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Quesada-Ruiz LC, García-Romero L, Ferrer-Valero N. Mapping environmental crime to characterize human impacts on islands: an applied and methodological research in Canary Islands. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2023; 346:118959. [PMID: 37734215 DOI: 10.1016/j.jenvman.2023.118959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 09/06/2023] [Accepted: 09/07/2023] [Indexed: 09/23/2023]
Abstract
Environmental crimes are a global issue due to the damage they cause to landscapes and ecosystems. This study focused on characterizing environmental crimes in the Canary Islands (Spain). Four categories of environmental crimes related to construction, mining and tilling, solid waste, and liquid waste) were defined and analysed. A total of 28 databases were generated, corresponding to each of the 7 major islands and each environmental crime typology. Each database was linked to information on land use and the socioeconomic and physical characteristics of the territory. For each database, firstly a descriptive statistical analysis was conducted, followed by the generation of a regularized Random Forest model with the aim of identifying characteristics that may be related to the location of environmental crimes. The results showed that, in most cases, proximity to residential accommodations, agricultural areas and industrial zones act as the main explanatory features of the distribution of environmental crimes. Furthermore, a marked pattern of concentration of environmental crimes in the coastal belt of the islands was observed, mainly associated with urban-tourist development since the 1960s and 1970s.
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Affiliation(s)
| | - Leví García-Romero
- Grupo de Geografía Física y Medio Ambiente, Instituto de Oceanografía y Cambio Global, IOCAG, Universidad de Las Palmas de Gran Canaria, ULPGC, Spain
| | - Nicolás Ferrer-Valero
- Grupo de Geografía Física y Medio Ambiente, Instituto de Oceanografía y Cambio Global, IOCAG, Universidad de Las Palmas de Gran Canaria, ULPGC, Spain
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De Sola H, Salazar A, Palomo-Osuna J, Dueñas M, Failde I, Moral-Munoz J. Understanding the impact of the COVID-19-related lockdown in university workers. Identifying groups through cluster analysis. Heliyon 2022; 8:e12483. [PMID: 36568659 PMCID: PMC9762915 DOI: 10.1016/j.heliyon.2022.e12483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/14/2022] [Accepted: 12/12/2022] [Indexed: 12/24/2022] Open
Abstract
Objective To analyse the COVID-19-related lockdown impact on University workers, to identify groups based on this information, and to study the factors associated with each group. Study design Cross-sectional study. Methods A survey was conducted 3.5 weeks after COVID-19-related lockdown in University workers in Spain. Sociodemographic variables, housing, work, health conditions, levels of anxiety, stress and depression (DASS-21), and social support (MSPSS) were collected. A cluster analysis was performed to identify groups depending on the impact of the lockdown. Differences between groups were tested using Chi-square and Mann-Whitney-U tests, and associated factors with binary logistic regression. Results We identified two groups of workers. "G1: Consequences in the daily life routine" was mainly composed of men, Research and Teaching Personnel (RTP) with more stable professional categories, higher income level, and bigger houses than people in G2. Participants in "G2: Concerns for the current and future well-being" presented worse intensity of pain than before the lockdown, more anxiety, depression, stress and less social support than people in G1. ASP (Administration and Services Personnel) had more risk of belonging to G2 than RTP (OR = 5.863). A higher number of people living at home decreased the risk of being in G2 (OR = 0.439). People with lower pain intensity had less risk of being in G2 (OR = 0.014), and this risk decreased as friends support increased (OR = 0.833). Conclusions In G1, the consequences were immediately reflected in the stress resulting from changes in their daily work routine. In G2, the concerns were related to their professional future, with worse mental health, greater intensity of pain and less social support.
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Affiliation(s)
- H. De Sola
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Preventive Medicine and Public Health Area, University of Cádiz, 11009 Cádiz, Spain
| | - A. Salazar
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Department of Statistics and Operational Research, University of Cádiz, 11510 Puerto Real, Spain
- Corresponding author.
| | - J. Palomo-Osuna
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Preventive Medicine and Public Health Area, University of Cádiz, 11009 Cádiz, Spain
| | - M. Dueñas
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Department of Statistics and Operational Research, University of Cádiz, 11510 Puerto Real, Spain
| | - I. Failde
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Preventive Medicine and Public Health Area, University of Cádiz, 11009 Cádiz, Spain
| | - J.A. Moral-Munoz
- The Observatory of Pain, University of Cádiz, 11009 Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11009 Cádiz, Spain
- Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
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Grasso MS, del Carmen Valls Martínez M, Ramírez-Orellana A. Health Policies Based on Patient Satisfaction: A Bibliometric Study. Healthcare (Basel) 2021; 9:1520. [PMID: 34828566 PMCID: PMC8624416 DOI: 10.3390/healthcare9111520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/01/2021] [Accepted: 11/08/2021] [Indexed: 12/30/2022] Open
Abstract
Healthcare decision-makers increasingly face a changing and ever-evolving landscape, forcing them to formulate public policies based on the results from different scientific investigations. This article evaluates the field of research on patient satisfaction as a basis for health policies. The analysis was carried out with a sample of 621 articles published between 2000 and 2020 in the Scopus database. The world's largest producer and research co-operator on patient satisfaction and health policy was the United States. However, the most prolific authors, institutions, and journals are of British origin. Regarding the themes, we find that, in economic and management matters, scientific production is scarce. To study the evolution of keywords, we divided the study period into two periods of an equal number of years. In both sub-periods, the keyword "Human" stands out. In the second sub-period, the word "Perception" stands out, which indicates the current attention paid to the patient's opinion.
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Affiliation(s)
- Mayra Soledad Grasso
- Mediterranean European Center of Economics and Sustainable Development (CIMEDES), University of Almería, 04120 Almería, Spain;
| | - María del Carmen Valls Martínez
- Mediterranean European Center of Economics and Sustainable Development (CIMEDES), University of Almería, 04120 Almería, Spain;
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Sane Schepisi M, Di Napoli A, Asciutto R, Vecchi S, Mirisola C, Petrelli A. The 2008 Financial Crisis and Changes in Lifestyle-Related Behaviors in Italy, Greece, Spain, and Portugal: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8734. [PMID: 34444482 PMCID: PMC8392284 DOI: 10.3390/ijerph18168734] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 08/12/2021] [Accepted: 08/14/2021] [Indexed: 12/17/2022]
Abstract
Italy, Greece, Spain, and Portugal have all been strongly affected by the 2008 financial crisis, which has had a negative impact on health. We systematically evaluated the effects of the crisis on lifestyle and socioeconomic inequalities. We conducted a literature search using MEDLINE, Embase, the Cochrane Library, and health economics databases for studies reporting quantitative comparisons before and after (or during) the crisis on the following risk behaviors: alcohol consumption, smoking habit, healthy diet, physical activity, and psychotropic drugs and substance abuse, without setting any age restrictions. We selected 34 original articles published between 2011 and 2020. During/after the crisis, alcohol consumption and substance abuse decreased, while psychotropic drug use increased. We also observed a deterioration in healthy eating behavior, with a reduction in fruit and vegetable consumption. Smoking habit and physical activity showed a more complex, controversial trend. Socioeconomic inequalities were affected by the recession, and the negative effects on unhealthy lifestyle tended to be more pronounced among the disadvantaged. These results suggest the need to implement health policies and interventions aimed at monitoring risk behaviors, with special regard to disadvantaged people, and considering the potential additional impact of the COVID-19 pandemic.
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Affiliation(s)
- Monica Sane Schepisi
- National Institute for Health, Migration and Poverty (INMP), 00153 Rome, Italy; (M.S.S.); (A.D.N.); (R.A.); (C.M.)
- Ministry of Health—General Directorate for Health Prevention, 00144 Rome, Italy
| | - Anteo Di Napoli
- National Institute for Health, Migration and Poverty (INMP), 00153 Rome, Italy; (M.S.S.); (A.D.N.); (R.A.); (C.M.)
| | - Rosario Asciutto
- National Institute for Health, Migration and Poverty (INMP), 00153 Rome, Italy; (M.S.S.); (A.D.N.); (R.A.); (C.M.)
| | - Simona Vecchi
- Department of Epidemiology—Lazio Region, ASL Rome 1, 00147 Rome, Italy;
| | - Concetta Mirisola
- National Institute for Health, Migration and Poverty (INMP), 00153 Rome, Italy; (M.S.S.); (A.D.N.); (R.A.); (C.M.)
| | - Alessio Petrelli
- National Institute for Health, Migration and Poverty (INMP), 00153 Rome, Italy; (M.S.S.); (A.D.N.); (R.A.); (C.M.)
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Jenkins RH, Vamos EP, Taylor-Robinson D, Millett C, Laverty AA. Impacts of the 2008 Great Recession on dietary intake: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 2021; 18:57. [PMID: 33926455 PMCID: PMC8084260 DOI: 10.1186/s12966-021-01125-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 04/19/2021] [Indexed: 03/19/2024] Open
Abstract
Background The 2008 Great Recession significantly impacted economies and individuals globally, with potential impacts on food systems and dietary intake. We systematically reviewed evidence on the impact of the Great Recession on individuals’ dietary intake globally and whether disadvantaged individuals were disproportionately affected. Methods We searched seven databases and relevant grey literature through June 2020. Longitudinal quantitative studies with the 2008 recession as the exposure and any measure of dietary intake (energy intake, dietary quality, and food/macronutrient consumption) as the outcome were eligible for inclusion. Eligibility was independently assessed by two reviewers. The Newcastle Ottawa Scale was used for quality and risk of bias assessment. We undertook a random effects meta-analysis for changes in energy intake. Harvest plots were used to display and summarise study results for other outcomes. The study was registered with PROSPERO (CRD42019135864). Results Forty-one studies including 2.6 million people met our inclusion criteria and were heterogenous in both methods and results. Ten studies reported energy intake, 11 dietary quality, 34 food intake, and 13 macronutrient consumption. The Great Recession was associated with a mean reduction of 103.0 cal per adult equivalent per day (95% Confidence Interval: − 132.1, − 73.9) in high-income countries (5 studies) and an increase of 105.5 cal per adult per day (95% Confidence Interval: 72.8, 138.2) in middle-income countries (2 studies) following random effects meta-analysis. We found reductions in fruit and vegetable intake. We also found reductions in intake of fast food, sugary products, and soft drinks. Impacts on macronutrients and dietary quality were inconclusive, though suggestive of a decrease in dietary quality. The Great Recession had greater impacts on dietary intake for disadvantaged individuals. Conclusions The 2008 recession was associated with diverse impacts on diets. Calorie intake decreased in high income countries but increased in middle income countries. Fruit and vegetable consumption reduced, especially for more disadvantaged individuals, which may negatively affect health. Fast food, sugary products, and soft drink consumption also decreased which may confer health benefits. Implementing effective policies to mitigate adverse nutritional changes and encourage positive changes during the COVID-19 pandemic and other major economic shocks should be prioritised. Supplementary Information The online version contains supplementary material available at 10.1186/s12966-021-01125-8.
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Affiliation(s)
- Rosemary H Jenkins
- Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus; The Reynolds Building, St Dunstan's Road, London, W6 8RP, UK.
| | - Eszter P Vamos
- Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus; The Reynolds Building, St Dunstan's Road, London, W6 8RP, UK
| | - David Taylor-Robinson
- Department of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, Waterhouse Building Block B, 2nd Floor, Liverpool, L69 3BX, UK
| | - Christopher Millett
- Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus; The Reynolds Building, St Dunstan's Road, London, W6 8RP, UK
| | - Anthony A Laverty
- Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus; The Reynolds Building, St Dunstan's Road, London, W6 8RP, UK
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Valls Martínez MDC, Ramírez-Orellana A, Grasso MS. Health Investment Management and Healthcare Quality in the Public System: A Gender Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052304. [PMID: 33652724 PMCID: PMC7967670 DOI: 10.3390/ijerph18052304] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 02/18/2021] [Accepted: 02/21/2021] [Indexed: 11/29/2022]
Abstract
The aim of this empirical research was to provide useful information for health system managers on the costs and investments involved in improving the quality of the National Health Service (NHS) based on patient assessments and from a gender perspective, i.e., without assuming that the perceived experience is identical for men and women. A cross-sectional study of 31 variables was applied using partial least squares structural equation modeling (PLS-SEM) as a research tool. The data were obtained from the Spanish Ministry of Health, Consumption, and Social Welfare for the entire Spanish territory between 2005 and 2018. The influence of expenditure, resource allocation, and mortality was hypothesized with regard to patient satisfaction according to disconfirmation theory. Patient satisfaction reflects clinical effectiveness, and therefore is a measure of health system quality. The results show that women are more sensitive to public investment in health than men, i.e., an increase in the level of spending and resources increases satisfaction more in women. In both sexes, the level of expenditure has a direct influence on patient satisfaction, and therefore on the quality of the healthcare system. It is important to increase spending on primary care, especially on specialized medical care and diagnostic equipment. However, reducing the use of drugs in favor of alternative treatments or therapies is considered to be positive. Likewise, spending has an impact on available resources, and these, in turn, have a positive influence on the level of use and a negative impact on mortality. Resources, especially healthcare staff, nuclear magnetic resonance equipment, and the number of posts in day hospitals, increase patients’ positive perception of the NHS.
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