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...

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Autores: Oliveras, Laura|||0000-0003-0033-7829, Artazcoz, Lucía|||0000-0002-6300-5111, Borrell i Thió, Carme|||0000-0002-1170-2505, Palència, Laia|||0000-0002-3726-9893, López Medina, María José|||0000-0003-4402-2239, Gotsens, Mercè|||0000-0003-2952-2024, Peralta, A., Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:284141
Acceso en línea:https://ddd.uab.cat/record/284141
https://dx.doi.org/urn:doi:10.1016/j.ssmph.2020.100665
Access Level:acceso abierto
Palabra clave:Energy poverty
Fuel poverty
Health
Social determinants of health
Health inequalities
Southern Europe
Urban
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spelling The association of energy poverty with health, health care utilisation and medication use in southern EuropeOliveras, Laura|||0000-0003-0033-7829Artazcoz, Lucía|||0000-0002-6300-5111Borrell i Thió, Carme|||0000-0002-1170-2505Palència, Laia|||0000-0002-3726-9893López Medina, María José|||0000-0003-4402-2239Gotsens, Mercè|||0000-0003-2952-2024Peralta, A.Marí-Dell'Olmo, Marc|||0000-0003-4345-4988Energy povertyFuel povertyHealthSocial determinants of healthHealth inequalitiesSouthern 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.Universitat Autònoma de Barcelona 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/284141https://dx.doi.org/urn:doi:10.1016/j.ssmph.2020.100665reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15/02006open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2841412026-06-06T12:50:31Z
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, Laura|||0000-0003-0033-7829
Energy poverty
Fuel poverty
Health
Social determinants of health
Health inequalities
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, Laura|||0000-0003-0033-7829
Artazcoz, Lucía|||0000-0002-6300-5111
Borrell i Thió, Carme|||0000-0002-1170-2505
Palència, Laia|||0000-0002-3726-9893
López Medina, María José|||0000-0003-4402-2239
Gotsens, Mercè|||0000-0003-2952-2024
Peralta, A.
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
author Oliveras, Laura|||0000-0003-0033-7829
author_facet Oliveras, Laura|||0000-0003-0033-7829
Artazcoz, Lucía|||0000-0002-6300-5111
Borrell i Thió, Carme|||0000-0002-1170-2505
Palència, Laia|||0000-0002-3726-9893
López Medina, María José|||0000-0003-4402-2239
Gotsens, Mercè|||0000-0003-2952-2024
Peralta, A.
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
author_role author
author2 Artazcoz, Lucía|||0000-0002-6300-5111
Borrell i Thió, Carme|||0000-0002-1170-2505
Palència, Laia|||0000-0002-3726-9893
López Medina, María José|||0000-0003-4402-2239
Gotsens, Mercè|||0000-0003-2952-2024
Peralta, A.
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Energy poverty
Fuel poverty
Health
Social determinants of health
Health inequalities
Southern Europe
Urban
topic Energy poverty
Fuel poverty
Health
Social determinants of health
Health inequalities
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 2
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/284141
https://dx.doi.org/urn:doi:10.1016/j.ssmph.2020.100665
url https://ddd.uab.cat/record/284141
https://dx.doi.org/urn:doi:10.1016/j.ssmph.2020.100665
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15/02006
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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