Connecting the dots on health inequalities--a systematic review on the social determinants of health in Portugal

International Journal for Equity in Health
Inês Campos-MatosJulian Perelman

Abstract

Health inequalities are recognised as a public health issue worldwide, but only a few countries have developed national strategies to monitor and reduce them. Despite its considerable health inequalities, Portugal seems to lack a systematic strategy to tackle them, possibly due to the absence of organised evidence on the issue. We performed a systematic review that aimed to describe the available evidence on social inequalities in health in Portugal, in order to contribute towards a comprehensive and focused strategy to tackle them. We followed the PRISMA guidelines and searched Scopus, Web of Science and PubMed for studies that looked at the association between a measure of socioeconomic status and a health outcome in the Portuguese resident population since the year 2000. We excluded health behaviours and healthcare use from our search. We performed a qualitative description of the results. Seventy-one publications were selected, all reporting observational analyses, most of them using cross-sectional data. These publications showed strong evidence for health inequalities related to education and gender, chiefly for obesity, self-rated health and mental health. Analysis of the eligible publications showed that current researc...Continue Reading

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Citations

Feb 21, 2018·Global Health Action·Ahmad Reza HosseinpoorTies Boerma
Jan 3, 2020·International Journal of Evidence-based Healthcare·Rodrigo Feteira-SantosOsvaldo Santos
Jun 8, 2017·BMJ Global Health·Musa Abubakar KanaHenrique Barros
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Mar 19, 2020·International Journal of Environmental Research and Public Health·Miquel Bennasar-VenyAntoni Aguilo
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Jul 1, 2021·Revista latino-americana de enfermagem·Larissa Barros de SouzaRegina Célia Fiorati
Nov 18, 2021·European Journal of Public Health·João Paulo M MagalhãesRita Sá Machado

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