2013, Number 4
Study of social determinants and population health status
Language: Spanish
References: 12
Page: 219-229
PDF size: 180.02 Kb.
ABSTRACT
Background: the study of social determinants of health is an essential tool to modify the population health status.Objective: to describe various determinants of health and their relations with health indicators in the Area I of the municipality of Cienfuegos in 2001.
Methods: a descriptive study on the impact of various social determinants on the health status of the population in the Area I of the municipality of Cienfuegos in 2011 was conducted. Demographic, social, environmental and lifestyle indicators were considered, as well as indicators of the organization of health services.
Results: the Area I was affected in several studied dimensions such as: the environment and the organization of health services, showing instability in the performance of office and home visits, in addition to the increase in cases treated in the emergency services. A high percentage of exposure to cardiovascular risk factors with an impact on mortality was observed as one of the leading causes of death; the increase in the incidence of communicable diseases like tuberculosis, diarrehal diseases and sexual transmitted infections was also noted.
Conclusions: there are evidences that allow taking actions to modify the health status of the population in the Area I of the municipality of Cienfuegos through the analysis of its determinants, emphasizing in the organization of health services.
REFERENCES
Álvarez AG, García A, Bonet M. Pautas conceptuales y metodológicas para explicar los determinantes de los niveles de salud en Cuba. Rev Cubana Salud Pública [revista en Internet]. 2007 [ cited 8 Oct 2012 ] ; 33 (2): [aprox. 15p]. A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-34662007000200013&lng=es.
López CM, Alonso P. Definiciones, características y problemas en el empleo de indicadores en salud. Rev Cubana Salud Pública [revista en Internet]. 2011 [ cited 8 Oct 2012 ] ; 37 (2): [aprox. 18p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-34662011000200011&lng=es.
Álvarez AG, Alegret M, Luis IP, Leyva A, Rodríguez A, Bonet M. et al. Diferenciales de salud y una aproximación mediante el empleo del coeficiente de Gini y el índice de concentración en las provincias cubanas, 2002-2008. Rev Cubana Hig Epidemiol [revista en Internet]. 2011 [ cited 8 Oct 2012 ] ; 49 (2): [ a p r o x . 1 5 p ] . A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032011000200007&lng=es.
Álvarez AG, García A, Rodríguez A, Bonet M, De Vos P, Van Der Stuyft P. Los estudios organizacionales en el abordaje de los determinantes de la salud. Rev Cubana Hig Epidemiol [revista en Internet]. 2009 [ cited 8 Oct 2012 ] ; 47 (1): [aprox. 15p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032009000100006&lng=es.
Álvarez AG, García A, Rodríguez A, Bonet M, De Vos Pol, Van Der Stuyft P. Algunas evidencias cualitativas acerca de la determinación de la salud en Cuba (1989 a 2000). Rev Cubana Hig Epidemiol [revista en Internet]. 2009 [ cited 8 Oct 2012 ] ; 47 (1): [aprox. 14p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032009000100002&lng=es.
Álvarez AG, García A, Rodríguez A, Bonet M, De Vos P, Van der Stuyff P. La regionalización de los servicios de salud como una estrategia de reorganización sanitaria. Rev Cubana Hig Epidemiol [revista en Internet]. 2008 [ cited 8 Oct 2012 ] ; 46 (1): [aprox. 15p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032008000100007&lng=es.
Álvarez AG, García A, Rodríguez A, Bonet M. Voluntad política y acción intersectorial. Premisas claves para la determinación social de la salud en Cuba. Rev Cubana Hig Epidemiol [revista en Internet]. 2007 [ cited 8 Oct 2012 ] ; 45 (3): [ a p r o x . 2 0 p ] . A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032007000300007&lng=es.
Hadad JL, Valdés E. La protección social en salud como enfrentamiento a una crisis económica. Rev Cubana Salud Pública [revista en Internet]. 2010 [ cited 8 Oct 2012 ] ; 36 (3): [ a p r o x . 1 4 p ] . A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-34662010000300008&lng=es.
Romero M, Álvarez M, Álvarez A. Los factores ambientales como determinantes del estado de salud de la población. Rev Cubana Hig Epidemiol [revista en Internet]. 2007 [ cited 8 Oct 2012 ] ; 4 5 ( 2 ) : [ a p r o x . 3 p ] . A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032007000200001&lng=es.
López CM. Estado de salud y su relación con los determinantes: procedimientos de análisis. Rev Cubana Salud Pública [revista en Internet]. 2008 [ cited 8 Oct 2012 ] ; 34 (2): [aprox. 25p]. A v a i l a b l e f r o m : http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0864-34662008000200010&lng=es.