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Proyectos de salud urbana en Madrid: Pasado, presente y futuro

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Proyectos de salud urbana en Madrid: Pasado, presente y futuro

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Presentación utilizada por Manuel Franco, protagonista del diálogo (im)probable del 18 de enero de 2023.

Presentación utilizada por Manuel Franco, protagonista del diálogo (im)probable del 18 de enero de 2023.

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Proyectos de salud urbana en Madrid: Pasado, presente y futuro

  1. 1. Manuel Franco MD, PhD Associate Professor School of Medicine, University of Alcala, Spain Adjunct Associate Professor Department of Epidemiology Johns Hopkins Bloomberg School of Public Health, Baltimore @mfranco_uah Diálogo (Im)probable ITD UPM Enero 2023 Proyectos de Salud Urbana en Madrid: Pasado, Presente y Futuro
  2. 2. http://hhhproject.eu Manuel Franco Salud Urbana Primero, agradecimientos 1. ITD UPM – El día después, Ciudades, Desigualdad.. 2. Ministerio de Universidades España, “Recualificación” http:/hhhproject.es http:/hhhproject.es
  3. 3. http://hhhproject.eu Manuel Franco Urban Health 1. Epidemiology and Public Health research career, both in the US and Spain, on Urban Health and Cardiovascular Diseases / NCDs 2. Social and Urban Determinants of CVD / NCDs 3. Social Epidemiology as an interdisciplanary approach collaborating with different Social Sciences http:/hhhproject.es http:/hhhproject.es
  4. 4. http://hhhproject.eu Manuel Franco Urban Health Research 1. What we have done so far in Madrid 2. What we are doing right now 3. What I am starting to do http:/hhhproject.es http:/hhhproject.es
  5. 5. Manuel Franco What we have done so far Social and Physical Urban Environment and CV Health: The Much Needed Population Approach
  6. 6. Presenter’s Name Date Physical Environment Social Environment Cardiovascular Health HEART HEALTHY HOODS Obesity Physical Activity Diet Alcohol Physical Activity Environment Food Environment CVD Smoking Tobacco Environment Social and Physical Environment Individual Cardiovascular Health Alcohol Environment Neighborhood Socioeconomic Status Unemployment – Education – Poverty Immigration Composition Individual Socioeconomic Status Occupation –Income – Education Gender – Immigration Heart Healthy Hoods Study Main Goal
  7. 7. http://hhhproject.eu 1. To include social science approaches to understand the context and meanings of the urban environment in relation to cardiovascular health 2. To develop measurements to characterize the social and physical urban environments in a systematic and accurate fashion Heart Healthy Hoods Secondary Objectives http:/hhhproject.es http:/hhhproject.es
  8. 8. http://hhhproject.eu To provide scientific evidence to researchers, the general population and policy makers to intervene in cities at the population level to prevent CVD, the first cause of death in Europe. HHH overarching objective Policy and research implications http:/hhhproject.es http:/hhhproject.es
  9. 9. http://hhhproject.eu Photography Knowledge Dissemination Citizen Science Epidemiology Health Sociology University of Salamanca Johns Hopkins School of Public Health Geography University of Alcalá CRESH Edinburgh LSHTM Interdisciplinary team PI: Social Epidemiology University of Alcalá Johns Hopkins School of Public Health
  10. 10. http://hhhproject.eu 21 Districts 128 Neighborhoods 2.412 Census Sections (≅1.500 ps) 3,2 Mill. Residents HHH will analyze the Integrated Primary Care Health System Electronic Health Records Database of 1,4 mill. residents 40-75 ys. MADRID MUNICIPALITY http:/hhhproject.es http:/hhhproject.es http:/hhhproject.es
  11. 11. http://hhhproject.eu Example of Interdisciplinarity Tobacco HHH results Epidemiología y Salud Publica: Control Tabaquismo Geografía: Análisis geoespaciales Administraciones públicas: Datos consumo de tabaco http:/hhhproject.es http:/hhhproject.es
  12. 12. http://hhhproject.eu Estancos clasificados por su proximidad a centros educativos http:/hhhproject.es http:/hhhproject.es
  13. 13. http://hhhproject.eu Ejemplo de Interdisciplinaridad Resultados sobre Tabaco HHH http:/hhhproject.es http:/hhhproject.es
  14. 14. http://hhhproject.eu Epidemiología y Sociología Urbana: Normalización del consumo de alcohol y su promoción en las ciudades Fotografía: Documentación del entorno urbano, Foto-ensayo Administraciones públicas: Plan Nacional Sobre Drogas Example of Interdisciplinarity Alcohol HHH results http:/hhhproject.es
  15. 15. http://hhhproject.eu Fotos: Victor Carreño
  16. 16. http://hhhproject.eu Fotos: Victor Carreño
  17. 17. http://hhhproject.eu Physical Activity HHH results
  18. 18. http://hhhproject.eu Parks use and Physical Activity Mixed Methods HHH results http:/hhhproject.es
  19. 19. http://hhhproject.eu Parks use and Physical Activty Mixed Methods HHH results http:/hhhproject.es
  20. 20. http://hhhproject.eu http:/hhhproject.es Food environment inequalites in Madrid: HHH results
  21. 21. http://hhhproject.eu http:/hhhproject.es Food environment inequalites in Madrid: HHH results
  22. 22. http://hhhproject.eu http:/hhhproject.es
  23. 23. http://hhhproject.eu HHH main results 1. HHH trained a great generation of Urban Health researchers in Spain and the US 2. 8 sub-studies funded 3. 46 articles, a photobook and 5 book chapters so far • Defining and measuring unequal urban environments related to unequal health outcomes in Madrid • Conducting participatory research in urban health • Succesful Mixed Methods use in urban health http:/hhhproject.es http:/hhhproject.es
  24. 24. http://hhhproject.eu HHH Kick-off meeting http:/hhhproject.es
  25. 25. Manuel Franco MD, PhD Associate Professor School of Medicine, University of Alcala, Spain Adjunct Associate Professor Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Un proyecto de investigación acción participativa para mejorar el entorno urbano en Madrid PHOTOVOICE VILLAVERDE PROJECT
  26. 26. http://hhhproject.eu http://hhhproject.eu/research/photovoice/
  27. 27. http://hhhproject.eu http:/hhhproject.es
  28. 28. PHOTOVOICE VILLAVERDE AND CHAMBERÍ URBAN ENVIRONMENT AND PHYSICAL ACTIVITY PROJECT
  29. 29. http://hhhproject.eu Photovoice Urban Environment Food, Physical Activity, Alcohol, Publications • Diez J, et al. Health and Place, • Diez J, et al. Public Health Nutrition, • Budig K and Diez J, et al. BMC Public Health • Gullón P and Diez J, et al. IJERPH • Franco M, et al. Gaceta Sanitaria • Gravina L, et al. Appetite • Molina I, et al. Health and Place and PLOS One • … All the way to Stockholm 2022 Occupational Epi Group, Bienal de Ciencia y Ciudad; Olas de Calor y Salud en población vulnerable de El Raval, Barcelona. Febrero 22-23 Madrid y Barcelona http:/hhhproject.es http:/hhhproject.es
  30. 30. http://hhhproject.eu Photovoice Results Action and Comunication Residents participated in communication to promote action: • Photobook • Exhibition • Video • Citizen Science meetings • Interactive Cartography • Media collaboration http:/hhhproject.es
  31. 31. http://hhhproject.eu http:/hhhproject.es
  32. 32. http://hhhproject.eu http:/hhhproject.es
  33. 33. http://hhhproject.eu Communicating photovoice results European Parliament http:/hhhproject.es
  34. 34. http://hhhproject.eu Manuel Franco Urban Health Research 1. What we have done so far 2. What we are doing right now 3. What I would like to do http:/hhhproject.es http:/hhhproject.es
  35. 35. http://hhhproject.eu UAH What we are doing Child Health and Nutrition projects 1. Unicef EUROPE: “Analysis of initiatives to reduce poverty and social exclusion among children and recommendations for the implementation of the European Child Guarantee in Spain” HEALTH AND NUTRITION CHAPTER 2. Plan Nacional: Estudio cualitativo Desigualdades sociales en la Alimentación de los/as Adolescentes (ADA) en Madrid y Bilbao. IP Jesús Rivera Navarro http:/hhhproject.es http:/hhhproject.es
  36. 36. http://hhhproject.eu UAH What we are doing Child Health and Nutrition projects 3. Estudio PASOS Physical Activity, Sedentarism and Obesity in Spanish Youth Fundación Gasol, Desigualdades y Entorno 4. Primera encuesta representativa de hogares que sufren inseguridad alimentaria en España. Universitat de Barcelona y Fundación Carasso http:/hhhproject.es http:/hhhproject.es
  37. 37. http://hhhproject.eu UAH What we are doing Child Health and Nutrition projects 5. Estudio SUECO, School Urban Environment and Childhood Obesity, Fundación MAPFRE Julia Diez, Luis Carmona 6. School Food For Change, Horizon Europe http:/hhhproject.es http:/hhhproject.es
  38. 38. http://hhhproject.eu 5,961 children ages 3-12 in 60 schools in the city of Madrid http:/hhhproject.es http:/hhhproject.es UAH Urban Health What we are doing, Julia Díez Child Health
  39. 39. http://hhhproject.eu http:/hhhproject.es http:/hhhproject.es
  40. 40. http://hhhproject.eu New EU PROJECT, Child Health 14 cities, 4 evaluation cities http:/hhhproject.es Research and Innovation actions Innovation actions Project Title SCHOOLFOOD4CHANGE: SHIFTING SCHOOL MEALS AND SCHOOLS INTO A NEW PARADIGM, ADDRESSING PUBLIC HEALTH AND TERRITORIAL, SOCIAL AND ENVIRONMENTAL RESILIENCE Work programme topics addressed: Building a low-carbon, climate resilient future: Research and innovation in support of the European Green Deal (H2020-LC-GD-2020) – subtopic F
  41. 41. 31/01/2023 Budget Total: 12 000 000 € UAH: 300 000 €
  42. 42. 31/01/2023
  43. 43. 31/01/2023
  44. 44. GOAL To create a shift to both sustainable and healthy diets on a broad societal scale by directly impacting over 600,000 school children and over 3,000 schools in 12 EU countries and providing a framework and best practice that is swiftly implementable by all schools in Europe. SF4C will shift school meals into a new paradigm by focusing on the relationship with public health and territorial, social and environmental resilience, learning also from the experiences of the COVID-19 pandemic.
  45. 45. Digital labour platforms and its effects on health and well-being: a mixed-method project of gig workers in Sweden PI: Nurilla Matilla-Santander KICK-OFF MEETING January 20, 2022
  46. 46. 31 januari 2023 47 Call name: ResearchProjects 2021 Type ofgrant: ProjectJunior Researcher Focus: Free Call for proposalssubject area: Forte Project title: Digital labour platforms andits effects onhealthandwell-being:a mixed-methodprojectof gigworkers inSweden. Project start: 2022-01-01 Reviewpanel appliedfor: AH2021,AO2021, FH2021 1 Project end: 2025-12-31 Classificationcode: 30303.Occupational HealthandEnvironmental Health Keywords: Platformwork, Digital labour platforms,Mixed-methodstudy,Occupational determinantof health, Precarious employment Fundsappliedfor Year: Amount: 2022 1,344,830 2023 1,304,830 2024 1,279,830 2025 899,530 Total amountapplied 4,829,020 Participants Participatingresearchers: SherryLBaron Birthdate: 19550922 Gender: Female Country: USA Doctoral degree: Academictitle: Professor Employer: CityUniversityof NewYork Participatingresearchers: TheoBodin Birthdate: 19820407 Gender: Male Country: Sweden Doctoral degree: 2014-06-30 Academictitle: AssistantProfessor Employer: Karolinska Institutet Participatingresearchers: Manuel Franco Birthdate: 19740913 Gender: Male Country: Spain Doctoral degree: Academictitle: Professor Employer: UniversidaddeAlcalá
  47. 47. http://hhhproject.eu Manuel Franco Urban Health What I would like to do • Share and collaborate ongoing projects • Secure European colaborative funding on Urban Health topics http:/hhhproject.es http:/hhhproject.es
  48. 48. http://hhhproject.eu Manuel Franco Urban Health What I am doing right now Secure European funding ERC Grants – Advanced; “Urban Food Systems and their triple impact: Health, Sustainability and Decent Work” • School Food 4 Change and Madrid Food Strategy • Focus on children, adolescents and young populations http:/hhhproject.es http:/hhhproject.es
  49. 49. http://hhhproject.eu Manuel Franco Urban Health What I am doing right now http:/hhhproject.es http:/hhhproject.es https://elpais.com/salud-y-bienestar/la-salud-va-por-barrios/
  50. 50. http://hhhproject.eu Manuel Franco Urban Health What I m doing right now Secure European funding ERC Grants – Synergy Grant; “Climate change and urban health inequalities” – Bienal de Ciencia y Ciudad; Olas de Calor y Salud en población vulnerable de El Raval, Barcelona. Presentaciones: Febrero 22-23 Madrid y Barcelona http:/hhhproject.es http:/hhhproject.es
  51. 51. http://hhhproject.eu What I m doing right now Olas de Calor y Salud en población vulnerable de El Raval http:/hhhproject.es http:/hhhproject.es Oficialmente 3 olas de calor el verano del 2022 en Barcelona • 13-20 Junio • 10-20 Julio • 10-15 Agosto El Raval, barrio del centro de Barcelona, distrito Ciutat Vella, con 50.000 habitantes • 61% inmigrante; • Filipinas 11%, Pakistán 10%, Bangladesh 6%, Marruecos 3%, Países Andinos 4%
  52. 52. http://hhhproject.eu What I m doing right now Olas de Calor y Salud en población vulnerable de El Raval http:/hhhproject.es http:/hhhproject.es
  53. 53. http://hhhproject.eu What I m doing right now Olas de Calor y Salud en población vulnerable de El Raval http:/hhhproject.es http:/hhhproject.es
  54. 54. http://hhhproject.eu What I am doing right now Olas de Calor y Salud en población vulnerable de El Raval http:/hhhproject.es http:/hhhproject.es Frases de l@s participantes: • “El Raval ha cambiado mucho en 20 años, pero los pobres seguimos siendo pobres” • “En casa no se podía estar” • “A la playa había que ir de noche” • “El trabajo en el hospital “aire acondicionado” era una delicia” • “Lo pasé muy mal mentalmente..” • “Sólo se podía pasear de mañana temprano o de noche” • “No sé lo que es un refugio climático”
  55. 55. Manuel Franco MD, PhD Associate Professor School of Medicine, University of Alcala, Spain Adjunct Associate Professor Department of Epidemiology Johns Hopkins Bloomberg School of Public Health, Baltimore @mfranco_uah Diálogo (Im)probable ITD UPM Enero 2023 Proyectos de Salud Urbana en Madrid: Pasado, Presente y Futuro
  56. 56. Manuel Franco MD, PhD @mfranco_uah ¡ Gracias !

Notas del editor

  • HHH project may be interesting as an

    ERC project
    Interdisciplinary composition of the team
    The Mixed-Methods
    Participatory approaches

    we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • el logo arriba y abajo queda repetido. Propongo quitar la chapa y centrar el título
  • Hacer un poco más pequeña la imagen para dejar márgenes

    Repasar animacion! Porque al final sale el titulo de la diapo...valorar si el tñitulo sale desde el principio
  • using a qualitative approach
  • aqui de pronto aparece nuestra "interdisciplinaridad" -->sugiero comentarlo en metodos y dejar la descripcion del team para el final de la presentación
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • Incluso en el comité asesor nacional e internacional INTERDISCIPLINARIDAD

  • In addition (after point 1))

    Schools are the entry point for a wider place-based, systemic food system approach and will allow to address all children and young people, including those vulnerable to diet-based conditions and disadvantaged neighbourhoods.
  • HHH project may be interesting as an

    ERC project
    Interdisciplinary composition of the team
    The Mixed-Methods
    Participatory approaches

    we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 
  • HHH project may be interesting as an

    ERC project
    Interdisciplinary composition of the team
    The Mixed-Methods
    Participatory approaches

    we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco. 

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