The association of energy poverty with health, health care utilisation and medication use in southern Europe
Energy poverty (EP) is defined as the inability of a household to secure a socially and materially required level of energy services in the home. The main objective of this study was to analyse the association between EP and distinct indicators of health status, health services utilisation and medic...
| Autores: | , , , , , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/46567 |
| Acesso em linha: | http://hdl.handle.net/10230/46567 http://dx.doi.org/10.1016/j.ssmph.2020.100665 |
| Access Level: | acceso abierto |
| Palavra-chave: | Energy poverty Fuel poverty Health Health inequalities Social determinants of health Southern Europe Urban |
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The association of energy poverty with health, health care utilisation and medication use in southern EuropeOliveras Puig, Laura, 1987-Artazcoz Lazcano, Lucía, 1963-Borrell i Thió, CarmePalència Fernàndez, Laia, 1980-López, Maria JoséGotsens Miquel, Mercè, 1983-Peralta Chiriboga, Alejandro Andrés, 1985-Marí Dell'Olmo, Marc, 1978-Energy povertyFuel povertyHealthHealth inequalitiesSocial determinants of healthSouthern EuropeUrbanEnergy poverty (EP) is defined as the inability of a household to secure a socially and materially required level of energy services in the home. The main objective of this study was to analyse the association between EP and distinct indicators of health status, health services utilisation and medication use in southern Europe, using the city of Barcelona as a case study. We conducted a cross-sectional study using the data of the Barcelona Health Survey for 2016 (n = 3519, 53.3% women). We calculated EP percentages according to age, country of birth and social class. We analysed the association between EP and 26 health-related indicators through prevalence ratios (PR), and quantified the impact of EP on health at the population level by calculating the percentage of population attributable risk (PAR%). In Barcelona, 13.3% of women and 11.3% of men experienced EP. The most frequently affected groups were people born in low- and middle-income countries, those from more disadvantaged social classes, and women aged 65 years and older. We found a strong association between EP and worse health status, as well as higher use of health services and medication. For example, compared with women without EP, those with EP reported poor mental health 1.9 (95% CI: 1.6-2.4) times more frequently. Compared with men without EP, those with EP reported poor mental health 2.1 (95% CI: 1.6-2.8) times more frequently. The combination of high EP prevalence and the strong association between EP and negative health outcomes resulted in high PAR%, indicating the striking impact of EP on health and health services at the population level. EP is an important public health problem in southern European urban contexts that should be included in policy priorities in order to address its structural causes and minimise its unfair and avoidable health effects.Elsevier202120212020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/46567http://dx.doi.org/10.1016/j.ssmph.2020.100665reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésSSM Popul Health. 2020; 12:100665© 2020 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/465672026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| title |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| spellingShingle |
The association of energy poverty with health, health care utilisation and medication use in southern Europe Oliveras Puig, Laura, 1987- Energy poverty Fuel poverty Health Health inequalities Social determinants of health Southern Europe Urban |
| title_short |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| title_full |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| title_fullStr |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| title_full_unstemmed |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| title_sort |
The association of energy poverty with health, health care utilisation and medication use in southern Europe |
| dc.creator.none.fl_str_mv |
Oliveras Puig, Laura, 1987- Artazcoz Lazcano, Lucía, 1963- Borrell i Thió, Carme Palència Fernàndez, Laia, 1980- López, Maria José Gotsens Miquel, Mercè, 1983- Peralta Chiriboga, Alejandro Andrés, 1985- Marí Dell'Olmo, Marc, 1978- |
| author |
Oliveras Puig, Laura, 1987- |
| author_facet |
Oliveras Puig, Laura, 1987- Artazcoz Lazcano, Lucía, 1963- Borrell i Thió, Carme Palència Fernàndez, Laia, 1980- López, Maria José Gotsens Miquel, Mercè, 1983- Peralta Chiriboga, Alejandro Andrés, 1985- Marí Dell'Olmo, Marc, 1978- |
| author_role |
author |
| author2 |
Artazcoz Lazcano, Lucía, 1963- Borrell i Thió, Carme Palència Fernàndez, Laia, 1980- López, Maria José Gotsens Miquel, Mercè, 1983- Peralta Chiriboga, Alejandro Andrés, 1985- Marí Dell'Olmo, Marc, 1978- |
| author2_role |
author author author author author author author |
| dc.subject.none.fl_str_mv |
Energy poverty Fuel poverty Health Health inequalities Social determinants of health Southern Europe Urban |
| topic |
Energy poverty Fuel poverty Health Health inequalities Social determinants of health Southern Europe Urban |
| description |
Energy poverty (EP) is defined as the inability of a household to secure a socially and materially required level of energy services in the home. The main objective of this study was to analyse the association between EP and distinct indicators of health status, health services utilisation and medication use in southern Europe, using the city of Barcelona as a case study. We conducted a cross-sectional study using the data of the Barcelona Health Survey for 2016 (n = 3519, 53.3% women). We calculated EP percentages according to age, country of birth and social class. We analysed the association between EP and 26 health-related indicators through prevalence ratios (PR), and quantified the impact of EP on health at the population level by calculating the percentage of population attributable risk (PAR%). In Barcelona, 13.3% of women and 11.3% of men experienced EP. The most frequently affected groups were people born in low- and middle-income countries, those from more disadvantaged social classes, and women aged 65 years and older. We found a strong association between EP and worse health status, as well as higher use of health services and medication. For example, compared with women without EP, those with EP reported poor mental health 1.9 (95% CI: 1.6-2.4) times more frequently. Compared with men without EP, those with EP reported poor mental health 2.1 (95% CI: 1.6-2.8) times more frequently. The combination of high EP prevalence and the strong association between EP and negative health outcomes resulted in high PAR%, indicating the striking impact of EP on health and health services at the population level. EP is an important public health problem in southern European urban contexts that should be included in policy priorities in order to address its structural causes and minimise its unfair and avoidable health effects. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2021 2021 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10230/46567 http://dx.doi.org/10.1016/j.ssmph.2020.100665 |
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http://hdl.handle.net/10230/46567 http://dx.doi.org/10.1016/j.ssmph.2020.100665 |
| dc.language.none.fl_str_mv |
Inglés |
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Inglés |
| dc.relation.none.fl_str_mv |
SSM Popul Health. 2020; 12:100665 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf application/pdf |
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Elsevier |
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Elsevier |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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