Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy)
The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bast...
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MDPI AG
2021-08-01
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| Series: | International Journal of Environmental Research and Public Health |
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| Online Access: | https://www.mdpi.com/1660-4601/18/16/8804 |
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doaj-7fcc28eb779e455c943dce8c34053a742021-08-26T13:50:26ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-08-01188804880410.3390/ijerph18168804Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy)Susanna Caminada0Federica Turatto1Silvia Iorio2Lorenzo Paglione3Miriam Errigo4Elena Mazzalai5Anissa Jaljaa6Dara Giannini7Marco Tofani8Maria Benedetta Michelazzo9Adelaide Landi10Massimo Napoli11Maria Alessandra Brandimarte12Livia Maria Salvatori13Aurora Angelozzi14Giovanni Baglio15Enrico Di Rosa16Alessandra Battisti17Maurizio Marceca18Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Civil, Constructional and Environmental Engineering, Sapienza University of Rome, 00184 Rome, ItalyDepartment of Social Sciences and Economics, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalySection of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Prevention, Local Health Unit Roma 1, 00135 Rome, ItalyDepartment of Prevention, Local Health Unit Roma 1, 00135 Rome, ItalyDepartment of Prevention, Local Health Unit Roma 1, 00135 Rome, ItalyDistrict 3, Local Health Unit Roma 1, 00139 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyResearch and International Relations Office, Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS), 00187 Rome, ItalyDepartment of Prevention, Local Health Unit Roma 1, 00135 Rome, ItalyDepartment of Planning, Design, and Technology of Architecture, Sapienza University of Rome, 00196 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyThe study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bastogi compared to the population living in the area of the same local health unit (ASL). The Progresses of Health Authorities for Health in Italy questionnaire (PASSI) was administered to a sample of 210 inhabitants of Bastogi. Data were analysed and compared to those of the ASL collected in 2017–2018. The socio-economic indicators showed an overall worse condition for the inhabitants of Bastogi, with a significantly higher proportion of foreign and unemployed residents and a lower educational level compared to the ASL. Significant differences in the prevalence of non-communicable diseases, mental health complaints, and participation in prevention strategies, including cancer screening, were found. The questionnaire showed a lower help-seeking behaviour and a lack of reliance on health professionals in Bastogi inhabitants. Our findings highlight how social determinants produce health inequities and barriers to accessing healthcare. The difficulties of conducting quantitative research in complex and hard-to-reach contexts, characterized by high social vulnerability, are outlined.https://www.mdpi.com/1660-4601/18/16/8804urban healthsocial determinants of healthhealth inequitieshard-to-reach groupshealth-related behaviourshealthcare use |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Susanna Caminada Federica Turatto Silvia Iorio Lorenzo Paglione Miriam Errigo Elena Mazzalai Anissa Jaljaa Dara Giannini Marco Tofani Maria Benedetta Michelazzo Adelaide Landi Massimo Napoli Maria Alessandra Brandimarte Livia Maria Salvatori Aurora Angelozzi Giovanni Baglio Enrico Di Rosa Alessandra Battisti Maurizio Marceca |
| spellingShingle |
Susanna Caminada Federica Turatto Silvia Iorio Lorenzo Paglione Miriam Errigo Elena Mazzalai Anissa Jaljaa Dara Giannini Marco Tofani Maria Benedetta Michelazzo Adelaide Landi Massimo Napoli Maria Alessandra Brandimarte Livia Maria Salvatori Aurora Angelozzi Giovanni Baglio Enrico Di Rosa Alessandra Battisti Maurizio Marceca Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) International Journal of Environmental Research and Public Health urban health social determinants of health health inequities hard-to-reach groups health-related behaviours healthcare use |
| author_facet |
Susanna Caminada Federica Turatto Silvia Iorio Lorenzo Paglione Miriam Errigo Elena Mazzalai Anissa Jaljaa Dara Giannini Marco Tofani Maria Benedetta Michelazzo Adelaide Landi Massimo Napoli Maria Alessandra Brandimarte Livia Maria Salvatori Aurora Angelozzi Giovanni Baglio Enrico Di Rosa Alessandra Battisti Maurizio Marceca |
| author_sort |
Susanna Caminada |
| title |
Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) |
| title_short |
Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) |
| title_full |
Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) |
| title_fullStr |
Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) |
| title_full_unstemmed |
Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy) |
| title_sort |
urban health and social marginality: perceived health status and interaction with healthcare professionals of a hard-to-reach community living in a suburban area of rome (italy) |
| publisher |
MDPI AG |
| series |
International Journal of Environmental Research and Public Health |
| issn |
1661-7827 1660-4601 |
| publishDate |
2021-08-01 |
| description |
The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bastogi compared to the population living in the area of the same local health unit (ASL). The Progresses of Health Authorities for Health in Italy questionnaire (PASSI) was administered to a sample of 210 inhabitants of Bastogi. Data were analysed and compared to those of the ASL collected in 2017–2018. The socio-economic indicators showed an overall worse condition for the inhabitants of Bastogi, with a significantly higher proportion of foreign and unemployed residents and a lower educational level compared to the ASL. Significant differences in the prevalence of non-communicable diseases, mental health complaints, and participation in prevention strategies, including cancer screening, were found. The questionnaire showed a lower help-seeking behaviour and a lack of reliance on health professionals in Bastogi inhabitants. Our findings highlight how social determinants produce health inequities and barriers to accessing healthcare. The difficulties of conducting quantitative research in complex and hard-to-reach contexts, characterized by high social vulnerability, are outlined. |
| topic |
urban health social determinants of health health inequities hard-to-reach groups health-related behaviours healthcare use |
| url |
https://www.mdpi.com/1660-4601/18/16/8804 |
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