Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol

Introduction The European Environment Agency estimates that 75% of the European population lives in cities. Despite the many advantages of city life, the risks and challenges to health arising from urbanisation need to be addressed in order to tackle the growing burden of disease and health inequali...

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Main Authors: Andrés Cabrera-León, Antonio Daponte, Marc Saez, Katherine Pérez, María Rueda, Ferran Ballester, Ana Esplugues, Aitana Lertxundi, Laia Font-Ribera, Laura Oliveras, Marina Lacasaña, Marisa Estarlich, Mikel Subiza-Pérez, Ainhoa Bereziartua, Gonzalo García-Baquero, Salvador Delís Gomez, Antonio Merelles, Maria Angeles Irles, Carmen Barona, Rosa Mas, X Bartoll, Anne-Claire Binter, Leticia García Mochon, Helena García Cortés, María del Carmen Sánchez-Cantalejo Garrido, Rocío Cáceres
Format: Article
Language:English
Published: BMJ Publishing Group 2024-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/3/e074252.full
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author Andrés Cabrera-León
Antonio Daponte
Marc Saez
Katherine Pérez
María Rueda
Ferran Ballester
Ana Esplugues
Aitana Lertxundi
Laia Font-Ribera
Laura Oliveras
Marina Lacasaña
Marisa Estarlich
Mikel Subiza-Pérez
Ainhoa Bereziartua
Gonzalo García-Baquero
Salvador Delís Gomez
Antonio Merelles
Maria Angeles Irles
Carmen Barona
Rosa Mas
X Bartoll
Anne-Claire Binter
Leticia García Mochon
Helena García Cortés
María del Carmen Sánchez-Cantalejo Garrido
Rocío Cáceres
author_facet Andrés Cabrera-León
Antonio Daponte
Marc Saez
Katherine Pérez
María Rueda
Ferran Ballester
Ana Esplugues
Aitana Lertxundi
Laia Font-Ribera
Laura Oliveras
Marina Lacasaña
Marisa Estarlich
Mikel Subiza-Pérez
Ainhoa Bereziartua
Gonzalo García-Baquero
Salvador Delís Gomez
Antonio Merelles
Maria Angeles Irles
Carmen Barona
Rosa Mas
X Bartoll
Anne-Claire Binter
Leticia García Mochon
Helena García Cortés
María del Carmen Sánchez-Cantalejo Garrido
Rocío Cáceres
author_sort Andrés Cabrera-León
collection DOAJ
description Introduction The European Environment Agency estimates that 75% of the European population lives in cities. Despite the many advantages of city life, the risks and challenges to health arising from urbanisation need to be addressed in order to tackle the growing burden of disease and health inequalities in cities. This study, Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project), aims to investigate the complex association between the urban environmental exposures (UrbEEs) and health.Methods and analysis DAS-EP is a Spanish multiregional cross-sectional project that combines population health surveys (PHS) and geographical information systems (GIS) allowing to collect rich individual-level data from 17 000 adult citizens participating in the PHS conducted in the autonomous regions of the Basque Country, Andalusia, and the Valencian Community, and the city of Barcelona in the years 2021–2023. This study focuses on the population living in cities or metropolitan areas with more than 100 000 inhabitants. UrbEEs are described by objective estimates at participants’ home addresses by GIS, and subjective indicators present in PHS. The health outcomes included in the PHS and selected for this study are self-perceived health (general and mental), prevalence of chronic mental disorders, health-related quality of life, consumption of medication for common mental disorders and sleep quality. We aim to further understand the direct and indirect effects between UrbEEs and health, as well as to estimate the impact at the population level, taking respondents’ sociodemographic and socioeconomic characteristics, and lifestyle into consideration.Ethics and dissemination The study was approved by the regional Research Ethics Committee of the Basque Country (Ethics Committee for Research Involving Medicinal Products in the Basque Country; PI2022138), Andalusia (Biomedical Research Ethics Committee of the Province of Granada; 2078-N-22), Barcelona (CEIC-PSMar; 2022/10667) and the Valencian Community (Ethics Committee for Clinical Research of the Directorate General of Public Health and Center for Advanced Research in Public Health; 20221125/04). The results will be communicated to the general population, health professionals, and institutions through conferences, reports and scientific articles.
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spelling doaj.art-312a873b5c764895b9ca1fa06bd95d6f2024-04-04T05:25:09ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-074252Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocolAndrés Cabrera-León0Antonio Daponte1Marc Saez2Katherine Pérez3María Rueda4Ferran Ballester5Ana Esplugues6Aitana Lertxundi7Laia Font-Ribera8Laura Oliveras9Marina Lacasaña10Marisa Estarlich11Mikel Subiza-Pérez12Ainhoa Bereziartua13Gonzalo García-Baquero14Salvador Delís Gomez15Antonio Merelles16Maria Angeles Irles17Carmen Barona18Rosa Mas19X Bartoll20Anne-Claire Binter21Leticia García Mochon22Helena García Cortés23María del Carmen Sánchez-Cantalejo Garrido24Rocío Cáceres252 CIBER of Epidemiology and Public Health, CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain2 CIBER of Epidemiology and Public Health, CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain1 Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Spain2 Agència Salut Pública de Barcelona, Barcelona, Spain3Department of Statistics and O.R, Math Institute (IEMath-GR), University of Granada, Granada, SpainCentre Superior d`Investigació en Salut Pública, Conselleria de Sanitat, Valencia, SpainCIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, SpainCIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain6 ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain3 ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, SpainAndalusian School of Public Health, Granada, SpainCenter for Public Health Research-CSISP, Conselleria de Sanitat, Valencia, SpainGroup of Environmental Epidemiology and Child Development, Biodonostia Health Research Institute, San Sebastián, SpainDepartment of Preventive Medicine and Public Health, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, SpainGroup of Environmental Epidemiology and Child Development, IIS Biogipuzkoa, Donostia-San Sebastian, Guipuzcoa, SpainUnidad Funcional de Sueño, Hospital Universitario Araba, Vitoria-Gasteiz, SpainEpidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Valencia, SpainGeneral Directorate of Public Health, Valencia, Valencian Community, SpainSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, SpainGeneral Directorate of Public Health, Valencia, Valencian Community, SpainAgencia de Salut Publica de Barcelona, Barcelona, Catalunya, SpainSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, SpainAndalusian School of Public Health, Granada, SpainAndalusian School of Public Health, Granada, SpainAndalusian School of Public Health, Granada, SpainNursing Department, University of Seville, Sevilla, SpainIntroduction The European Environment Agency estimates that 75% of the European population lives in cities. Despite the many advantages of city life, the risks and challenges to health arising from urbanisation need to be addressed in order to tackle the growing burden of disease and health inequalities in cities. This study, Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project), aims to investigate the complex association between the urban environmental exposures (UrbEEs) and health.Methods and analysis DAS-EP is a Spanish multiregional cross-sectional project that combines population health surveys (PHS) and geographical information systems (GIS) allowing to collect rich individual-level data from 17 000 adult citizens participating in the PHS conducted in the autonomous regions of the Basque Country, Andalusia, and the Valencian Community, and the city of Barcelona in the years 2021–2023. This study focuses on the population living in cities or metropolitan areas with more than 100 000 inhabitants. UrbEEs are described by objective estimates at participants’ home addresses by GIS, and subjective indicators present in PHS. The health outcomes included in the PHS and selected for this study are self-perceived health (general and mental), prevalence of chronic mental disorders, health-related quality of life, consumption of medication for common mental disorders and sleep quality. We aim to further understand the direct and indirect effects between UrbEEs and health, as well as to estimate the impact at the population level, taking respondents’ sociodemographic and socioeconomic characteristics, and lifestyle into consideration.Ethics and dissemination The study was approved by the regional Research Ethics Committee of the Basque Country (Ethics Committee for Research Involving Medicinal Products in the Basque Country; PI2022138), Andalusia (Biomedical Research Ethics Committee of the Province of Granada; 2078-N-22), Barcelona (CEIC-PSMar; 2022/10667) and the Valencian Community (Ethics Committee for Clinical Research of the Directorate General of Public Health and Center for Advanced Research in Public Health; 20221125/04). The results will be communicated to the general population, health professionals, and institutions through conferences, reports and scientific articles.https://bmjopen.bmj.com/content/14/3/e074252.full
spellingShingle Andrés Cabrera-León
Antonio Daponte
Marc Saez
Katherine Pérez
María Rueda
Ferran Ballester
Ana Esplugues
Aitana Lertxundi
Laia Font-Ribera
Laura Oliveras
Marina Lacasaña
Marisa Estarlich
Mikel Subiza-Pérez
Ainhoa Bereziartua
Gonzalo García-Baquero
Salvador Delís Gomez
Antonio Merelles
Maria Angeles Irles
Carmen Barona
Rosa Mas
X Bartoll
Anne-Claire Binter
Leticia García Mochon
Helena García Cortés
María del Carmen Sánchez-Cantalejo Garrido
Rocío Cáceres
Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
BMJ Open
title Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
title_full Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
title_fullStr Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
title_full_unstemmed Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
title_short Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) – study protocol
title_sort urban environment and health a cross sectional multiregional project based on population health surveys in spain das ep project study protocol
url https://bmjopen.bmj.com/content/14/3/e074252.full
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