Aaserud Karen Naes, Marí-Dell'Olmo Marc, Palència Laia, Carrere Juli, López María José, Oliveras Laura
Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003, Barcelona, Catalonia, Spain; Agencia de Salut Pública de Barcelona, Lesseps 1, 08023, Barcelona, Catalonia, Spain; Department of Pediatric Surgery, Juliane Marie Centret, Rigshospitalet, Copenhagen, Denmark.
Agencia de Salut Pública de Barcelona, Lesseps 1, 08023, Barcelona, Catalonia, Spain; Institut de Recerca Sant Pau (IR SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
Health Place. 2025 Jan;91:103401. doi: 10.1016/j.healthplace.2024.103401. Epub 2024 Dec 29.
The aim of this study was to analyse the time trends in Barcelona before and during the adverse context of COVID-19, energy crisis, and climate change in 1) the energy poverty (EP) prevalence; 2) the association between EP and health and 3) the impact of EP on health, according to the axes of inequality (sex, age, social class, and country of birth). We conducted a cross-sectional trends study using data from the 2016 and 2021 Barcelona Health Survey. This study clearly recognizes that EP continues to be an important public health problem in the context of Barcelona. The results show that EP did increase somewhat, though not as sharply as hypothesized in the current adverse context. Neither did it have as large consequences on the effects of EP on health as we expected to see. However, it demonstrates that there is still a strong association between EP and poor health, particularly in vulnerable groups such as people born in LMI countries and manual workers, who experienced an increase in the impact of EP on poor health outcomes, which suggests increasing health inequalities.
本研究旨在分析在2019年冠状病毒病、能源危机和气候变化的不利背景下，巴塞罗那在以下方面的时间趋势：1）能源贫困（EP）患病率；2）EP与健康之间的关联；3）根据不平等因素（性别、年龄、社会阶层和出生国家）分析EP对健康的影响。我们利用2016年和2021年巴塞罗那健康调查的数据进行了一项横断面趋势研究。本研究明确认识到，在巴塞罗那的背景下，EP仍然是一个重要的公共卫生问题。结果表明，EP确实有所增加，尽管增幅不如当前不利背景下假设的那么大。它对EP对健康影响的后果也没有我们预期的那么大。然而，研究表明，EP与健康状况不佳之间仍然存在很强的关联，特别是在弱势群体中，如出生在低收入和中等收入国家的人以及体力劳动者，他们受到EP对健康不良影响的影响有所增加，这表明健康不平等现象在加剧。
