Title The impact of financial crisis and austerity policies in Andalusia, Spain: Disentangling the mechanisms of social inequalities in health through the perceptions and experiences of experts and the general population
Authors ÁLVAREZ GÁLVEZ, JAVIER, Suarez-Lledo V., MARTÍNEZ COUSINOU, GLORIA, MUNIATEGUI AZCONA, EIDER, Gonzalez-Portillo A., MUNIATEGUI AZCONA, EIDER, MARTÍNEZ COUSINOU, GLORIA, ÁLVAREZ GÁLVEZ, JAVIER
External publication No
Means Int. J. Equity Health
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 1
JCR Impact 2.59500
Area International
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069435926&doi=10.1186%2fs12939-019-1013-3&partnerID=40&md5=0f96cfe1403daf9325e0d582295be032
Publication date 01/01/2019
ISI 000475815300001
Scopus Id 2-s2.0-85069435926
DOI 10.1186/s12939-019-1013-3
Abstract Background: Andalusia has been one of the regions most damaged by the economic crisis in Spain. A qualitative study of the effects of the economic crisis and austerity policies in this region has been conducted within the framework of the IMPACT-A project. This research seeks to analyse the perceived impact of the crisis upon the health of the Andalusian population through the first-hand discourses of professionals from the health and social sectors on the one hand, and citizens of different socioeconomic status (SES) on the other. Methods: A total of five focus groups and ten semi-structured interviews were conducted and analysed following an inductive process based on Grounded Theory (GT). Results: Our results show a general perception among professionals: the financial crisis has either directly or indirectly affected population health in Andalusia, though mostly impacting low-income individuals who were already at risk of social exclusion. Professionals' perceptions have been confirmed through the discourses of citizens of a lower SES, which differ from those of middle and upper SES. Conclusion: Findings reveal some of the most salient consequences on the socially vulnerable groups and people at risk of social exclusion. In particular, our study highlights the importance of addressing three areas of priority action: mental health, unmet (basic and medical) needs, and decline in the health system. © 2019 The Author(s).
Keywords equity; expert system; financial crisis; health risk; low income population; perception; public health; questionnaire survey; social exclusion; socioeconomic status; adult; article; controlled study;
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