Structural energy poverty vulnerability and excess winter mortality in the European Union: Exploring the association between structural determinants and health

Recalde Martina; Peralta Andres; Oliveras Laura; Tirado-Herrero Sergio; Borrell Carme; Palencia Laia; Gotsens Merce; Artazcoz Lucia; Mari-DellOlmo Marc

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Structural energy poverty vulnerability and excess winter mortality in the European Union: Exploring the association between structural determinants and health

机译：欧盟的结构性能源贫困脆弱性和过高的冬季死亡率：探索结构性决定因素与健康之间的联系

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Energy poverty (EP) is a growing problem in the European Union (EU) that affects the population's health. EP is structurally determined by broader political and socio-economic conditions. Our aims were to analyze the configuration of these determinants in each EU-27 country through the creation of a structural energy poverty vulnerability (SEPV) index, to group countries according to their SEPV index scores, and to explore the association between SEPV and EP prevalence, and also with excess winter mortality (EWM). We created a SEPV index through satiated principal component analyses and then validated the index. We performed a hierarchical cluster analysis (HCA) to group countries according to their SEPV. A Poisson regression model was fitted to analyze the association between SEPV and EWM. The final index comprised 13 indicators and showed an unequal distribution of SEPV across the EU. The HCA identified countries with high structural vulnerability (southeastern Europe) and countries with low structural vulnerability (northwestern Europe). The most vulnerable countries showed a statistically significant higher EP prevalence and risk of EWM. The SEPV index summarizes the structural determinants of EP across the EU, allows to identify geographical patterns and to study how the structural determinants of EP affect health.

机译：能源贫困（EP）在欧盟（EU）中是一个日益严重的问题，影响着人们的健康。 EP在结构上取决于更广泛的政治和社会经济状况。我们的目标是通过创建结构性能源贫困脆弱性（SEPV）指数来分析每个EU-27国家中这些决定因素的配置，根据其SEPV指数得分对国家进行分组，并探讨SEPV与EP患病率之间的关联，而且冬季死亡率过高（EWM）。我们通过充分的主成分分析创建了SEPV索引，然后验证了该索引。我们根据其SEPV对国家进行了分层聚类分析（HCA）。拟合了泊松回归模型以分析SEPV与EWM之间的关联。最终指数包含13个指标，显示SEPV在整个欧盟的分布不均。 HCA确定了结构脆弱性较高的国家（东南欧）和结构脆弱性较低的国家（西北欧洲）。最脆弱的国家在统计上显示出极高的EP患病率和EWM风险。 SEPV指数总结了整个欧盟内EP的结构决定因素，可以识别地理模式并研究EP的结构决定因素如何影响健康。

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来源
《Energy Policy》 |2019年第10期|110869.1-110869.18|共18页
作者
Recalde Martina; Peralta Andres; Oliveras Laura; Tirado-Herrero Sergio; Borrell Carme; Palencia Laia; Gotsens Merce; Artazcoz Lucia; Mari-DellOlmo Marc;
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作者单位

Univ Pompeu Fabra Dept Expt & Hlth Sci Doctor Aiguader 88 Barcelona 08003 Spain|Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain;

Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain|Univ Pompeu Fabra Hlth Inequal Res Grp Employment Condit Knowledge Network GREDS EMCONET Dept Polit & Social Sci Ramon Trias Fargas 25-27 Barcelona 08005 Spain|Pompeu Fabra Univ Johns Hopkins Univ Publ Policy Ctr Ramon Trias Fargas 25-27 Barcelona 08005 Spain;

Univ Pompeu Fabra Dept Expt & Hlth Sci Doctor Aiguader 88 Barcelona 08003 Spain|Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain|Inst Invest Biomed IIB St Pau Carrer St Quinti 77 Barcelona 08041 Spain;

UAB Inst Environm Sci & Technol ICTA Carrer Columnes S-N Campus UAB Cerdanyola Del Valles 08193 Spain;

Univ Pompeu Fabra Dept Expt & Hlth Sci Doctor Aiguader 88 Barcelona 08003 Spain|Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain|Inst Invest Biomed IIB St Pau Carrer St Quinti 77 Barcelona 08041 Spain|CIBERESP Ave Monforte Lemos 3-5 Pabellon 11 Planta 0 Madrid 28029 Spain;

Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain|Inst Invest Biomed IIB St Pau Carrer St Quinti 77 Barcelona 08041 Spain|CIBERESP Ave Monforte Lemos 3-5 Pabellon 11 Planta 0 Madrid 28029 Spain;

Agencia Salut Publ Barcelona Pl Lesseps 1 Barcelona 08023 Spain|Inst Invest Biomed IIB St Pau Carrer St Quinti 77 Barcelona 08041 Spain;

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收录信息美国《科学引文索引》(SCI);美国《工程索引》(EI);
原文格式 PDF
正文语种 eng
中图分类
关键词
Energy poverty; European union; Public health; Social determinants of health; Excess winter mortality;

机译：能源贫困;欧洲联盟;公共卫生;健康的社会决定因素;冬季死亡率过高;

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Structural energy poverty vulnerability and excess winter mortality in the European Union: Exploring the association between structural determinants and health

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