In Catalonia, the crisis that began in 2008 has had a clear impact on the socioeconomic determinants of health. During these years, macroeconomic wealth has declined in the territory and unemployment has increased, especially the long-term, events that have directly influenced the decline in family income available and the rise in poverty and inequality. In this context, health indicators such as life expectancy or mortality have not undergone many variations, at least for the time being, but changes in the suicidal mortality rate have been detected, which has grown since 2007, and in the Health of the most vulnerable groups. Among unemployed people, for example, there is a higher consumption of tobacco and higher alcohol consumption than in non-stop people. People who are exempt from pharmaceutical co-payment (an approximation to vulnerable population at income levels) are more likely to receive treatment with psycho drugs, to be admitted to a hospital and to be visited in primary care and in mental health centers. Among other public policies, the Interdepartmental Plan for Public Health (PINSAP), with an intersectoral approach, acts on the determinants of health to reduce or eliminate inequalities, which is especially important for the health of the most vulnerable groups.
Economic crisis; Socioeconomic determinants; Population health
Barba G, Ruiz-Muñoz D, García-Altés A. Efectes de la crisi econòmica en la salut de la població de Catalunya: anàlisi territorial. Ann Med (Barc 1976). 2016;99(3):126-131.
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