região do
país com menor risco de pobreza/privação material; tem os trabalhadores mais qualificados e
apresenta os níveis de escolaridade mais altos. Em contraposição, os indicadores de privação
habitacional são os mais elevados; apresenta indicadores preocupantes ao nível do abandono escolar
precoce nas mulheres e insuficiência no acesso aos cuidados de saúde primários, nomeadamente ao
médico de família. Torna-se, assim, crucial investir em medidas promotoras do acesso a cuidados
de saúde primários na AML e em políticas públicas que promovam o acesso à educação, previnam
o abandono escolar e proporcionem o acesso a habitação condigna, pressupondo-se uma abordagem
de proximidade, integrada, multidisciplinar e intersectorial.
Health is determined by a multifaceted set of factors, which are not always easy to select and analyse, but whose study is essential for the adoption of adequate and long-lasting responses conducive to more equitable and healthy communities. This paper aims to study the social determinants of health in the AML, specifically: poverty / material deprivation; housing; access to health; employment; education. Research and documentary analysis focused on the determinants under study was supported by different official sources, on a national and regional basis. The study of the determinants in the AML revealed positive and negative trends. It is the Portuguese region with the lowest risk of poverty / material deprivation; it has the most qualified workers and has the highest educational levels. In contrast, housing deprivation indicators are the highest; it presents worrying indicators in terms of early school leaving for women and insufficient access to primary health care, namely to the family doctor. Therefore, investment in measures that promote access to primary health care in the AML is crucial as well as public policies that promote access to education, prevent school dropout and provide access to decent housing, considering a closeness, integrated, multidisciplinary and intersectoral approach.
Health is determined by a multifaceted set of factors, which are not always easy to select and analyse, but whose study is essential for the adoption of adequate and long-lasting responses conducive to more equitable and healthy communities. This paper aims to study the social determinants of health in the AML, specifically: poverty / material deprivation; housing; access to health; employment; education. Research and documentary analysis focused on the determinants under study was supported by different official sources, on a national and regional basis. The study of the determinants in the AML revealed positive and negative trends. It is the Portuguese region with the lowest risk of poverty / material deprivation; it has the most qualified workers and has the highest educational levels. In contrast, housing deprivation indicators are the highest; it presents worrying indicators in terms of early school leaving for women and insufficient access to primary health care, namely to the family doctor. Therefore, investment in measures that promote access to primary health care in the AML is crucial as well as public policies that promote access to education, prevent school dropout and provide access to decent housing, considering a closeness, integrated, multidisciplinary and intersectoral approach.
Description
Keywords
Saúde Determinantes sociais de saúde Desigualdades sociais de saúde Indicadores socioeconómicos Área Metropolitana de Lisboa Health Social determinants of health Social health inequalities Socioeconomic indicators Lisbon Metropolitan Area
Citation
Gato, A. P., Moreira, S., Santos, J. R., Canais, E., Cerqueira, A., Barbosa, V. (2024). Contributos para o estudo dos determinantes sociais de saúde na área metropolitana de Lisboa, RPER, (67), 131–150