Paula Santana
Biographic Data
| ID | 273241 |
|---|---|
| NAME | Paula Santana |
| GIVEN NAMES | Paula |
| FAMILY NAME | Santana |
| SIGNATURE | SANTANA P |
| AFFILIATIONS | Centro de Estudos em Geografia e Ordenamento do Territorio |
| ORCID | 0000-0002-7658-8475 |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 130 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 7 |
Socioeconomic deprivation and mortality in megacities during the first two decades of the 21st century
High mortality rates have been consistently observed in socioeconomically deprived areas, particularly within megacities. This scoping review examines the relationship between socioeconomic deprivation and mortality in area-based studies conducted in megacities during the 21st century. Peer-reviewed articles reporting both mortality data and indicators of deprivation were eligible for inclusion. Data on mortality outcomes, social determinants of …
Beyond the care home walls
Maintaining meaningful access to the surrounding community is increasingly recognised as a key component of well-being, quality of life, independence, identity, and social citizenship for people living with dementia. Institutions often act as gatekeepers, mediating residents' access to the surrounding neighbourhood. Yet little empirical evidence exists on how residential care facilities act as institutional mediators of of residents' access to th…
The Impact of Urban Design on Utilitarian and Leisure Walking—The Relative Influence of Street Network Connectivity and Streetscape Features
Road network connectivity determines the accessibility of urban activities for pedestrians, while streetscape characteristics have an impact on route attractiveness. Methods used to measure the influence of connectivity and streetscape characteristics on walking behavior differ substantially, while trip purpose is a key factor. This paper explores the respective contributions of network connectivity and streetscape features to explain leisure wal…
The influence of home and environmental characteristics on 5–18 years old children's health during the Covid-19 pandemic
Background The coronavirus disease (COVID-19) pandemic has dramatically changed the health and wellbeing of children. Therefore, this study aimed to investigate the relationship between the home environment and the environmental characteristics on 5–18 years old children health in Iran. Method An online survey was conducted among parents of children aged 5 to 18 living in large cities in Iran in 2021. The statistical population of this cross-sect…
What the pandemic and its impact on the mobility and well-being of older people can teach us about age-friendly cities and communities
Putting Health at the Heart of Local Planning Through an Integrated Municipal Health Strategy
As a cross-sectoral issue, the promotion of health needs to be addressed across all policies. In Portugal, as more competencies are being transferred to local governments, the integration of health considerations into municipal plans remains a challenge and guidance on how to develop an integrated municipal health strategy is absent. The aim of this study is to describe the conceptual and methodological approach that informed the development of a…
Influence of food environment on ultra-processed drinks consumption among an economically vulnerable population in a metropolitan area in Brazil
Is walkability equitably distributed across socio-economic groups? – A spatial analysis for Lisbon metropolitan area
The development of sustainable and equitable cities is on most international and national agendas – and the promotion of a walkable environment is crucial for sustainable development. Although it seems plausible to assume that walkable environments are not always equally distributed among socio-economic groups in dense metropolitan areas, we lack empirical knowledge. This paper, therefore, evaluates the relationship between the socio-economic cha…
Unhealthy food environments that promote overweight and food insecurity in a brazilian metropolitan area
Geografia, Turismo e Território
Trata-se de um livro de homenagem a uma geógrafa de elevado mérito académico, científico e pedagógico que recentemente atingiu o momento da sua jubilação na Universidade de Coimbra, onde trabalhou durante mais de quarenta anos. As suas áreas de interesse científico vão da Geografia Humana (Geografia da População; Geografia Cultural e, nomeadamente, a Geografia Literária; o Ordenamento do Território e o Desenvolvimento Local) aos Estudos sobre o T…
Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
The study of premature deaths from causes that are generally preventable given the current availability of healthcare - called amenable deaths due to healthcare - provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are also likely to influence. Therefore, identifying the association between amenable deaths due to healthcare and health determinants, such as education, mi…
Spatial Access Matters
In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal and Neonatal Health policy on spatial inequalities in access to care and consequently avoidable infant mortality. A thematic analysis of qualitative data including interviews and surveys and a quantita…
Socioeconomic Inequalities in Chronic Liver Diseases and Cirrhosis Mortality in European Urban Areas before and after the Onset of the 2008 Economic Recession
There are geographical socioeconomic inequalities in chronic liver diseases and cirrhosis mortality, mainly among men, that did not change during the 2008 financial crisis. These results should be monitored in the long term
Unhealthy lifestyles, environment, well-being and health capability in rural neighbourhoods
Metabolic risk factors reflect unhealthy lifestyles and can be associated with environment contextual-dependent circumstances. People-centred approaches highlight wider socioeconomic and (natural) environmental determinants reflecting health needs, health expectations and health capability. Our community-based program and cross-disciplinary research provides insights that may improve health-promoting changes in rural neighbourhoods
Modelling of Temperature-Attributable Mortality among the Elderly in Lisbon Metropolitan Area, Portugal
Epidemiological studies on the impact of determining environmental factors on human health have proved that temperature extremes and variability constitute mortality risk factors. However, few studies focus specifically on susceptible individuals living in Portuguese urban areas. This study aimed to estimate and assess the health burden of temperature-attributable mortality among age groups (0-64 years; 65-74 years; 75-84 years; and 85+ years) in…
The twin faces of ageism, glorification and abjection
While the government responses to the COVID-19 pandemic have varied across the globe, there has been a unifying cry from academia and public health professionals warning of the detrimental effects of attaching our understanding of this new threat to our already ageist attitudes. What is inescapable is that COVID-19 has an age-related risk component and the latest data shows that risks start to rise for people from midlife onwards. As governance a…
Disparities in Geographical Access to Hospitals in Portugal
Geographical accessibility to health care services is widely accepted as relevant to improve population health. However, measuring it is very complex, mainly when applied at administrative levels that go beyond the small-area level. This is the case in Portugal, where the municipality is the administrative level that is most appropriate for implementing policies to improve the access to those services. The aim of this paper is to assess whether i…
Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe
To analyse socioeconomic inequalities in all-cause mortality among men and women in nine European urban areas during the recent economic crisis, and to compare the results to those from two periods before the crisis. This is an ecological study of trends based on three time periods (2000-2003, 2004-2008 and 2009-2014). The units of analysis were the small areas of nine European urban areas. We used a composite deprivation index as a socioeconomic…
The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
There is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities exist between the more advantaged and the more deprived neighborhoods. The main goals of this study are to describe the geographical pattern of premature deaths (before 65 years old), avoidable death…
The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the Euro-HEALTHY Population Health Index
Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to analyze to what extent the planned investments for 2014-2020 are addressing the regional health gaps, in light of the population health index (PHI), …
Assessing Urban Health Inequities through a Multidimensional and Participatory Framework
Suicide and apparent temperature in the two capitals cities in the iberian peninsula
Health Disparities in Czechia and Portugal at Country and Municipality Levels
This article investigates the health outcomes and determinants between two different European populations, Portuguese and Czech, on two hierarchical levels: country and metropolitan area. At first, the decomposition method of age and cause of death were compared on the country level, and then health was examined based on a factor analysis at the municipality level of Prague and Lisbon. The results clearly indicate problematic diabetes mortality a…
Population Health Inequalities Across and Within European Metropolitan Areas through the Lens of the Euro-HEALTHY Population Health Index
The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban …
The Role of Individual and Neighborhood Characteristics on Mental Health after a Period of Economic Crisis in the Lisbon Region (Portugal)
Mental health is an intrinsic dimension of health influenced by individual and contextual factors. This cross-sectional study analyzes the association between the individual, neighborhood characteristics, and one's self-assessed mental health status in the Lisbon region after an economic crisis. Via the application of multilevel regression models, the study assesses the link between one's neighborhood environment-deprivation, low self-assessed so…
Monitoring of trends in socioeconomic inequalities in mortality
This paper presents estimates of changes in socioeconomic inequalities in mortality between the 1980s and the 1990s in nine European countries. The best available evidence shows that relative inequalities in mortality generally widened, while the absol
The link between local environment and obesity
Poverty, social exclusion and health in Portugal
Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010
BACKGROUND: Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010. METHODS: Data were obtained from nati…
The twin faces of ageism, glorification and abjection
While the government responses to the COVID-19 pandemic have varied across the globe, there has been a unifying cry from academia and public health professionals warning of the detrimental effects of attaching our understanding of this new threat to our already ageist attitudes. What is inescapable is that COVID-19 has an age-related risk component and the latest data shows that risks start to rise for people from midlife onwards. As governance a…
Socioeconomic inequalities in injury mortality in small areas of 15 European cities
Suicide in Portugal
This study compares the existing statistical association between suicide mortality and the characteristics of places of residence (municipalities), before and during the current economic crisis, in Portugal. We found that (1) the traditional culture-based North/South pattern of suicidal behaviour has faded away, while the socioeconomic urban/rural divide has become more pronounced; (2) suicide is associated with higher levels of rurality and mate…
Ageing in Portugal
Unhealthy food environments that promote overweight and food insecurity in a brazilian metropolitan area
Is walkability equitably distributed across socio-economic groups? – A spatial analysis for Lisbon metropolitan area
The development of sustainable and equitable cities is on most international and national agendas – and the promotion of a walkable environment is crucial for sustainable development. Although it seems plausible to assume that walkable environments are not always equally distributed among socio-economic groups in dense metropolitan areas, we lack empirical knowledge. This paper, therefore, evaluates the relationship between the socio-economic cha…
Socioeconomic inequalities in cause-specific mortality in 15 European cities
BACKGROUND: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQ-CITIES study to analyse inequalities in cause-specific mortality in 15 European cities at the beginning of the 21st century. METHODS: A cross-sectional ecological study was carried out to analys…
What the pandemic and its impact on the mobility and well-being of older people can teach us about age-friendly cities and communities
Variáveis meteorológicas e poluição do ar e sua associação com internações respiratórias em crianças
As transformações no clima urbano das cidades, a excessiva poluição atmosférica e o aumento das desigualdades sociais tornaram-se fatores determinantes do alto risco de internações por doenças respiratórias. Dessa forma, o objetivo deste trabalho foi compreender como os atributos meteorológicos (temperatura do ar, umidade relativa do ar e precipitação) e a poluição do ar (material particulado com diâmetro aerodinâmico menor de 10μm - MP10) estão …
Variações espaciais e desigualdades regionais no indicador de mortalidade infantil do estado de Minas Gerais, Brasil
O objetivo deste estudo é analisar as variações espaciais e as desigualdades regionais no indicador de mortalidade infantil do estado de Minas Gerais, Brasil. O estudo foi feito considerando os municípios desse estado no período de 2003 a 2012 e tendo em vista a seleção de três dimensões operativas de análise: taxa de mortalidade infantil (TMI) e proporção da população atendida nas Equipes Saúde da Família (PCSF); TMI e proporção de nascidos vivo…
Associação espacial entre variáveis socioeconômicas e risco relativo de nascimentos pré-termo na Região Metropolitana de São Paulo (RMSP) e na Área Metropolitana de Lisboa (AML)
A prematuridade é um dos grandes problemas de saúde pública, contribuindo fortemente para a morbi-mortalidade infantil, tanto em países em desenvolvimento como o Brasil, quanto em países europeus como Portugal. O nascido prematuro é aquele que nasce com menos de 37 semanas de gestação. Os fatores de risco individuais associados à incidência da prematuridade são conhecidos. No entanto, os fatores contextuais que podem influenciar a sua incidência …
Distance effects on the accessibility to emergency departments in Portugal
Distance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges fr…
Ageing in Portugal
Poverty, social exclusion and health in Portugal
Monitoring of trends in socioeconomic inequalities in mortality
This paper presents estimates of changes in socioeconomic inequalities in mortality between the 1980s and the 1990s in nine European countries. The best available evidence shows that relative inequalities in mortality generally widened, while the absol
The link between local environment and obesity
Socioeconomic inequalities in injury mortality in small areas of 15 European cities
Regional Inequalities in Infant Mortality and Primary Health Care in the State of Minas Gerais, Brazil
Infant mortality has declined in Brazil in recent years, partly as a result of increased Primary Health Care (PHC) coverage and better access to it. However, there are still enormous regional inequalities in these indicators, and therefore spatial variations in infant mortality. In a country like Brazil that is of continental proportions, it is important to analyse/assess health policies in the context of regional inequalities in order to ensure …
Associação espacial entre variáveis socioeconômicas e risco relativo de nascimentos pré-termo na Região Metropolitana de São Paulo (RMSP) e na Área Metropolitana de Lisboa (AML)
A prematuridade é um dos grandes problemas de saúde pública, contribuindo fortemente para a morbi-mortalidade infantil, tanto em países em desenvolvimento como o Brasil, quanto em países europeus como Portugal. O nascido prematuro é aquele que nasce com menos de 37 semanas de gestação. Os fatores de risco individuais associados à incidência da prematuridade são conhecidos. No entanto, os fatores contextuais que podem influenciar a sua incidência …
Distance effects on the accessibility to emergency departments in Portugal
Distance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges fr…
Mortality, material deprivation and urbanization
Our findings explore the specific pattern of fourteen causes of death in LMA and reveals small areas with an excess risk of mortality associated with material deprivation, thereby identifying problematic areas that could potentially benefit from public policies effecting social inequalities
Suicide in Portugal
This study compares the existing statistical association between suicide mortality and the characteristics of places of residence (municipalities), before and during the current economic crisis, in Portugal. We found that (1) the traditional culture-based North/South pattern of suicidal behaviour has faded away, while the socioeconomic urban/rural divide has become more pronounced; (2) suicide is associated with higher levels of rurality and mate…
Socioeconomic inequalities in cause-specific mortality in 15 European cities
BACKGROUND: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQ-CITIES study to analyse inequalities in cause-specific mortality in 15 European cities at the beginning of the 21st century. METHODS: A cross-sectional ecological study was carried out to analys…
The socio-spatial context as a risk factor for hospitalization due to mental illness in the metropolitan areas of Portugal
This study's aims are: (i) identifying spatial patterns for the risk of hospitalization due to mental illness and for the potential risk resulting from contextual factors with influence on mental health; and (ii) analyzing the spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual factors in the metropolitan areas of Lisbon and Porto, Portugal. A cross-sectional ecological study was …
Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010
BACKGROUND: Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010. METHODS: Data were obtained from nati…
Variações espaciais e desigualdades regionais no indicador de mortalidade infantil do estado de Minas Gerais, Brasil
O objetivo deste estudo é analisar as variações espaciais e as desigualdades regionais no indicador de mortalidade infantil do estado de Minas Gerais, Brasil. O estudo foi feito considerando os municípios desse estado no período de 2003 a 2012 e tendo em vista a seleção de três dimensões operativas de análise: taxa de mortalidade infantil (TMI) e proporção da população atendida nas Equipes Saúde da Família (PCSF); TMI e proporção de nascidos vivo…
Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement
The health reforms and health budget cuts in the MoU implemented as part of the troika agreement have been associated with increasing health inequalities in access to healthcare services for the elderly population. The majority of responses disclosed an increasing deficiency across the entire National Health Service (NHS) to collaborate, integrate and communicate between the different healthcare sectors for providing adequate care to the elderly.…
Evolution and financial cost of socioeconomic inequalities in ambulatory care sensitive conditions
There was an increasing SE patterning in ACSC related hospitalizations, possibly reflecting increasing SE inequalities in early and preventive high-quality care, imposing a substantial financial burden to the Portuguese NHS
Indicators for evaluating European population health
The high levels of participation observed in this study, by involving experts and stakeholders and ascertaining their views, underpinned the added value of using a transparent Web-Delphi process to promote agreement on what indicators are relevant to appraise population health
Práxis Antirracista, Descolonização das Mentes e a Questão Indígena em uma Instituição Federal de Ensino Superior do Sertão Pernambucano
A educação brasileira tem sido apontada, pelas pesquisas oficiais e acadêmicas, assim como pelos movimentos sociais e, em especial, pelo Movimento Social Negro e Indígena, como um espaço/tempo no qual persistem históricas desigualdades sociais e raciais. Esta situação exige do Estado a adoção de políticas e práticas de superação do racismo e da desigualdade racial na educação, as quais começam a ser implementadas de forma mais sistemática nos ano…
Health Disparities in Czechia and Portugal at Country and Municipality Levels
This article investigates the health outcomes and determinants between two different European populations, Portuguese and Czech, on two hierarchical levels: country and metropolitan area. At first, the decomposition method of age and cause of death were compared on the country level, and then health was examined based on a factor analysis at the municipality level of Prague and Lisbon. The results clearly indicate problematic diabetes mortality a…
Population Health Inequalities Across and Within European Metropolitan Areas through the Lens of the Euro-HEALTHY Population Health Index
The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban …
The Role of Individual and Neighborhood Characteristics on Mental Health after a Period of Economic Crisis in the Lisbon Region (Portugal)
Mental health is an intrinsic dimension of health influenced by individual and contextual factors. This cross-sectional study analyzes the association between the individual, neighborhood characteristics, and one's self-assessed mental health status in the Lisbon region after an economic crisis. Via the application of multilevel regression models, the study assesses the link between one's neighborhood environment-deprivation, low self-assessed so…
Scenarios for population health inequalities in 2030 in Europe
The EURO-HEALTHY scenarios were designed to inform both policy design and appraisal. They broaden the scope, create awareness and generate insights regarding the evolution of PH inequalities across European regions
Variáveis meteorológicas e poluição do ar e sua associação com internações respiratórias em crianças
As transformações no clima urbano das cidades, a excessiva poluição atmosférica e o aumento das desigualdades sociais tornaram-se fatores determinantes do alto risco de internações por doenças respiratórias. Dessa forma, o objetivo deste trabalho foi compreender como os atributos meteorológicos (temperatura do ar, umidade relativa do ar e precipitação) e a poluição do ar (material particulado com diâmetro aerodinâmico menor de 10μm - MP10) estão …
Disparities in Geographical Access to Hospitals in Portugal
Geographical accessibility to health care services is widely accepted as relevant to improve population health. However, measuring it is very complex, mainly when applied at administrative levels that go beyond the small-area level. This is the case in Portugal, where the municipality is the administrative level that is most appropriate for implementing policies to improve the access to those services. The aim of this paper is to assess whether i…
Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe
To analyse socioeconomic inequalities in all-cause mortality among men and women in nine European urban areas during the recent economic crisis, and to compare the results to those from two periods before the crisis. This is an ecological study of trends based on three time periods (2000-2003, 2004-2008 and 2009-2014). The units of analysis were the small areas of nine European urban areas. We used a composite deprivation index as a socioeconomic…
Medicine (35 works) · Health disparities and outcomes (30 works) · Environmental health (27 works) · Geography (27 works) · Population (26 works) · Sociology (23 works) · Demography (21 works) · Economics (20 works) · Global Health Care Issues (19 works) · Economic growth (17 works)