Geographic health inequalities in Madrid City: exploring spatial patterns of respiratory disease mortality

Author: , , and
Key words: , , , ,
Issue: Volume 15, Issue 1, 2021

Abstract


The unequal geographic distribution of health determinants could denote situations of environmental injustice. This work aims to identify spatial patterns of respiratory disease mortality and their association with the education level and the atmospheric pollution in Madrid. To this purpose, we applied spatial analysis through statistical techniques and Geographic Information Systems at the census tract level. The analysis showed a slight but significantly higher risk of mortality in areas with more unfavourable socioeconomic and environmental conditions. This work has the potential to inform public policy and research on links among social, environmental and health inequalities in Madrid City.

Full text


Permalink (doi)



Authors Affiliations


María-Eugenia Prieto-Flores* (1), Diana Gómez-Barroso (2), Rosa Cañada Torrecilla (3), Antonio Moreno Jiménez (3)

1) National Council of Scientific and Technical Research (CONICET), Institute of Geography, National University of La Pampa, Argentina
2) National Center of Epidemiology, Carlos III Institute of Health, CIBERESP, Spain
3) Department of Geography, Autonomous University of Madrid, Spain
* Corresponding author.
Email: meprieto@conicet.gov.ar

References


Borrell, C., Marí-Dell’Olmo, M., Serral, G., Martínez-Beneito, M. and Gotsens, M. (2010), “Inequalities in mortality in small areas of eleven Spanish cities (the multicenter MEDEA project)”, Health & Place, vol. 16, no. 4, p. 703-711.
Borrell, C., Serral, G., Martínez-Beneito, M.Á., Marí-Dell’Olmo, M., Rodríguez-Sanz, M. and MEDEA grup (2009), Atlas of mortality in Spanish cities (1996-2003), Dit i Fet, Barcelona.
Bosque Sendra, J., Díaz Castillo, C. and Díaz Muñoz, M. (2001-2002), “De la justicia espacial a la justicia ambiental en la política de localización de instalaciones para la gestión de residuos en la Comunidad de Madrid”, Boletín de la Real Sociedad Geográfica, no. 137-138, p. 89-114.
Cañada Torrecilla, M.R., Moreno Jiménez, A. and González Lorenzo, H. (2014), “Modelado de la calidad del aire urbano. Un experimento metodológico con técnicas de interpolación espacial”, Boletín de la Asociación de Geógrafos Españoles, no. 65, p. 317-342.
Cañada Torrecilla, R., Vidal Domínguez, M.J. and Moreno Jiménez, A. (2011), “Interpolación espacial y visualización cartográfica para el análisis de la justicia ambiental: ensayo metodológico sobre la contaminación por partículas atmosféricas en Madrid”, GeoFocus, no. 11, p. 118-154.
Cockerham, W.C., Hamby, B.W. and Oates, G.R. (2017), “The Social Determinants of Chronic Disease”, American Journal of Preventive Medicine, vol. 52, no. 1S1, p. S5–S12.
Curtis, S. and Jones, I.R. (1998), “Is there a place for geography in the analysis of health inequality? “, Sociology of Health & Illness, vol. 20, no. 5, p. 645–672.
Elmore, K., Flanagan, B., Jones, N.F. and Heitgerd, J.L. (2010), “Leveraging geospatial data, technology, and methods for improving the health of communities: priorities and strategies from an expert panel convened by the CDC”, Journal of Community Health, vol. 35, no. 2, p. 165-171.
Gatrell, A.C. (2002), Geographies of health: an introduction, Blackwell Publishing, Oxford.
Jerrett, M., Burnett, R.T., Ma, R., Pope, C.A., Krewski, D., Newbold, K.B., Thurston, G., Shi, Y., Finkelstein, N., Calle, E.E. and Thun, M.J. (2005), “Spatial Analysis of Air Pollution and Mortality in Los Angeles”, Epidemiology, vol. 16, no. 6, p. 727-736.
Kearns, R.A. (1993), “Place and Health: Towards a Reformed Medical Geography”, Professional Geographer, no. 45, vol. 2, p. 139-147.
Laurent, O., Bard, D., Filleul, L. and Segala, C. (2007), “Effect of socioeconomic status on the relationship between atmospheric pollution and mortality”, Journal of Epidemiology and Community Health, vol. 61, no. 8, p. 665-675.
Marí-Dell’Olmo, M., Gotsens, M., Palència, L., Burström, B., Corman, D., Costa, G., Deboosere, P., Díez, È., Domínguez-Berjón, F. and Dzúrová, D. (2015), “Socioeconomic inequalities in cause-specific mortality in 15 European cities”, Journal of Epidemiology and Community Health, vol. 69, no. 5, p. 432-441.
Moreno Jiménez, A. (2007), “¿Está equitativamente repartida la contaminación sonora urbana? Una evaluación desde el principio de justicia ambiental en la ciudad de Madrid”, Estudios Geográficos, vol. 68, no. 263, p. 595-626.
Moreno Jiménez, A. (2013), “Población y polución atmosférica intraurbana por dióxido de nitrógeno en Madrid: análisis desde la justicia ambiental basado en Sistemas de Información Geográfica”, Cuadernos Geográficos, vol. 52, no. 1.
Moreno Jiménez, A., Cañada Torrecilla, R., Vidal Domínguez, M.J., Palacios García, A. and Martínez Suárez, P. (2016), “Assessing environmental justice in Madrid and Barcelona, Spain: A preliminary analysis of population potential exposure to nitrogen dioxide pollution”, Geoforum, no. 69, p. 117-131.
Pearce, J., Mitchell, R. and Shortt, N. (2015), “Place, space, and health inequalities”, in K.E. Smith, C. Bambra and S.E. Hill (eds) Health Inequalities: Critical Perspectives, Oxford University Press, Oxford, p. 192-205.
Pearce, J., Richardson, E., Mitchell, R. and Shortt, N. (2010), “Environmental justice and health: the implications of the socio-spatial distribution of multiple environmental deprivation for health inequalities in the United Kingdom”, Transactions of the Institute of British Geographers, vol. 35, no. 4, p. 522-539.
Pelucchi, C., Negri, E., Gallus, S., Boffetta, P., Tramacere, I. and La Vecchia, C. (2009), “Long-term particulate matter exposure and mortality: a review of European epidemiological studies”, BMC Public Health, vol. 9, no. 453.
Prieto-Flores, M.-E., Moreno Jiménez, A., Gómez-Barroso, D., Cañada Torrecilla, R. and Martínez Suárez, P. (2017), “Contaminación del aire, mortalidad cardiovascular y grupos vulnerables en Madrid: un estudio exploratorio desde la perspectiva de la justicia ambiental”, Scripta Nova. Revista Electrónica de Geografía y Ciencias Sociales, vol. 21, no. 559.
Querol, X., Alastuey, A., Moreno, T., Viana, M.M., Castillo, S., Pey, J., Rodríguez, S., Artiñano, B., Salvador, P., Sánchez, M., Garcia Dos Santos, S., Herce Garraleta, M.D., Fernandez-Patier, R., Moreno-Grau, S., Negral, L., Minguillón, M.C., Monfort, E., Sanz, M.J., Palomo-Marín, R., Pinilla-Gil, E., Cuevas, E., de la Rosa, J. and Sánchez de la Campa, A. (2008), “Spatial and temporal variations in airborne particulate matter (PM10 and PM2.5) across Spain 1999-2005”, Atmospheric Environment, vol. 42, no. 17, p. 3964-3979.
Rosenberg, M.W. (1998), “Medical or health geography? Populations, peoples and places”, International Journal of Population Geography, vol. 4, no. 3, p. 211-226.
Rosenberg, M. W. and Wilson, K. (2005), “Remaking medical geography”. Territoris (Monográfico sobre Geografía de la Salud), no. 5, p. 17-32.
Santana, P., Freitas, A., Costa, C. and Vaz, A. (2015), “Εvaluating population health: the selection of main dimensions and indicators through a participatory approach”, European Journal of Geography, vol. 6, no. 1, p. 51-63.
Schikowski, T., Sugiri, D., Reimann, V., Pesch, B., Ranft, U. and Kramer, U. (2008), “Contribution of smoking and air pollution exposure in urban areas to social differences in respiratory health”, BMC Public Health, vol. 8, no. 179.
Spanish Statistical Office (2019), Cifras oficiales de población resultantes de la revisión del padrón municipal a 1 de enero, 06 March 2020, shorturl.at/qvLZ3.
Vidal Domínguez, M.J. and Palacios García, A. (2012), “Apuntes metodológicos para el estudio de las desigualdades sociodemográficas intraurbanas”, in P. Reques and O. Cos (eds) La población en clave territorial. Procesos, estructuras y perspectivas. XIII Congreso de Población Española, Universidad de Cantabria, Santander, 457-464.
Walker, G. (2012), Environmental justice: concepts, evidence and politics, Routledge, New York.
WHO (2005), Preventing chronic diseases. A vital investment: WHO global report, World Health Organization, Geneva.
WHO (2010), Environment and health risks: a review of the influence and effects of social inequalities, WHO, Regional Office for Europe, Copenhagen.
WHO (2013), Review of evidence on health aspects of air polution-REVIAAP, WHO, Regional Office for Europe, Copenhagen.

This post has already been read 11786 times!

About journal

Title: Human Geographies - Journal of Studies and Research in Human Geography
ISSN online: 2067-2284
ISSN print: 1843-6587
Imprint: University of Bucharest
Frequency: Biannual (May&November)
First volume: 1/2007
Current volume: 17/2023
Language: English
Indexed in: SCOPUS, ERIH PLUS, EBSCO (SocINDEX), ProQuest (Social Science Journals, SciTech Journals, Natural Science Journals), Index Copernicus, National Technical Information Service (NTiS), Bodleian Libraries, ExLibris SFX, DOAJ, Gottfried Wilhelm Leibniz Library, Google Scholar, Ulrich
Creative Commons License


EDITORS


Prof. dr. Liliana Dumitrache
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Daniela Dumbrăveanu
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Mariana Nae
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Gabriel Simion
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

SCImago Journal & Country Rank