Geografie zdraví – průzkum prostorových nerovností ve zdraví v Česku
Authors:
Dana Hübelová 1; Lenka Janošíková 2; Alice Kozumplíková 1; Beatrice-Elena Chromková Manea 1
Published in:
Čas. Lék. čes. 2024; 162: 53-64
Category:
Original Article
Overview
Health inequalities are caused by a multitude of factors that require a comprehensive assessment, including individual subjective perceptions of health linked to the quality of life. The paper aims to evaluate the spatial differentiation of health in Czechia. The analysis covers three areas at the district level: a) determinants of health inequalities, b) health status, and c) subjective quality of life. The weight sum approach (WSA) method is used to evaluate the data, resulting in an index that takes values from 0 to 1; the higher the value, the more favourable the situation. The cartograms are processed using the local indicator of spatial association (LISA) method. The index of health inequalities determinants improved between 2001 and 2021 in 65 districts, while the index of health status improved in only 21 districts. The districts with the highest values for the health inequalities index are Brno-City, Prague, České Budějovice, Prague-East, Prague-West, with Hradec Králové and Jihlava joining in the health status index Subjective quality of life corresponds only partially with the determinants of health inequalities and health status. When evaluating health disparities in health, it is important to consider the specificities of the Czech context, including the inner and outer periphery, as well as the rural and urban periphery.
Keywords:
determinants of health inequalities, health status, subjective quality of life, composite indicator
Sources
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Journal of Czech Physicians
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