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Environmental determinants of population health in urban settings. A systematic review

2020-06-03Journal article Open access
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dc.contributor.authorSalgado, Marta
dc.contributor.authorMadureira, Joana
dc.contributor.authorMendes, Ana Sofia
dc.contributor.authorTorres, Anália
dc.contributor.authorTeixeira, João Paulo
dc.contributor.authorOliveira, Mónica Duarte
dc.date.accessioned2021-03-04T11:59:11Z
dc.date.available2021-03-04T11:59:11Z
dc.date.issued2020-06-03
dc.description.abstractBackground: Population health is influenced by interactions between environmental determinants, which are captured by dimensions and indicators. This study aims to systematically review key environmental determinants and respective dimensions and indicators, relevant to evaluate population health in urban settings, and to understand their potential implications into policies. Methods: A search of literature published between 2008 and 2018 was conducted in PubMed, Web of Science, Scopus and SciELO Portugal databases, on studies with evidence on association between an environmental determinant and a health outcome in urban contexts. Health determinants, dimensions and indicators researched in the selected studies were synthetized, and associations analyzed. An independent assessment of quality of the studies was performed. Key conclusions and policy recommendations were extracted to build a framework to analyze environment related population health and policies in urban settings. Results: Ninety four studies of varied methodological approaches and quality met the inclusion criteria. The review identified positive associations between all environmental determinants -socioeconomic, built environment, natural environment, healthcare, behaviors, and health outcomes - overall mortality and morbidity, in urban settings. Improvements in income, education, air quality, occupation status, mobility and smoking habits indicators have positive impact in overall mortality and chronic diseases morbidity indicators. Initiatives to improve population health in which policymakers can be more evidence-informed include socioeconomic, natural environment and built environment determinants. Conclusions: There is scope and need to further explore which environmental determinants and dimensions most contribute to population health to create a series of robust evidence-based measures to better inform urban planning policies.pt_PT
dc.description.sponsorshipMarta Salgado research was supported by Fundação para a Ciência e a Tecnologia (FCT) and Valorsul S.A under the scholarship number PDE/BDE/120465/2016. Joana Madureira research was supported by FCT through the scholarship SFRH/BPD/115112/2016. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Marta Salgado and Mónica Oliveira acknowledge support from the Centre for Management Studies of Instituto Superior Técnico (CEGIST, University of Lisbon, FCT project UIDB/GES/00097/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Public Health. 2020 Jun 3;20(1):853. doi: 10.1186/s12889-020-08905-0pt_PT
dc.identifier.doi10.1186/s12889-020-08905-0pt_PT
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/10400.18/7308
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relationUIDB/GES/00097/2020pt_PT
dc.relationDevelopment of an Environmental Health Index to evaluate and foresight the impact of pollution and of pollution mitigation policies on health: a multicriteria decision analysis approach Reducing environmental impact: biomonitoring and waste efficiency
dc.relationEarly life exposure to atmospheric air pollutants and potential DNA damage: Consequences on development and childhood outcomes APPEAL
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08905-0pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdolescentpt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectAir Pollutionpt_PT
dc.subjectEmploymentpt_PT
dc.subjectEnvironment Designpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectIncomept_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPopulation Healthpt_PT
dc.subjectPortugalpt_PT
dc.subjectSocial Determinants of Healthpt_PT
dc.subjectSocioeconomic Factorspt_PT
dc.subjectUrban Healthpt_PT
dc.subjectYoung Adultpt_PT
dc.subjectAr e Saúde Ocupacionalpt_PT
dc.titleEnvironmental determinants of population health in urban settings. A systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleDevelopment of an Environmental Health Index to evaluate and foresight the impact of pollution and of pollution mitigation policies on health: a multicriteria decision analysis approach Reducing environmental impact: biomonitoring and waste efficiency
oaire.awardTitleEarly life exposure to atmospheric air pollutants and potential DNA damage: Consequences on development and childhood outcomes APPEAL
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/PDE%2FBDE%2F120465%2F2016/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBPD%2F115112%2F2016/PT
oaire.citation.issue1pt_PT
oaire.citation.startPage853pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume20pt_PT
oaire.fundingStreamOE
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublicationda078112-c7b4-4ea6-b39a-5ae7732b89ae
relation.isProjectOfPublication0c38fa63-8890-47d4-b3d3-1aa47f53b966
relation.isProjectOfPublication.latestForDiscovery0c38fa63-8890-47d4-b3d3-1aa47f53b966

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