Gender and urban health: a Latin American structured tool for research and policy.

Lidia Maria de Oliveira Morais, Elis Borde, Paula Guevara, Roxana Valdebenito, Laura Baldovino-Chiquillo, Olga L Sarmiento, Alejandra Vives Vergara, Am��lia Augusta de Lima Friche, Waleska Teixeira Caiaffa
Author Information
  1. Lidia Maria de Oliveira Morais: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID
  2. Elis Borde: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID
  3. Paula Guevara: Facultad de Medicina, Universidad de Los Andes, Bogot��, Colombia. ORCID
  4. Roxana Valdebenito: Facultad de Medicina, Pontificia Universidad Cat��lica de Chile, Santiago, Chile. ORCID
  5. Laura Baldovino-Chiquillo: Facultad de Medicina, Universidad de Los Andes, Bogot��, Colombia. ORCID
  6. Olga L Sarmiento: Facultad de Medicina, Universidad de Los Andes, Bogot��, Colombia. ORCID
  7. Alejandra Vives Vergara: Facultad de Medicina, Pontificia Universidad Cat��lica de Chile, Santiago, Chile. ORCID
  8. Am��lia Augusta de Lima Friche: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID
  9. Waleska Teixeira Caiaffa: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID

Abstract

Latin American cities have evolved via exclusionary historical processes, resulting in hasty and unplanned urbanization, insufficient infrastructure, and extreme levels of violence. These issues have well-documented health implications. In urban settings, gender may lead to unequal access to opportunities and services, however, its consideration into policies, interventions, and research remains insufficient, potentially exacerbating urban inequities. Drawing inspiration from feminist urbanism and urban health research, we propose a structured tool for Latin American cities to develop gender-sensitive urban policies, interventions, and urban health research. The study encompassed: (1) a narrative literature review of feminist urbanism frameworks and the Delphi method to select the most appropriate dimensions; (2) a thorough examination of data availability and indicators in three studies of urban transformation interventions in Brazil, Colombia, and Chile to evaluate data availability and local interest; and (3) an urban health dialogue with the relevant indicators. We identified three key dimensions: "proximity", "autonomy", and "representativeness". Neighborhood was considered the most meaningful level for analyses. The indicators were organized into subdimensions, considering existing literature on their implications for gender and health. The proposed tool is comprehensive and adaptable, thus, it can be used in diverse Latin American urban contexts. It is a valuable resource for incorporating a gender-sensitive perspective into urban policymaking, interventions, and health-related research.

References

  1. Int J Environ Res Public Health. 2019 Jan 08;16(1): [PMID: 30626068]
  2. J Grad Med Educ. 2022 Aug;14(4):414-417 [PMID: 35991099]
  3. BMC Public Health. 2021 Apr 15;21(1):728 [PMID: 33858373]
  4. Front Public Health. 2020 Sep 22;8:457 [PMID: 33072683]
  5. Int J Epidemiol. 2003 Aug;32(4):652-7 [PMID: 12913047]
  6. Res Integr Peer Rev. 2019 Mar 26;4:5 [PMID: 30962953]
  7. J Grad Med Educ. 2022 Aug;14(4):418-419 [PMID: 35991097]
  8. J Urban Health. 2007 May;84(3 Suppl):i16-26 [PMID: 17356903]
  9. Cochrane Database Syst Rev. 2013 Jan 31;(1):CD010067 [PMID: 23440845]
  10. Transp Rev. 2022 May 4;42(3):296-317 [PMID: 35431369]
  11. Am J Public Health. 2016 May;106(5):832-3 [PMID: 27049420]
  12. Lancet. 2019 Jun 15;393(10189):2440-2454 [PMID: 31155275]
  13. Annu Rev Public Health. 2020 Apr 2;41:37-62 [PMID: 31765272]
  14. Womens Health Issues. 2018 Jan - Feb;28(1):6-13 [PMID: 29241943]
  15. Front Public Health. 2020 Mar 10;8:64 [PMID: 32211367]
  16. Cad Saude Publica. 2015 Nov;31 Suppl 1:9-13 [PMID: 26648353]
  17. Cad Saude Publica. 2015 Nov;31 Suppl 1:51-64 [PMID: 26648363]
  18. Glob Chall. 2018 Jun 19;3(4):1800013 [PMID: 31565372]
  19. Urban Stud. 2010;47(12):2491-515 [PMID: 20976976]
  20. Soc Sci Med. 2014 Sep;117:86-95 [PMID: 25054281]
  21. Cad Saude Publica. 2023 May 08;39(5):e00149822 [PMID: 37162114]
  22. J Health Soc Behav. 2013;54(3):296-314 [PMID: 24026534]
  23. Cien Saude Colet. 2008 Nov-Dec;13(6):1785-96 [PMID: 18833355]
  24. Int J Prev Med. 2015 Nov 24;6:117 [PMID: 26730347]
  25. Rev Bras Epidemiol. 2020;23 Suppl 1:e200006.SUPL.1 [PMID: 32638993]
  26. Cad Saude Publica. 2023 May 01;39(4):e00148322 [PMID: 37132718]
  27. Cad Saude Publica. 2015 Nov;31 Suppl 1:120-35 [PMID: 26648368]
  28. Soc Sci Med. 2010 Aug;71(3):568-575 [PMID: 20621750]
  29. Health Place. 2021 Mar;68:102511 [PMID: 33486330]
  30. Environ Health Perspect. 2010 Feb;118(2):167-76 [PMID: 20123621]
  31. Soc Sci Med. 2020 Sep;261:113102 [PMID: 32739786]

MeSH Term

Humans
Female
Urban Health
Latin America
Male
Brazil
Health Policy
Colombia
Chile
Urban Population
Sex Factors

Word Cloud

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