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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la evoluci&#243;n de las desigualdades sociales en salud en Catalu&#241;a en las &#250;ltimas 2 d&#233;cadas&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha analizado la mortalidad en 354 &#225;reas peque&#241;as de Catalu&#241;a &#40;288 municipios o agregados de municipios de Catalu&#241;a y 66 Zonas B&#225;sicas de Salud de la ciudad de Barcelona&#41; para el per&#237;odo 1984-1998&#46; Se han comparado los indicadores de salud percibida&#44; los estilos de vida y la utilizaci&#243;n de servicios sanitarios por clase social y g&#233;nero en 1994 y 2002&#46; Asimismo&#44; se han analizado aspectos relacionados con la salud laboral&#44; la salud y la inmigraci&#243;n&#44; el medioambiente y las pol&#237;ticas para reducir las desigualdades en salud&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque la mayor&#237;a de indicadores de salud ha mejorado a lo largo de los &#250;ltimos a&#241;os&#44; este trabajo ha puesto de relieve la presencia de m&#250;ltiples desigualdades sociales en salud&#44; tanto en 1994 como en 2002&#44; y el hecho de que &#233;stas se mantienen o&#44; en determinados casos&#44; incluso aumentan&#46; As&#237;&#44; las personas que viven en las &#225;reas geogr&#225;ficas con mayor privaci&#243;n material&#44; la poblaci&#243;n de las clases desfavorecidas&#44; las mujeres y los inmigrantes provenientes de pa&#237;ses de renta baja son los colectivos m&#225;s perjudicados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se pone de manifiesto la presencia de desigualdades en salud y su estabilidad en el tiempo&#46; Se hacen recomendaciones relacionadas con los sistemas de informaci&#243;n y la difusi&#243;n&#44; la investigaci&#243;n y las pol&#237;ticas para reducir estas desigualdades&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze the evolution of social inequalities in health in Catalonia &#40;Spain&#41; in the last 20 years&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality in 354 small areas of Catalonia &#40;288 cities in Catalonia and 66 health areas in the city of Barcelona&#41; was analyzed for the 1984-98 period&#46; Indicators of selfperceived health status&#44; lifestyles&#44; and health services utilization by social class and gender were compared for 1994 and 2002&#46; Factors related to occupational health&#44; immigration and health&#44; environmental health&#44; and policies to reduce social inequalities in health were also analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Although most health indicators improved&#44; multiple inequalities in health were found in both 1994 and 2002&#46; These inequalities were the same in 2002 as in 1994 or&#44; in some cases&#44; worse&#46; The collectives with the worst indicators were persons living in the most deprived areas&#44; those from disadvantaged social classes&#44; women&#44; and immigrants from low-income countries&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Social inequalities in health have persisted over the past 20 years in Catalonia&#46; We present some recommendations on health information systems&#44; research&#44; and policies to reduce these inequalities&#46;</p>"
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Revisión
La evolución de las desigualdades en salud en Cataluña
Evolution of health inequalities in Catalonia [Spain]
Carme Borrella,b,
Autor para correspondencia
cborrell@aspb.es

Correspondencia: Dra. Carme Borrell. Agència de Salut Pública de Barcelona. Plaça Lesseps, 1. 08023 Barcelona. España.
, Joan Benachc, Grupo de trabajo CAPS-FJ Bofill
a Centre d’Anàlisi i Programes Sanitaris, Barcelona, España
b Agència de Salut Pública de Barcelona, España
c Unitat de Recerca en Salut Laboral, Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la evoluci&#243;n de las desigualdades sociales en salud en Catalu&#241;a en las &#250;ltimas 2 d&#233;cadas&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha analizado la mortalidad en 354 &#225;reas peque&#241;as de Catalu&#241;a &#40;288 municipios o agregados de municipios de Catalu&#241;a y 66 Zonas B&#225;sicas de Salud de la ciudad de Barcelona&#41; para el per&#237;odo 1984-1998&#46; Se han comparado los indicadores de salud percibida&#44; los estilos de vida y la utilizaci&#243;n de servicios sanitarios por clase social y g&#233;nero en 1994 y 2002&#46; Asimismo&#44; se han analizado aspectos relacionados con la salud laboral&#44; la salud y la inmigraci&#243;n&#44; el medioambiente y las pol&#237;ticas para reducir las desigualdades en salud&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Aunque la mayor&#237;a de indicadores de salud ha mejorado a lo largo de los &#250;ltimos a&#241;os&#44; este trabajo ha puesto de relieve la presencia de m&#250;ltiples desigualdades sociales en salud&#44; tanto en 1994 como en 2002&#44; y el hecho de que &#233;stas se mantienen o&#44; en determinados casos&#44; incluso aumentan&#46; As&#237;&#44; las personas que viven en las &#225;reas geogr&#225;ficas con mayor privaci&#243;n material&#44; la poblaci&#243;n de las clases desfavorecidas&#44; las mujeres y los inmigrantes provenientes de pa&#237;ses de renta baja son los colectivos m&#225;s perjudicados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se pone de manifiesto la presencia de desigualdades en salud y su estabilidad en el tiempo&#46; Se hacen recomendaciones relacionadas con los sistemas de informaci&#243;n y la difusi&#243;n&#44; la investigaci&#243;n y las pol&#237;ticas para reducir estas desigualdades&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze the evolution of social inequalities in health in Catalonia &#40;Spain&#41; in the last 20 years&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality in 354 small areas of Catalonia &#40;288 cities in Catalonia and 66 health areas in the city of Barcelona&#41; was analyzed for the 1984-98 period&#46; Indicators of selfperceived health status&#44; lifestyles&#44; and health services utilization by social class and gender were compared for 1994 and 2002&#46; Factors related to occupational health&#44; immigration and health&#44; environmental health&#44; and policies to reduce social inequalities in health were also analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Although most health indicators improved&#44; multiple inequalities in health were found in both 1994 and 2002&#46; These inequalities were the same in 2002 as in 1994 or&#44; in some cases&#44; worse&#46; The collectives with the worst indicators were persons living in the most deprived areas&#44; those from disadvantaged social classes&#44; women&#44; and immigrants from low-income countries&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Social inequalities in health have persisted over the past 20 years in Catalonia&#46; We present some recommendations on health information systems&#44; research&#44; and policies to reduce these inequalities&#46;</p>"
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ISSN: 02139111
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