Claudia Costa

Claudia Costa
University of Coimbra | UC ·  Centro de Estudos em Geografia e Ordenamento do Território (CEGOT)

PhD student in Geography, field of Human Geography (Health Geography)

About

87
Publications
25,370
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
696
Citations
Introduction
Cláudia Costa is a Research Assistant at the Health Geography Research Group of the Centre of Studies on Geography and Spatial Planning (CEGOT), University of Coimbra, Portugal since 2006. She has been part of the team of several national and EU research projects: INEQ-CITIES, GeoHealthS, SMAILE and EURO-HEALTHY. Her research topics are: Health GIS, Public Health, Spatial Epidemiology and Healthy Urban Planning.
Additional affiliations
April 2006 - present
University of Coimbra
Position
  • Research Assistant
Education
September 2008 - March 2011
Universidade NOVA de Lisboa
Field of study
  • Geographical Information Systems
September 1999 - December 2003
University of Coimbra
Field of study
  • Geography

Publications

Publications (87)
Article
Full-text available
COVID-19 hit the world in a sudden and uneven way. Scientific community has provided strong evidence about socioeconomic characteristics of the territory associated with the geographical pattern of COVID-19 incidence. Still, the role played by these factors differs between study areas. Geographically Weighted Regression (GWR) models were applied to...
Article
Full-text available
The study of premature deaths from causes that are generally preventable given the current availability of healthcare – called amenable deaths due to healthcare – provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are also likely to influence. Therefore, identifying the...
Article
Full-text available
Although there is a large gap between Black and White American life expectancies, the gap fell 48.9% between 1990 and 2018, mainly due to mortality declines among Black Americans. We examine age-specific mortality trends and racial gaps in life expectancy in high- and low-income US areas and with reference to six European countries. Inequalities in...
Article
Full-text available
Objective: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. Methods: This is an ecological study of trends in three periods of time: two before (2000-2003 and 2004-2008), and one...
Article
Full-text available
Background It is generally accepted that evidence-informed decision making contributes to better health system performance and health outcomes, yet we are lacking benchmarks to monitor the impact of national health information systems (HIS) in policy and practice. Hence in this study, we have aimed to identify criteria for monitoring Knowledge Tran...
Article
Full-text available
The purpose of this paper is to analyse how socio‐economic inequalities in mortality (total and avoidable) evolved in Portugal from the 1990s onwards by looking at differences by gender, age group, poverty and cause of death. Results show that mortality in younger age groups is decreasing faster in the most deprived municipalities. Yet, avoidable d...
Article
Full-text available
In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal and Neonatal Health policy on spatial inequalities in access to care and consequently avoidable infan...
Article
Full-text available
Although there is a large gap between Black and White American life expectancies, the gap fell 48.9%between 1990 and 2018, mainly due to mortality declines among Black Americans. We examine age-specific mortality trends and racial gaps in life expectancy in high- and low-income US areas and with reference to six European countries. Inequalities in...
Article
Background The effect of inequalities aggravated by economic recessions in the mortality rates of certain diseases has been previously described. In this study, we analyzed the relationship between socio-economic deprivation and cancer mortality. We focused on lung, colon, prostate, and breast cancers in nine European urban areas over three periods...
Article
Full-text available
There is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities exist between the more advantaged and the more deprived neighborhoods. The main goals of this study...
Article
Full-text available
Geographical accessibility to health care services is widely accepted as relevant to improve population health. However, measuring it is very complex, mainly when applied at administrative levels that go beyond the small-area level. This is the case in Portugal, where the municipality is the administrative level that is most appropriate for impleme...
Article
Full-text available
Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to analyze to what extent the planned investments fo...
Article
Full-text available
Background: Population health measurements are recognised as appropriate tools to support public health monitoring. Yet, there is still a lack of tools that offer a basis for policy appraisal and for foreseeing impacts on health equity. In the context of persistent regional inequalities, it is critical to ascertain which regions are performing bes...
Article
Full-text available
Objective: To analyse socioeconomic inequalities in all-cause mortality among men and women in nine European urban areas during the recent economic crisis, and to compare the results to those from two periods before the crisis. Method: This is an ecological study of trends based on three time periods (2000-2003, 2004-2008 and 2009-2014). The uni...
Article
Full-text available
Background The availability of reliable and comparable data at the regional level is extremely important to measure regional health inequalities. The aim of this research is to assess the data availability of the indicators included in EURO-HEALTHY’s Population Health Index (PHI), a multidimensional tool developed to measure population health acros...
Article
Background Many public agencies collect geospatial data in relation to Environment and Territorial Planning. This data is harmonized, standardized, made available online, and it is often collected for a group of countries. These characteristics make this data particularly useful for population health studies, yet in public health there is a certain...
Article
Full-text available
Background: Few studies have assessed the impact of the financial crisis on inequalities in suicide mortality in European urban areas. The objective of the study was to analyse the trend in area socioeconomic inequalities in suicide mortality in nine European urban areas before and after the beginning of the financial crisis. Methods: This ecolo...
Article
Full-text available
Background: The ability to measure regional health inequalities across Europe and to build adequate population health indices depends significantly on the availability of reliable and comparable data at the regional level. Within the scope of the EU-funded project EURO-HEALTHY, a Population Health Index (PHI) was built. This model aggregates 39 in...
Article
Full-text available
This article investigates the health outcomes and determinants between two different European populations, Portuguese and Czech, on two hierarchical levels: country and metropolitan area. At first, the decomposition method of age and cause of death were compared on the country level, and then health was examined based on a factor analysis at the mu...
Article
Full-text available
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 authoriti...
Article
A limited number of studies have addressed environmental inequality, using various study designs and methodologies and often reaching contradictory results. Following a standardized multi-city data collection process within the European project EURO-HEALTHY, we conducted an ecological study to investigate the spatial association between nitrogen di...
Article
Urban areas in Europe are facing a range of environmental public health challenges, such as air pollution, traffic noise and road injuries. The identification and quantification of the public health risks associated with exposure to environmental conditions is important for prioritising policies and interventions that aim to diminish the risks and...
Article
Full-text available
Introduction: Suicide is considered a public health priority. It is a complex phenomenon resulting from the interaction of several factors, which do not depend solely on individual conditions. This study analyzes the spatio-temporal evolution of suicide mortality between 1980 and 2015, identifying areas of high risk, and their variation, in the 278...
Book
Full-text available
Despite the significant advances that have been made at the European Union (EU) level in terms of health inequality measurement, there is still a lack of comparable health-related data across countries and regions 1. Existing measures and indicators of health status and quality of life are considered inadequate2 to capture the holistic understandin...
Article
Full-text available
Background: Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) are specific conditions for which hospitalization is thought to be avoidable through patient education, health promotion initiatives, early diagnosis and by appropriate chronic disease management, and have been shown to be greatly influenced by socioeconomic (SE) characte...
Chapter
Full-text available
The “Multidimensional health assessment of the population: the case of Estarreja” is discussed in Chapter 9, where Paula Santana, Ângela Freitas, Ricardo Almendra and Cláudia Costa present the Population Health Index (INES) of the municipality of Estarreja between 1991 and 2011. This chapter aims to characterize the health of the population of this...
Conference Paper
Full-text available
Background Amenable mortality (premature deaths that should not have occurred given the availability of healthcare) is an important public health theme in Europe and Portugal is one of the European countries with the highest rates. One of the causes may be the time people need to reach the closest hospital. The aim of this paper is to identify the...
Article
Full-text available
This study’s aims are: (i) identifying spatial patterns for the risk of hospitalization due to mental illness and for the potential risk resulting from contextual factors with influence on mental health; and (ii) analyzing the spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual fact...
Chapter
Full-text available
O Suicídio é um problema de saúde pública em crescimento em todo o mundo e também em Portugal. Pretende-se identificar o padrão geográfico do risco de morte por suicídio e a associação estatística com a privação social e material nas Áreas Metropolitanas de Lisboa e Porto. Foi desenvolvido um estudo ecológico transversal dos óbitos por suicídio e l...
Article
Full-text available
This study compares the existing statistical association between suicide mortality and the characteristics of places of residence (municipalities), before and during the current economic crisis, in Portugal. We found that (1) the traditional culture-based North/South pattern of suicidal behaviour has faded away, while the socioeconomic urban/rural...
Article
Full-text available
Introduction: Socioeconomic inequalities affecting health are of major importance in Europe. The literature enhances the role of social determinants of health, such as socioeconomic characteristics and urbanization, to achieve health equity. Yet, there is still much to know, mainly concerning the association between cause-specific mortality and se...
Article
Full-text available
Low fruit and vegetable consumption is a risk factor for poor health. Studies have shown consumption varies across neighbourhoods, with lower intakes in disadvantaged neighbourhoods. However, findings are inconsistent, suggesting that socio-spatial inequities in diet could be context-specific, highlighting a need for international comparisons acros...
Conference Paper
Full-text available
The reduction of health inequalities within and among countries is stated as one of the main challenges on the present political agenda, confronting decision-makers at all government levels and in all sectors. Local governments are responsible for the most important policy levers for promoting health (e.g. spatial planning, environment, water and...
Article
Full-text available
Population health is influenced by complex interactions between multiple determinants, but there are still large gaps in knowledge about how to comprehensively evaluate the impact of these factors on health. This paper presents the participatory approach used to select a comprehensive set of dimensions and indicators to integrate the Population Hea...
Conference Paper
Full-text available
Background Suicidal behaviour can be influenced by the characteristics of places of residence, considered as specific socio-environmental contexts, which tend to deteriorate in periods of economic crisis. Traditionally Portugal presents low rates of suicide. Nevertheless, since 2008 the country has been facing severe economic constraints and auster...
Article
Full-text available
Preterm birth is a major public health problem, contributing greatly to childhood morbidity and mortality, both in developing countries like Brazil, as in European countries like Portugal. Preterm babies are those that born with less than 37 weeks of gestation. The individual risk factors associated with the incidence of prematurity are known. Howe...
Article
Full-text available
A saúde é um tema estratégico para o desenvolvimento nacional, pelo que a intervenção na sociedade apenas pode ser sustentada e efetiva se resultar de informação fidedigna, fiável, adequada e disponibilizada em tempo útil. Para isso têm contribuído os Sistemas de Informação Geográfica (SIG). Será apresentado um trabalho relativo à influência do con...
Article
Full-text available
Resumo – numa sociedade que valoriza cada vez mais o bem ­estar, a saúde e a ocu­ pação dos tempos livres, a oferta de espaços verdes urbanos (eVU) próximos da residência tem ­se convertido num direito e numa exigência dos cidadãos. neste artigo apresenta ­se a distribuição e acessibilidade dos eVU nas cidades de Coimbra e salamanca, é avaliada a f...
Article
Full-text available
strong>Introduction: Diabetes Mellitus is a public health problem that is on the increase throughout the world, including in Portugal. This paper aims to identify the changing geographic pattern of this cause of death in Portugal and its association with sociomaterial deprivation. Material and Methods: This is a transversal ecological study of the...
Article
Full-text available
Health and inequalities in health among inhabitants of European cities are of major importance for European public health and there is great interest in how different health care systems in Europe perform in the reduction of health inequalities. However, evidence on the spatial distribution of cause-specific mortality across neighbourhoods of Europ...
Article
Full-text available
Walkable urban green spaces (WUGS) have immediate as well as indirect effects on health, improving not only the general health of the population but also the quality of the environment. However, in creating these new green urban places the health situation is not given due consideration. This article deals with the relationship between green urban...
Article
Full-text available
The criminal research has confirmed that there are clear patterns of crime, with concentrations in specific places at specific times. That is to say, incidence of crime are not distributed randomly; rather, there are certain areas in cities that are relatively small, but where crimes occur much more frequently than elsewhere (the so-called “hotspot...
Chapter
Full-text available
El objetivo de esta comunicación es comparar la legislación urbanística en materia de espacios verdes urbanos en Portugal y en España, analizando su validez en un contexto de crisis económica. Como el urbanismo es asumido en cada país por administraciones diferentes, se ha optado por comparar la normativa nacional portuguesa con la de una región es...