Local actors’ frames of the role of living conditions in shaping hypertension risk and disparities in a colombian municipality

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dc.contributor.authorLucumí Cuesta, Diego Iván
dc.contributor.authorSchulz, Amy Jo
dc.contributor.authorIsrael, Barbara A.
dc.date.accessioned2020-07-10T22:38:59Z
dc.date.available2020-07-10T22:38:59Z
dc.date.issued2020
dc.description.abstractenglishConditions in the social and physical environment influence population health and risk for CVD, including hypertension. These environmental conditions are influenced by the decisions of public officials, community leaders, and service providers. Examining the frames that local decision makers bring to understanding hypertension can provide important insights into the decisions that they make about strategies for addressing this problem in their jurisdiction. The goal of this study was to examine the frames that local decision makers in Quibdó, Colombia, bring to understanding hypertension risk, and in particular, whether and how they use frames that encompass associations between living conditions and hypertension risk. Data for this qualitative study were collected using a stratified sampling strategy. Semi-structured interviews were conducted in 2012 with 13 local decision makers and analyzed using a framework approach. Participants linked the structural conditions experienced in Quibdó, including displacement, limited economic opportunities, and the infrastructure of the city, to hypertension risk through multiple pathways, including behavioral risk factors for hypertension and physiologic responses to stress. They described the social patterning of these factors across socioeconomic, racial/ethnic, and gender hierarchies. Although several conditions associated with hypertension risk are widely distributed in the city’s population, social processes of marginalization and stratification create additional disadvantages for those on the lower rungs of the social hierarchy.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s11524-016-0039-8
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1468-2869
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3469
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalJournal of urban healthspa
dc.relation.ispartofseriesJournal of urban health, 1468-2869, Vol. 93, Nro. 2, 2016, p. 345-363spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs11524-016-0039-8
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2016-03-17
dc.rights.localAcceso abiertospa
dc.subject.decsDisparidades en el estado de saludspa
dc.subject.decsEstrategias de saludspa
dc.subject.decsPolíticasspa
dc.subject.keywordsHypertensionspa
dc.subject.keywordsUrban populationspa
dc.subject.keywordsSocial inequityspa
dc.titleLocal actors’ frames of the role of living conditions in shaping hypertension risk and disparities in a colombian municipalityspa
dc.title.translatedLocal actors’ frames of the role of living conditions in shaping hypertension risk and disparities in a colombian municipalityspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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