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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
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    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
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