Aproximació a les desigualtats socials en salut des de l'atenció primària

Identificador:  TDX:2280

Handle: https://hdl.handle.net/20.500.11797/TDX2280

Autors:  Poblet Calaf, Carme

Resum:
Social health inequality are those unfair and avoidable differences between population groups in terms of social class, age, gender, region or ethnicity, Therefore we propose the following general objectives: 1.- Health assessment of Primary Care adult users, in an urban area of Catalonia, according to the principal social inequality factors. 2.- Assess the effect of a participatory, culturally-adapted, community intervention promoting physical activity (PA), dietary education and healthy life-style to improve quality of life of adult, obese, immigrant, Moroccan women with unfavorable socioeconomic status. Methodology: Development of 3 studies: 1. Prevalence study of chronic illnesses and main inequalities of Primary Care adult users (n=67983). 2- Qualitative exploratory study of the factors related to Maghrebian women’s health. 3- Educational intervention study of short- and mid-term effect on Quality of Life RESULTS AND CONCLUSIONS: Significant differences in the prevalence of illnesses such as obesity, diabetes, osteomuscular problems and mental health depending on gender, deprivation index of Basic Health Area, age and nationality are observed The prevalence of obesity in Maghrebian women is 56,6%, and of diabetes 16,4% (higher than other nationalities). The main stress factors in immigrant Moroccan women are the decrease in the social ladder, the lack of work and opportunities, the lack of social support provided in Morocco and the language difficulties. The possibility of meeting other women and share experiences improves their wellbeing. A group intervention, participative and culturally adapted reduces the percentage of fat mass, waist perimeter, increases the level of physical activity and improves short-term the physical component of quality of life of the immigrant Maghrebian women with obesity that take part in the program. These important social inequalities in health need to be treated, in our healthcare system and community, in a specific manner.