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Health Disparities in Czechia and Portugal at Country and Municipality Levels

Author

Listed:
  • Michala Lustigova

    (Department of Social Geography and Regional Development, Faculty of Science, Charles University, 128 43 Prague, Czech Republic)

  • Dagmar Dzurova

    (Department of Social Geography and Regional Development, Faculty of Science, Charles University, 128 43 Prague, Czech Republic)

  • Claudia Costa

    (Centre of Studies in Geography and Spatial Planning, University of Coimbra, 3004-530 Coimbra, Portugal)

  • Paula Santana

    (Centre of Studies in Geography and Spatial Planning, University of Coimbra, 3004-530 Coimbra, Portugal)

Abstract

This article investigates the health outcomes and determinants between two different European populations, Portuguese and Czech, on two hierarchical levels: country and metropolitan area. At first, the decomposition method of age and cause of death were compared on the country level, and then health was examined based on a factor analysis at the municipality level of Prague and Lisbon. The results clearly indicate problematic diabetes mortality among the Portuguese population, and especially in the Lisbon Metropolitan Area, and confirm the dominant role of circulatory mortality and cancer mortality among Czech, especially the Prague population. The social and economic deprivations were revealed as the major drivers for both metropolitan areas, although with differences between them, requiring interventions that go beyond the health sector.

Suggested Citation

  • Michala Lustigova & Dagmar Dzurova & Claudia Costa & Paula Santana, 2019. "Health Disparities in Czechia and Portugal at Country and Municipality Levels," IJERPH, MDPI, vol. 16(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1139-:d:218324
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    References listed on IDEAS

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    1. repec:cai:poeine:pope_201_0157 is not listed on IDEAS
    2. Jens Matthias Arnold & Carlos Farinha Rodrigues, 2015. "Reducing inequality and poverty in Portugal," OECD Economics Department Working Papers 1258, OECD Publishing.
    3. Santana, Paula, 2002. "Poverty, social exclusion and health in Portugal," Social Science & Medicine, Elsevier, vol. 55(1), pages 33-45, July.
    4. Ricardo Almendra & Paula Santana & João Vasconcelos, 2017. "Evidence of social deprivation on the spatial patterns of excess winter mortality," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 849-856, November.
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    6. J. Pollard, 1988. "On the decomposition of changes in expectation of life and differentials in life expectancy," Demography, Springer;Population Association of America (PAA), vol. 25(2), pages 265-276, May.
    7. Jacques Vallin & France Meslé, 2004. "Convergences and divergences in mortality," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(2), pages 11-44.
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    Cited by:

    1. Claudia Costa & Angela Freitas & Ricardo Almendra & Paula Santana, 2020. "The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal," IJERPH, MDPI, vol. 17(22), pages 1-16, November.

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