Lucia Artazcoz

Lucia Artazcoz
Agència de Salut Pública de Barcelona · Public Health Observatory

PhD

About

214
Publications
57,978
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5,554
Citations
Additional affiliations
October 2019 - present
Public Health Agency of Barcelona
Position
  • Managing Director
January 2004 - September 2019
Public Health Agency of Barcelona
Position
  • Managing Director
January 2004 - present
Universitat Pompeu Fabra

Publications

Publications (214)
Article
Full-text available
Energy poverty (EP) is becoming an increasingly important problem in the urban contexts of southern Europe. In Barcelona, EP indicators are higher than those of the European Union and are strongly associated with poor health status and high use of health services and medication, becoming a major public health problem. EP is unevenly distributed in...
Chapter
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Las instituciones públicas que regulan, deciden y difunden las políticas de salud pública deben ser dignas de confianza, es decir, decidir y actuar de acuerdo con valores morales y democráticos compartidos que se hagan transparentes. La COVID-19 ha mostrado que, con frecuencia, las instituciones no han sido percibidas como dignas de confianza. En e...
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Background Spain has been hit hard by COVID-19 since March 2020, especially in its metropolitan areas. We share experiences from Barcelona in measuring socioeconomic inequalities in the incidence of COVID-19 in the different waves, and in implementing coordinated and equity-oriented public health policy responses. Methods We collected daily data o...
Article
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Children have been identified as being particularly vulnerable to energy poverty (EP), but little empirical research has addressed the effect of EP on children’s health and wellbeing, especially in southern Europe. In this work we aimed to provide an in-depth description of the distribution of EP by sociodemographic, socioeconomic and housing chara...
Article
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Objectives: Although in-work poverty has been increasing, in Europe policy about poverty and social exclusion tends to focus on labor market participation, independently of the level of remuneration and the quality of work, and studies about financial strain among workers, as well as on its relationship with health status, are still scarce. The obj...
Article
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Objectives To explore the health effects of a community health intervention on older people who are isolated at home due to mobility problems or architectural barriers, to identify associated characteristics and to assess participants’ satisfaction. Design Quasi-experimental before–after study. Setting Five low-income neighbourhoods of Barcelona...
Article
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Background: The objective of this paper is to analyze social inequalities in COVID-19 incidence, stratified by age, sex, geographical area, and income in Barcelona during the first two waves of the pandemic. Methods: We collected data on COVID-19 cases confirmed by laboratory tests during the first two waves of the pandemic (1 March to 15 July and...
Chapter
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La salud pública, el género y la ética 29 28 sinónimo, de la promoción de la equidad de género en la salud. 4 De hecho, en los últimos años los hombres también han comenzado a llamar la atención sobre las implicaciones negativas de la masculinidad para su salud. 5 Patriarcado Entender las causas de las desigualdades de género en la salud requiere p...
Article
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Energy poverty (EP) is defined as the inability of a household to secure a socially and materially required level of energy services in the home. The main objective of this study was to analyse the association between EP and distinct indicators of health status, health services utilisation and medication use in southern Europe, using the city of Ba...
Article
In Spain, the Public Health Law approved in 2011 foresees the creation of a Surveillance System on Social Determinants of Health and Equity. However, although information on health inequalities has been reported in technical reports and scientific articles before, it is not until now with the change of the Spanish government the political will to s...
Article
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Community health can reduce inequalities in health and improve the health of the most disadvantaged populations. In 2007, Barcelona Salut als Barris (Barcelona Health in the Neighbourhoods) was launched, a community health programme to reduce social inequalities in health. In 2018, this programme reached the 25 most disadvantaged neighbourhoods of...
Article
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Parent training programs (PTPs) have been used extensively in Anglo-Saxon countries, but less so in Southern Europe. Several characteristics of families have been linked to effective parenting and positive development of children, but few studies have examined the social determinants of the effectiveness of PTPs. The Parenting Skills Program for fa...
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Background: The "Employment in the neighbourhoods" program is an innovative, tailor-made Active Labour Market Program that has been implemented in 12 neighbourhoods in Barcelona (Spain). Its goal is to get people from deprived, high-unemployment neighbourhoods back to work. The aim of this study was to describe the effects of the program on partic...
Article
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The aim of this study is to analyse the time trends in the European Union (EU) before and during the economic crisis in 1) the energy poverty (EP) prevalence; 2) the association between EP and health and 3) the impact of EP on health. We analyse trends among women and men in two EU macro regions, defined by a novel index of structural vulnerability...
Article
Background: Since the last Western great recession of 2008, an increasing interest on the effects of Active Labour Market Policies (ALMPs) on improving health has emerged. The aim of our review is to synthesize evidence on the effectiveness of ALMPs and whether some types of ALMP are more effective. Methods: Using the Scoping review methodology,...
Article
E n los últimos años se han producido cambios económicos, sociales, técnicos y políticos con una rapidez sin precedentes, lo que ha modificado profunda-mente el mercado laboral, la naturaleza del trabajo y el concepto de salud de la población trabajadora (Wright, 2018). Sin embargo, en nuestro entorno, la salud laboral sigue limitada a la evaluació...
Article
Background: The aim of this study was to analyze the changes in self-perceived health status and mental health among participants in an active labour market policy (ALMP) of Barcelona, and to assess whether the results differed according to the participants' social characteristics and their program trajectories. Methods: A pre-post intervention...
Article
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The growth of poor jobs related to economic crisis adds to its increase since the mid-1970s as a result of new forms of flexible employment. In Europe, there is no clear evidence on whether working in a poor-quality job is better for mental wellbeing than being unemployed. The objectives of this study were to compare mental wellbeing between the un...
Article
Energy poverty (EP) is a growing problem in the European Union (EU) that affects the population's health. EP is structurally determined by broader political and socioeconomic conditions. Our aims were to analyze the configuration of these determinants in each EU-27 country through the creation of a structural energy poverty vulnerability (SEPV) ind...
Article
Background: Cancer is a major public health problem worldwide. The GLOBOCAN estimated 18.1 million new cases of cancer and 9.6 million deaths from cancer in 2018. In some of the more frequent cancers, mortality can be significantly reduced through cancer screening programs. Nevertheless, socially disadvantaged groups have difficulties in benefitti...
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There is a wealth of information and research on health inequalities in Barcelona, but this issue has not been clearly prioritised on the political agenda. The arrival in government of a new left-wing party (Barcelona en Comú) in 2015, gave an important boost to the political agenda to reduce inequalities and health inequalities. The aim of this re...
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The aim of this chapter is to offer a conceptual framework for understanding intimate partner violence (IPV) and its impact on health based on a structural context that determines gender norms and hierarchies, as well as the intersection between various types of inequalities. Preventing IPV demands intersectoral work, where having a conceptual fram...
Article
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El objetivo de este capítulo es proponer un marco conceptual para comprender la violencia machista en el ámbito de la pareja (VMAP) y su impacto en la salud, basado en un contexto estructural que determina normas y jerarquías de género, así como la intersección entre varios ejes de desigualdad. La prevención de la VMAP exige un trabajo intersectori...
Article
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L'objectiu d'aquest capítol és proposar un marc conceptual per comprendre la violència masclista en l'àmbit de la parella (VMAP) i el seu impacte en la salut basat en un context estructural que determina normes i jerarquies de gènere, així com la intersecció entre diversos eixos de desigualtat. La prevenció de la VMAP exigeix un treball intersector...
Article
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The objectives were to assess the joint effect of working hours paid per week and multiple job holding on sickness absence, by sex, among basic education teachers in Brazil. This study is based on a survey carried out over a representative sample of 5,116 active basic education teachers in Brazil between 2015 and 2016 (Educatel Study). We created a...
Article
Background: In high-income countries, the prevalence of blindness and visual impairment is higher among women, regardless of age although the mechanisms that produce these gender inequalities are not well understood. The objectives of this study were to analyse gender inequalities in the prevalence of blindness and visual impairment, age of onset,...
Article
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Background Unemployment affects the physical and mental health of affected individuals, which can be explained by its direct effect on worsening finances due to the lack of income as well as by its negative psychosocial effects. “Employment in the Neighborhoods” return to work program was implemented in Barcelona specifically in the neighborhoods c...
Article
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Chronic extreme long working hours (LWH) have been found consistently associated with poor health status. However, the evidence for moderately LWH (41–60 h a week) is contradictory. Although poor job quality has been proposed as one of the mechanisms of this relationship, there are almost no studies about LWH and job quality. The objectives of this...
Article
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The concepts of community health and gender perspective are often misunderstood or interpreted differently between different sectors and disciplines. For this reason, this article starts with the definition of both concepts and continues with a proposal for the incorporation of a gender perspective in community health. The gender norms determine di...
Article
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Background: The growing demand for labour flexibility has resulted in decreasing employment stability that could be associated with poor mental health status. Few studies have analysed the whole of the work force in considering this association since research on flexible forms of employment traditionally analyses employed and unemployed people sep...
Article
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Objective: To document the prevalence of poor mental health by gender and social class, and to analyze if poor mental health is associated with the family roles or the employment status inside and outside the household. Method: A cross-sectional study based on a representative sample of the Spanish population was carried out (n = 14,247). Mental...
Article
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Objective: We implemented and evaluated the Parenting Skills Program for families in Spain 1) to examine differences in parenting skills, social support, children's behaviours and parental stress pre, immediately post and six months post intervention and 2) to identify mechanisms by which the intervention is related to changes in the four outcomes...
Article
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While most countries have imposed austerity policies that risk jeopardizing the progress towards gender equality, there are examples of European regions that have maintained or strengthened gender-equality policies in a climate of economic downturn. Following a realist approach and adopting Kingdon's agenda-setting model as our framework, this expl...
Article
Objective To describe working and employment conditions, and health status between non-agricultural employees with a written contract from Colombia, Argentina, Chile, Central America and Uruguay. Methods We compared data from the first working condition surveys (WCS) of Colombia, Argentina, Chile, Central America and Uruguay. For comparative purpo...
Article
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This article reports evidence gained by the SOPHIE Project regarding employment and labor market-related policies. In the first step, quality of employment and of precarious and informal employment in Europe were conceptualized and defined. Based on these definitions, we analyzed changes in the prevalence and population distribution of key health-a...
Article
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El objetivo de este trabajo es presentar un cuestionario básico y criterios metodológicos mínimos, para ser considerados en futuras Encuestas sobre Condiciones de Trabajo, Empleo y Salud (ECTES) en América Latina y el Caribe. Para ello, se llevó a cabo un proceso de consenso, tanto virtual como presencial, con la participación de un grupo internaci...
Article
Objectives To describe working and employment conditions, and health-related outcomes in non-agricultural employees in Colombia, Argentina, Chile, Central America and Uruguay on the basis of the working conditions surveys (WCSs) available in Latin America. In addition, we aimed to discuss the methodological barriers that hinder the comparability of...
Article
Objectives To assess the relationship between paid work, family characteristics and health status in Central American workers; and to examine whether patterns of association differ by gender and informal or formal employment. Methods Cross-sectional study of 8680 non-agricultural workers, based on the First Central American Survey of Working Condit...
Article
The aim of this article is to explain the results of the SOPHIE project regarding the effect of gender policies on gender inequalities in health in Europe. We start with the results of a systematic review on how gender regimes and gender equality policies at the country level impact women’s health and gender inequalities in health. Then, we report...
Article
Parenting skills promotion interventions are effective developing children and parent wellbeing. In Spain this kind of interventions are common, but there are not validated parenting skills questionnaires to evaluate them. This study provides a parental skills questionnaire created from an original 43 item and six dimensions questionnaire used in d...
Article
This article examines the relationship between moderately long working hours and health status in Europe. A cross-sectional study based on data from the 2010 European Working Conditions Survey (13,518 men and 9381 women) was performed. Working moderately long hours was consistently associated with poor health status and poor psychological wellbeing...
Article
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Fundamentos: los programas de educación parental, promotores de la parentalidad positiva, reducen el estrés parental. En España y Latinoamérica son escasas las evaluaciones que evidencian dichos efectos y en ningún caso exploran los predictores de éxito. Este estudio a naliza los cambios producidos por el “ Programa de desarrollo de habilidades par...
Article
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Objective: In the working population, poor mental health is a significant problem whose prevalence rates and associated factors could differ by gender, especially in a period of socioeconomic changes. The aims of this study were: a) to determine the prevalence of poor mental health in the working population of Spain in 2011; b) to identify the ass...
Article
This study aims to analyze differences in the prevalence of insomnia symptoms and non-restorative sleep (NRS) between people born in Spain and immigrants from the seven countries with most immigrants in Spain. The data come from the 2006 Spanish National Health Survey (SNHS). The sample was composed of all individuals aged 16-64 years from Spain an...
Article
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Objetivo: Evaluar el proceso y los resultados de la fase piloto del Programa de desarrollo de habilidades parentales para familias (PHP), una estrategia de promoción de la parentalidad positiva basada en la evidencia y aplicable en contextos comunitarios y socioeducativos. Métodos: Diseño cuasiexperimental antes-después sin grupo control para la ev...
Article
Objective To assess the reliability, accuracy, and construct validity of the Spanish Abuse Assessment Screen (AAS) among pregnant women using the Spanish version of Index of Spouse Abuse (ISA) as a reference standard.Design and SampleCross-sectional survey. A total of 1,329 pregnant women were selected in nine primary care centers during 2008–2009....
Book
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Social and economic policies can help reduce health inequalities Over the past few years, SOPHIE has accumulated evidence regarding the influence of social and economic policies on the level of health across the population and on the degree to which health inequalities are influenced by socioeconomic, gender and immigration factors. At the same tim...
Article
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Background: Informal employment is assumed to be an important but seldom studied social determinant of health, affecting a large number of workers around the world. Although informal employment arrangements constitute a permanent, structural pillar of many labor markets in low- and middle-income countries, studies about its relationship with healt...
Article
Background: The objectives of this study are to: 1) assess the impact of an intervention designed to reduce the prevalence of musculoskeletal discomfort, and 2) analyze whether the impact differs by individual characteristics. Methods: Quasi-experimental study with pre-post test design and no control group. The study population consisted of 55 w...
Article
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High-quality and comparable data to monitor working conditions and health in Latin America are not currently available. In 2007, multiple Latin American countries started implementing national working conditions surveys. However, little is known about their methodological characteristics. To identify commonalities and differences in the methodologi...
Article
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As Taylor-Robinson and colleagues show, child health and wellbeing have taken “a great leap backwards” in many countries during the current economic crisis.1 Since 2008, the risk of poverty and economic inequality has increased in Spain, and more so among children than in the general population. The proportion of children at risk of poverty increas...
Article
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This study aims to analyze the differences in the use of primary care (PC), hospital, and emergency services between people born in Spain and immigrants. Data were obtained from the 2006 Spanish National Health Survey. The sample was composed of individuals aged 16-64 years from Spain and the seven countries with most immigrants in Spain (n = 22,22...
Article
The relation between “neo-Marxian” social class (NMSC) and health in the working population has received considerable attention in public health research. However, less is known about the distribution of mental well-being according to NMSC in a European context. The objectives of this study are (i) to analyse the association of mental well-being an...
Article
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que incorpora otros ejes de desigualdad tanto individuales – clase social – como contextuales – tipología de estados de bienestar. Se señalan las limitaciones de la investigación tradicional en salud laboral desde una perspectiva de género. También se describe la investigación sobre el trabajo como determinante social de la salud y sus limitaciones...
Article
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Objective Social isolation impairs health. An intervention to reduce isolation due to architectural barriers in elderly persons was carried out in Barcelona (Spain). This study aimed to evaluate its effects on health. Methods We conducted a quasi-experimental before-after study. Isolated older people were identified in three deprived urban areas f...
Article
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Social isolation impairs health. An intervention to reduce isolation due to architectural barriers in elderly persons was carried out in Barcelona (Spain). This study aimed to evaluate its effects on health.
Conference Paper
Objectives To analyse the relationship between mental health and non-agricultural informal employment in Central America; and to examine whether patterns of association differ by gender Method Cross-sectional study of 8904 non-agricultural workers (48% women) based on the I Central American Survey of Working Conditions and Health of 2011. Employmen...
Conference Paper
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Background: The parent-training program for families (PTP) is being implemented in Barcelona to promote positive parenting. The social conditions in which people are born, grow, live, work and age, called Social Determinants of Health (SDH), influence people’s lifestyles and health. Unequal distribution of SDH and gender, ethnicity, territory, age...
Article
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The aim of this study was to analyze the differences between full- and part-time employment (FTE and PTE) in terms of working conditions, on the one hand, and job satisfaction, health status, and work-related psychosocial problems according to gender and welfare state regime, on the other hand, and to analyze the role of working conditions in the a...
Article
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The objectives of this study were: (i) to analyse the relationship between health status and paid working hours and household composition in the EU-27, and (ii) to examine whether patterns of association differ as a function of family policy typologies and gender. Cross-sectional study based on data from the 5th European Working Conditions Survey o...
Chapter
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Sumario 1. Evidencias sobre las desigualdades de género en salud. 1.1. Salud y gé-nero, ¿es cosa de mujeres? 1.2. Diferencias biológicas entre hombres y mu-jeres y salud.—2. Limitaciones de la investigación clásica sobre las des-igualdades de género en salud. 2.1. ¿Análisis de género o análisis de las mujeres? 2.2. La insuficiente caracterización d...
Article
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Objectives: To analyze gender inequalities in socioeconomic factors affecting the amount of time spent travelling for work-related and home-related reasons among working individuals aged between 30 and 44 years old during a weekday in Catalonia (Spain). Methods: A cross-sectional study was conducted. Data were obtained from employed individuals age...
Conference Paper
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Resumen El " Programa de desenvolupament d'habilitats parentals per a famílies " (PHP) (Ramos y Manzanares,2009) de l'Agència de Salut Pública de Barcelona adaptado del " Programa-Guía para el desarrollo de competencias emocionales, educativas y parentales (Martínez, 2009) se implementa en Barcelona para promover la parentalidad positiva. Las deter...
Article
The objectives of this study were to examine for the first time the prevalence of visual impairment and blindness among adults in Spain, to explore regional differences, and to assess whether they may vary as a function of sex or be explained by age and individual or regional socioeconomic position. Data were obtained from the 2008 Spanish Survey o...
Article
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Gender inequalities in the exposure to work-related psychosocial hazards are well established. However, little is known about how welfare state regimes influence these inequalities. To examine the relationship between welfare state regimes and gender inequalities in the exposure to work-related psychosocial hazards in Europe, considering occupation...