Cernigliaro Achille, Usticano Antonella, Miceli Patrizia, Marras Antonello, Tavormina Elisa Eleonora, Ferro Maria Paola, Scondotto Salvatore
Dipartimento attività sanitarie e osservatorio epidemiologico, Assessorato alla sanità, Regione Siciliana, Palermo;
Dipartimento per le attività sanitarie e Osservatorio epidemiologico, Assessorato della salute, Regione Siciliana, Palermo.
Epidemiol Prev. 2020 Sep-Dec;44(5-6 Suppl 1):54-63. doi: 10.19191/EP20.5-6.S1.P054.074.
to build an equity profile for assessing the impact of socioeconomic inequalities on the determinants and health outcome in Sicily (Southern Italy).
descriptive study aimed to define an equity profile in Sicily by using a rich list of indicators of structure of the resident population and of distribution of determinants and health outcome, derived from the integration of available information and scientific evidence at regional level with high local detail.
the equity profile collects available information on the health status of the population in Sicily, on the determinants, and on the use of health and social services. The characteristics of people or population groups have been explored and can produce inequalities on health which included individual and context socioeconomic status.
using available information sources and study results have explored the effects of the disadvantage on health in the region: mortality, morbidity, oncological incidence, reproductive health, and some of their determinants.
the Sicilian population tends to aging. Migration flows tend to compensate the reduction in births in Sicily and it increases the proportion of younger people and women in childbearing age. The proportion of large families tends to get smaller, whereas the proportion of single-component ones increases; the population groups with low education, unemployment, poverty, and income increases. Starting from the first thousand days of life, to continue in the other classes of the population, the different distribution of risk factors on health was identified according to different levels of deprivation.
the Sicilian equity profile has systematized and consolidated previous experiences on the effects of disadvantage on health. Prevention interventions, oriented towards equity, should be based on the results of this study and should take care of the general aspects of actions and, at the same time, focus on vulnerable population groups.
构建公平状况描述，以评估社会经济不平等对西西里岛（意大利南部）健康决定因素和健康结果的影响。
描述性研究，旨在通过使用丰富的指标列表来定义西西里岛的公平状况，这些指标涉及常住人口结构、决定因素分布和健康结果，这些指标源于区域层面现有信息与科学证据的整合，并具有高度的地方细节。
公平状况描述收集了西西里岛人口健康状况、决定因素以及健康和社会服务使用情况的现有信息。已探究了可能导致健康不平等的人群或人口群体特征，其中包括个人和背景社会经济地位。
利用现有信息来源和研究结果，探究了该地区不利因素对健康的影响：死亡率、发病率、肿瘤发病率、生殖健康及其一些决定因素。
西西里岛人口趋于老龄化。移民流动往往能弥补西西里岛出生人数的减少，并增加了年轻人和育龄妇女的比例。大家庭的比例趋于下降，而单成分家庭的比例则上升；低教育程度、失业、贫困和低收入人群的比例增加。从生命的最初一千天开始，一直到其他人群类别，根据不同的贫困程度确定了健康风险因素的不同分布。
西西里岛的公平状况描述已将先前关于不利因素对健康影响的经验系统化并加以巩固。以公平为导向的预防干预措施应基于本研究的结果，并应兼顾行动的总体方面，同时关注弱势群体。
