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Title: Health inequalities in European cities: perceptions and beliefs among local policymakers
Authors: Morrison, Joana
Pons-Vigués, Mariona
Bécares, Laia
Burström, Bo 
Gandarillas, Ana
Domínguez-Berjón, Felicitas
Diez, Elia
Costa, Giuseppe 
Ruiz, Milagros
Pikhart, Hynek
Marinacci, Chiara
Hoffmann, Rasmus
Santana, Paula 
Borrell, Carme 
Keywords: Health Inequalities; Knowledge; Municipal Government; Policymaker; Public Policies; Qualitative Research
Issue Date: 28-May-2014
Project: project INEQ-Cities, ‘Socioeconomic inequalities in mortality: evidence and policies of cities of Europe’; project funded by the Executive Agency for Health and Consumers- DG Sanco (Commission of the European Union), project no2008 12 13 and CIBER de Epidemiología y Salud Pública. 
Serial title, monograph or event: BMJ Open
Volume: 4
Issue: 5
Abstract: Objective: To describe the knowledge and beliefs of public policymakers on social inequalities in health and policies to reduce them in cities from different parts of Europe during 2010 and 2011. Design: Phenomenological qualitative study. Setting: 13 European cities. Participants: 19 elected politicians and officers with a directive status from 13 European cities. Main outcome: Policymaker’s knowledge and beliefs. Results: Three emerging discourses were identified among the interviewees, depending on the city of the interviewee. Health inequalities were perceived by most policymakers as differences in life-expectancy between population with economic, social and geographical differences. Reducing health inequalities was a priority for the majority of cities which use surveys as sources of information to analyse these. Bureaucracy, funding and population beliefs were the main barriers. Conclusions: The majority of the interviewed policymakers gave an account of interventions focusing on the immediate determinants and aimed at modifying lifestyles and behaviours in the more disadvantaged classes. More funding should be put towards academic research on effective universal policies, evaluation of their impact and training policymakers and officers on health inequalities in city governments.
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2013-004454
Rights: openAccess
Appears in Collections:I&D CEGOT - Artigos em Revistas Internacionais

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