School of Transborder Studies, Arizona State University, Tempe, Arizona, USA.
Salud Publica Mex. 2012 Jul-Aug;54(4):367-74. doi: 10.1590/s0036-36342012000400006.
This paper explores the impact of contextual variables at the neighborhood level on a health marker in the city of Hermosillo, Mexico and discusses the importance of collaboration between planners and health professional to minimize the negative effect of contextual factors on urban health.
Few studies in Mexico have assessed health outcomes at the intra-urban scale and their interaction with neighborhood-level contextual variables. Using spatial analysis and geographical information systems, the paper explores the association between infant mortality and an index of socio-environmental vulnerability used to measure urban contextual factors.
Two high infant mortality clusters were detected within neighborhoods characterized by relatively good environmental conditions and one in a neighborhood with a poor environment.
Our results show the clustering of high infant mortality areas and some association with built environment factors in Hermosillo. The results support the need to reconnect public health and urban planning as a way to create healthier environments in Mexican cities.
本文探讨了墨西哥埃莫西约市邻里层面的情境变量对健康指标的影响，并讨论了规划师和卫生专业人员之间合作的重要性，以最大程度地减少情境因素对城市健康的负面影响。
在墨西哥，很少有研究评估城市内部尺度的健康结果及其与邻里层面情境变量的相互作用。本文使用空间分析和地理信息系统，探讨了婴儿死亡率与用于衡量城市情境因素的社会环境脆弱性指数之间的关系。
在环境条件相对较好的邻里中发现了两个婴儿死亡率较高的聚类，而在环境较差的邻里中则发现了一个。
我们的结果表明，埃莫西约存在高婴儿死亡率区域的聚类现象，并且与某些与建成环境因素有关。结果支持重新建立公共卫生和城市规划之间的联系，以创造更健康的墨西哥城市环境。
