Table 1.
Potential effect on health, health determinants, and heath equity.
THE POLICY WILL HAVE EFFECT ON | Affected Population | Description of the Health Determinants | Possible Impact on Health |
---|---|---|---|
Intermediate Determinants | |||
Material Conditions | |||
Housing conditions | Entire population, especially Solana neighbors | Housing price increase Displacement from nearby neighborhood of poor and vulnerable groups Reduction of consumption capacity |
Increased anxiety and stress Risk of increased mortality from all causes |
Conditions of the neighborhood/area | Entire population, especially Solana neighbors | Reduction of pollution Improvement of acoustic comfort Increased sense of security in the area |
Decreased feelings of stress, insomnia, and number of injuries (if robberies decrease) |
Environment | Entire population | Reduction in pollution levels and improvement of air quality Increase in green areas Risk of environmental deterioration |
Decrease in respiratory, cardiovascular, cerebrovascular, and metabolic diseases Decrease in mortality Increased life expectancy and quality of life Improvement of industry and neighborhood relationships |
Access to services and basic goods | Entire population | Improved access to health and social services, etc. | Improvement of access to health system, increase in prevention and health promotion |
Infrastructure of public transport and mobility | Entire population, workers | Increased sustainable mobility; cycling and active transportation Decreased road traffic |
Increase in physical activity levels |
Psychosocial Factors | |||
Public safety | Entire population, women and elderly | Better lighting → decreased insecurity feeling | Decreased crime-related stress; reduction of social isolation and increase in physical activity, social networks, etc. |
Support and networks | Entire population | Increased social cohesion Increased sense of belonging Increase in citizen participation; empowerment of citizens/of citizenship |
Improved mental health (increased self-esteem, less depression and anxiety) Reduction in cardiovascular diseases Decrease in mental illness, suicide, etc. |
Lifestyles | |||
Physical activity | Entire population | Increased willingness to take care of oneself and take responsibility for their health | Increase in healthy behaviors in terms of food, physical exercise, tobacco, alcohol, and other drugs due to domino effect |
Physical activity | Entire population | Increased levels of physical activity | Improvement of mental health Reduced risk of cardiovascular diseases, obesity, type 2 diabetes, colorectal and breast cancer, mortality, dementia, depression, etc. Decrease in the incidence of obesity and overweight in children and adolescents |
Tobacco | Entire population | Increased self-care and responsibility over own health | Increased healthy behaviors in terms of food, physical exercise, and drug use due to a domino effect |
Consumption of alcohol | Young people and adolescents | Risk of using green space for binge drinking | Increase in drugs consumption Increase in binge drinking |
Sexual practices | Young people and adolescents | Risk of increased sexually risky behaviors | Increase in unwanted pregnancies Increase in sexually transmitted diseases (STD) |
Health System | |||
Accessibility | Entire population, especially elderly people | Easier access to public services | Improvement of accessibility indicators to health services, preventive practices, etc. Improved self-perceived health |
Structural Determinants | |||
Social Cohesion | |||
Social cohesion | Entire population, especially most vulnerable groups | Increased social cohesion Reduction of inequalities |
Improvement of emotional well-being and reduction of mental health disease and mortality |
Socioeconomic and Political Context | |||
Governance | Entire population | Feeling of control over decisions taken in municipality | Improved mental health and self esteem |
Labor policies | Entire population | Improved access to industrial area (biking, walking) Decreased traffic to industrial area Decreased pollution level |
Increased physical activity levelsDecrease in respiratory diseases |