IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i16p8804-d618489.html
   My bibliography  Save this article

Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy)

Author

Listed:
  • Susanna Caminada

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Federica Turatto

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Silvia Iorio

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00185 Rome, Italy)

  • Lorenzo Paglione

    (Department of Civil, Constructional and Environmental Engineering, Sapienza University of Rome, 00184 Rome, Italy
    Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy)

  • Miriam Errigo

    (Department of Social Sciences and Economics, Sapienza University of Rome, 00185 Rome, Italy)

  • Elena Mazzalai

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Anissa Jaljaa

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Dara Giannini

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Marco Tofani

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Maria Benedetta Michelazzo

    (Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Adelaide Landi

    (Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy)

  • Massimo Napoli

    (Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy)

  • Maria Alessandra Brandimarte

    (Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy)

  • Livia Maria Salvatori

    (District 3, Local Health Unit Roma 1, 00139 Rome, Italy)

  • Aurora Angelozzi

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Giovanni Baglio

    (Research and International Relations Office, Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS), 00187 Rome, Italy)

  • Enrico Di Rosa

    (Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy)

  • Alessandra Battisti

    (Department of Planning, Design, and Technology of Architecture, Sapienza University of Rome, 00196 Rome, Italy)

  • Maurizio Marceca

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

Abstract

The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bastogi compared to the population living in the area of the same local health unit (ASL). The Progresses of Health Authorities for Health in Italy questionnaire (PASSI) was administered to a sample of 210 inhabitants of Bastogi. Data were analysed and compared to those of the ASL collected in 2017–2018. The socio-economic indicators showed an overall worse condition for the inhabitants of Bastogi, with a significantly higher proportion of foreign and unemployed residents and a lower educational level compared to the ASL. Significant differences in the prevalence of non-communicable diseases, mental health complaints, and participation in prevention strategies, including cancer screening, were found. The questionnaire showed a lower help-seeking behaviour and a lack of reliance on health professionals in Bastogi inhabitants. Our findings highlight how social determinants produce health inequities and barriers to accessing healthcare. The difficulties of conducting quantitative research in complex and hard-to-reach contexts, characterized by high social vulnerability, are outlined.

Suggested Citation

  • Susanna Caminada & Federica Turatto & Silvia Iorio & Lorenzo Paglione & Miriam Errigo & Elena Mazzalai & Anissa Jaljaa & Dara Giannini & Marco Tofani & Maria Benedetta Michelazzo & Adelaide Landi & Ma, 2021. "Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy)," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8804-:d:618489
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/16/8804/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/16/8804/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Valentina Minardi & Stefano Campostrini & Giuliano Carrozzi & Giada Minelli & Stefania Salmaso, 2011. "Social determinants effects from the Italian risk factor surveillance system PASSI," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(4), pages 359-366, August.
    2. Becker, G. & Newsom, E., 2003. "Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African Americans," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 742-748.
    3. Barber, Sharrelle & Diez Roux, Ana V. & Cardoso, Letícia & Santos, Simone & Toste, Veronica & James, Sherman & Barreto, Sandhi & Schmidt, Maria & Giatti, Luana & Chor, Dora, 2018. "At the intersection of place, race, and health in Brazil: Residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)," Social Science & Medicine, Elsevier, vol. 199(C), pages 67-76.
    4. Alessandra Battisti & Livia Calcagni & Alberto Calenzo & Aurora Angelozzi & Miriam Errigo & Maurizio Marceca & Silvia Iorio, 2021. "Urban Health: Assessment of Indoor Environment Spillovers on Health in a Distressed Urban Area of Rome," Sustainability, MDPI, vol. 13(10), pages 1-20, May.
    5. Cattell, Vicky, 2001. "Poor people, poor places, and poor health: the mediating role of social networks and social capital," Social Science & Medicine, Elsevier, vol. 52(10), pages 1501-1516, May.
    6. Maria Felice Arezzo & Cristina Giudici, 2017. "Social Capital and Self Perceived Health Among European Older Adults," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 130(2), pages 665-685, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anam Rani & Abdul Quddoos & Muhammad Rizwan Yaseen & Sana Tabassum & Aisha Asif, 2021. "The Impact of Social Capital on Household Well-being in Pakistan," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 158(3), pages 927-946, December.
    2. Hanibuchi, Tomoya & Murata, Yohei & Ichida, Yukinobu & Hirai, Hiroshi & Kawachi, Ichiro & Kondo, Katsunori, 2012. "Place-specific constructs of social capital and their possible associations to health: A Japanese case study," Social Science & Medicine, Elsevier, vol. 75(1), pages 225-232.
    3. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    4. Chengquan Li & Can Zhang, 2024. "Transformative Perspectives in Physical Education Evaluation: Empowering Diverse Stakeholders for Holistic Learning Experiences in the Era of Big Data," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 15(3), pages 13334-13360, September.
    5. Damiano Fiorillo & Nunzia Nappo, 2014. "Job satisfaction in Italy: individual characteristics and social relations," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 41(8), pages 683-704, August.
    6. Maja Adena & Michal Myck, 2013. "Poverty and Transitions in Health," Discussion Papers of DIW Berlin 1319, DIW Berlin, German Institute for Economic Research.
    7. Shippee, Tetyana Pylypiv & Schafer, Markus H. & Ferraro, Kenneth F., 2012. "Beyond the barriers: Racial discrimination and use of complementary and alternative medicine among Black Americans," Social Science & Medicine, Elsevier, vol. 74(8), pages 1155-1162.
    8. Darío Díaz & Amalio Blanco & Miriam Bajo & Maria Stavraki, 2015. "Fatalism and Well-Being Across Hispanic Cultures: The Social Fatalism Scales (SFS)," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 124(3), pages 929-945, December.
    9. Pronyk, Paul M. & Harpham, Trudy & Morison, Linda A. & Hargreaves, James R. & Kim, Julia C. & Phetla, Godfrey & Watts, Charlotte H. & Porter, John D., 2008. "Is social capital associated with HIV risk in rural South Africa?," Social Science & Medicine, Elsevier, vol. 66(9), pages 1999-2010, May.
    10. Davidson, Rosemary & Kitzinger, Jenny & Hunt, Kate, 2006. "The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities," Social Science & Medicine, Elsevier, vol. 62(9), pages 2171-2182, May.
    11. Kim Samuel & Sabina Alkire & Diego Zavaleta & China Mills & John Hammock, 2018. "Social isolation and its relationship to multidimensional poverty," Oxford Development Studies, Taylor & Francis Journals, vol. 46(1), pages 83-97, January.
    12. James Scambary, 2013. "Conflict and Resilience in an Urban Squatter Settlement in Dili, East Timor," Urban Studies, Urban Studies Journal Limited, vol. 50(10), pages 1935-1950, August.
    13. Li, Manlin, 2015. "Exploring the impact of New Resettlement Area’s on the well-being of local residents: a case study in Chongqing, China," OSF Preprints ht465, Center for Open Science.
    14. Catalina Cruz-Piedrahita & Francisco-Javier Martinez-Carranza & Maria Mar Delgado-Serrano, 2024. "A Multidimensional Approach to Understanding Food Deserts in Vulnerable Contexts," Sustainability, MDPI, vol. 16(3), pages 1-19, January.
    15. Peng, Sihui & Yang, Xiaozhao Yousef & Rockett, Ian R.H., 2019. "A typology of social capital and its mixed blessing for suicidal ideation: A multilevel study of college students," Social Science & Medicine, Elsevier, vol. 243(C).
    16. Bradley S. Jorgensen, 2010. "Subjective Mapping Methodologies For Incorporating Spatial Variation In Research On Social Capital And Sense Of Place," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 101(5), pages 554-567, December.
    17. Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
    18. Cahuas, Madelaine C. & Wakefield, Sarah & Peng, Yun, 2015. "Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities," Social Science & Medicine, Elsevier, vol. 133(C), pages 366-373.
    19. Carlos Moreno-Leguizamon & Marcela Tovar-Restrepo, 2022. "Transbordering assemblages: Power, agency and autonomy (re)producing health infrastructures in the South East of England," Urban Studies, Urban Studies Journal Limited, vol. 59(3), pages 624-640, February.
    20. Tina Rochelle & Steven Shardlow, 2013. "Quality of Social Networks Among UK Chinese," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 114(2), pages 425-439, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8804-:d:618489. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.