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Building a Data Platform for Cross-Country Urban Health Studies: the SALURBAL Study.
Quistberg, D Alex; Diez Roux, Ana V; Bilal, Usama; Moore, Kari; Ortigoza, Ana; Rodriguez, Daniel A; Sarmiento, Olga L; Frenz, Patricia; Friche, Amélia Augusta; Caiaffa, Waleska Teixeira; Vives, Alejandra; Miranda, J Jaime.
Afiliação
  • Quistberg DA; Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
  • Diez Roux AV; Urban Health Collaborative, Drexel University, Philadelphia, PA, USA. avd37@drexel.edu.
  • Bilal U; Nesbitt Hall, 3215 Market St, 2nd Floor, Philadelphia, PA, 19104, USA. avd37@drexel.edu.
  • Moore K; Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
  • Ortigoza A; Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
  • Rodriguez DA; Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
  • Sarmiento OL; Department of City & Regional Planning, University of California - Berkeley, Berkeley, CA, USA.
  • Frenz P; Department of Epidemiology, Universidad de los Andes, Bogota, Colombia.
  • Friche AA; School of Public Health, Universidad de Chile, Santiago, Chile.
  • Caiaffa WT; Departament of Preventive and Social Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
  • Vives A; Departament of Preventive and Social Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
  • Miranda JJ; School of Medicine, Pontifica Universidad Católica de Chile, Santiago, Chile.
J Urban Health ; 96(2): 311-337, 2019 04.
Article em En | MEDLINE | ID: mdl-30465261
Studies examining urban health and the environment must ensure comparability of measures across cities and countries. We describe a data platform and process that integrates health outcomes together with physical and social environment data to examine multilevel aspects of health across cities in 11 Latin American countries. We used two complementary sources to identify cities with ≥ 100,000 inhabitants as of 2010 in Argentina, Brazil, Chile, Colombia, Costa Rica, El Salvador, Guatemala, Mexico, Nicaragua, Panama, and Peru. We defined cities in three ways: administratively, quantitatively from satellite imagery, and based on country-defined metropolitan areas. In addition to "cities," we identified sub-city units and smaller neighborhoods within them using census hierarchies. Selected physical environment (e.g., urban form, air pollution and transport) and social environment (e.g., income, education, safety) data were compiled for cities, sub-city units, and neighborhoods whenever possible using a range of sources. Harmonized mortality and health survey data were linked to city and sub-city units. Finer georeferencing is underway. We identified 371 cities and 1436 sub-city units in the 11 countries. The median city population was 234,553 inhabitants (IQR 141,942; 500,398). The systematic organization of cities, the initial task of this platform, was accomplished and further ongoing developments include the harmonization of mortality and survey measures using available sources for between country comparisons. A range of physical and social environment indicators can be created using available data. The flexible multilevel data structure accommodates heterogeneity in the data available and allows for varied multilevel research questions related to the associations of physical and social environment variables with variability in health outcomes within and across cities. The creation of such data platforms holds great promise to support researching with greater granularity the field of urban health in Latin America as well as serving as a resource for the evaluation of policies oriented to improve the health and environmental sustainability of cities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vigilância da População / Nível de Saúde / Saúde da População Urbana / Diversidade Cultural Tipo de estudo: Prognostic_studies / Screening_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America central / Costa rica / El salvador / Guatemala / Mexico / Nicaragua / Panama Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vigilância da População / Nível de Saúde / Saúde da População Urbana / Diversidade Cultural Tipo de estudo: Prognostic_studies / Screening_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America central / Costa rica / El salvador / Guatemala / Mexico / Nicaragua / Panama Idioma: En Ano de publicação: 2019 Tipo de documento: Article