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EURO-URHIS 2 FInal Report

Verma A et al

2013.

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Abstract

Title: European Urban Health Indicators Part Two: Using indicators to inform policyAcronym: EURO-URHIS 2Contract/Grant agreement number: FP7-CP-FP-223711EC contribution: 2.915.121 €Duration: 54 monthsStarting date: 01/01/2009Summary:Urban Health is important due to urbanisation and it requires specific information not captured by national datasets. The EURO-URHIS (European Urban Health Indicator System) project, funded by DG SANCO, identified urban health indicators and their availability. EURO-URHIS 2 (European Urban Health Indicator System Part 2) has taken this further by developing methodology and validated tools useful to policy makers at all levels to make health gains via evidence based policy decisions for urban populations. The EURO-URHIS 2 project consists of 18 partners in 14 different countries across Europe and Vietnam and the project identifies health problems in urban areas. The project describes health and health determinants specific to urban areas in Europe, covering cities in North, East, South, and West Europe. This project adds to information that is already locally available, in that it is the first study to enable reliable comparisons of health status between different cities in Europe. Policy makers can use the information to prioritise topics for urban health policy and for interventions in an evidence-based way.The data was collected using surveys of existing sources; priorities of policy makers in terms of policies and interventions for their urban area, and a lifestyle/environment surveys. A tools were formulated, piloted, translated and disseminated. The data was validated and analysed to develop specific tools for policy makers to use. The meta-data collected has formed the context to investigate trends in policy, major health problems, and it has allowed for investigation of the link between the two. Differences in health indicators can be compared for benchmarking and to make changes. In total, data from 26 urban areas in Europe were available for between-city comparisons and benchmarking. Problem:Trends of population health in urban areas are an important topic for research due to the continued urbanisation occurring both across Europe and globally. Urban health can be defined as “health that is specific to urban areas,” which includes healthcare systems and all measures to improve health, including setting up services. The health requirements of urban areas require research because neither national nor regional based methodology will capture the necessary information that policy makers need to make evidence based decisions on resources for health care.Aim:The aims of the project were to • collect data at urban area level, • provide tools for evidence based policy, • develop methods for cross-sectional and longitudinal assessment for urban population health including all relevant determinants of health, • validate these tools and methods by using existing population-based registries and databases, • apply the tools in the field and ensure they are easy and intuitive to use by policy makers.Results: The EURO-URHIS 2 project collaborated with policy-makers, researchers, non-governmental agencies and civil society through a number of activities including consultation during the development stage, through training workshops and through the European Urban Health Conference in Amsterdam, September 2012EURO-URHIS 2 has produced profiles for each participating city, to be used for benchmarking and future monitoring of urban health. These included calculation of summary measures of population health (DALYs, HLYs, future trends and PIMs) in relation to risk factors to health and disease, providing public health policymakers with information to make informed decisions about their populations. It is anticipated that different risk factors will be more prominent in some cities compared to others, with some congruence between those cities with similar fundamental conditions. The project provided information on a wide range of determinants of health specific to urban populations and offer insight into the feasibility of conducting uniform surveys in multiple languages in different cultural contexts. Differences expected between cities, both within and between countries were observed. It is expected that different public health priorities will emerge in different cities from our project. All the health profiles for each of the 26 cities, together with the raw data, meta-data and validation can be found on our websites: www.urhis.eu and http://results.urhis.eu . The websites also provide data from other participating urban areas and comparisons between specific cities can be made. The EURO-URHIS 2 project has been disseminated widely via an exclusive supplement of the European Journal of Public Health, four PhDs, 78 peer-reviewed publications and presentations, Validated existing, adult and youth survey instruments, Urban Health Impact Assessment and Screening tools, Health Profiles for 26 Urban Areas, links with other organisations including WHO, UN Habitat, the European Public Health Association including conferences such as the Festival of Public Health UK (www.festivalofpublichealthuk.co.uk ) , ICUH 2014 (www.icuh2014.com ), ISUH, EUPHA. Methodology is freely available including the EURO-URHIS 2 “cookbook”. The web platforms provide both access to the data and metadata for the lay population, researchers and policy makers. The future of the EURO-URHIS programme has led to scientific partnerships with existing and new Universities including ERASMUS University of Rotterdam and Georgia State University. Potential applications: • Validated instruments to measure urban health• Websites for and other tools including health profiles for policy-makers • Visualisation of health data for urban areasProject web-site: http://www.urhis.euhttp://results.urhis.euhttp://www.icuh2014.comhttp://www.festivalofpublichealth.co.ukhttp://www.population-health.manchester.ac.uk/epidemiology/MUCH/Key words: List them by order of importance in reflecting the content of the research proposal, putting the first three in bold.Coordinator: Dr Arpana VermaRoom 2.523 Stopford BuildingUniversity of ManchesterOxford RoadManchesterM13 9PTUNITED KINGDOMTel: +44 (0)161 275 5206Fax: +44 (0)161 306 0693Email arpana.verma@manchester.ac.ukPartners: Dr Chris Birt, North West Regional Health Brussels Office , SPCT-NWHBO, UK Christopher.Birt@liverpool.ac.uk Dr Daniel Pope, Department of Public Health, University of Liverpool, UoL, UK danpope@liverpool.ac.uk Dr Erik van Ameijden, Municipal Health Service Utrecht , GGDUtrecht, Netherlands e.van.ameijden@utrecht.nlProf Ioan Bocsan, The Iuliu Hatieganu University of Medicine and Pharmacy Epidemiology Department , UMFCNEPI, Romania ibocsan@yahoo.com Ms Heidi Lyshol, The Norwegian Institute of Public Health , NIPH, Norway Heidi.Lyshol@fhi.no Dr Peter Achterberg, National Institute for Public Health and the Environment , RIVM, Netherlands peter.achterberg@rivm.nl Prof Arnoud Verhoeff, Municipal Health Service Amsterdam , GGDAmsterdam, Netherlands AVerhoeff@ggd.amsterdam.nl Dr Skirmante Sauliune, Lithuanian University of Health Sciences, KMU, Lithuania smante@centras.lt Dr Olivera Stanojevic, Regional Public Health and Health Promotion Centre , ZZV MB, Slovenia olivera.stanojevic@zzv-mb.si Dr Monika Mensing, Institute for Public Health North Rhine Westphalia , LIGA.NRW, Germany monika.mensing@liga.nrw.de Dr Iveta Nagyova, Slovak Public Health Association , SAVEZ, Slovakia iveta.nagyova@upjs.sk Prof Nesrin Cilingiroglu, Hacettepe University, Department of Public Health , HACUNI, Turkey nesrinc@hacettepe.edu.tr Dr Chi Le-Ha, Vietnam chileha@gmail.com Dr Jolanta Skrule, Latvian Public Health Agency , PHA, Latvia jolanta.skrule@sva.gov.lv Prof Murtezan Ismaili, South East European University , IEH-SEEU, Macedonia murtezan.ismaili@seeu.edu.mk Dr Andre Ochoa, National Federation of Regional Health Observatories , FNORS, France andre.ochoa@orange.fr Dr the Dung, Pham Ngoc Thach University of Medicine, PNTUM, Vietnam dung71481@yahoo.com

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533
Abstract:
Title: European Urban Health Indicators Part Two: Using indicators to inform policyAcronym: EURO-URHIS 2Contract/Grant agreement number: FP7-CP-FP-223711EC contribution: 2.915.121 €Duration: 54 monthsStarting date: 01/01/2009Summary:Urban Health is important due to urbanisation and it requires specific information not captured by national datasets. The EURO-URHIS (European Urban Health Indicator System) project, funded by DG SANCO, identified urban health indicators and their availability. EURO-URHIS 2 (European Urban Health Indicator System Part 2) has taken this further by developing methodology and validated tools useful to policy makers at all levels to make health gains via evidence based policy decisions for urban populations. The EURO-URHIS 2 project consists of 18 partners in 14 different countries across Europe and Vietnam and the project identifies health problems in urban areas. The project describes health and health determinants specific to urban areas in Europe, covering cities in North, East, South, and West Europe. This project adds to information that is already locally available, in that it is the first study to enable reliable comparisons of health status between different cities in Europe. Policy makers can use the information to prioritise topics for urban health policy and for interventions in an evidence-based way.The data was collected using surveys of existing sources; priorities of policy makers in terms of policies and interventions for their urban area, and a lifestyle/environment surveys. A tools were formulated, piloted, translated and disseminated. The data was validated and analysed to develop specific tools for policy makers to use. The meta-data collected has formed the context to investigate trends in policy, major health problems, and it has allowed for investigation of the link between the two. Differences in health indicators can be compared for benchmarking and to make changes. In total, data from 26 urban areas in Europe were available for between-city comparisons and benchmarking. Problem:Trends of population health in urban areas are an important topic for research due to the continued urbanisation occurring both across Europe and globally. Urban health can be defined as “health that is specific to urban areas,” which includes healthcare systems and all measures to improve health, including setting up services. The health requirements of urban areas require research because neither national nor regional based methodology will capture the necessary information that policy makers need to make evidence based decisions on resources for health care.Aim:The aims of the project were to • collect data at urban area level, • provide tools for evidence based policy, • develop methods for cross-sectional and longitudinal assessment for urban population health including all relevant determinants of health, • validate these tools and methods by using existing population-based registries and databases, • apply the tools in the field and ensure they are easy and intuitive to use by policy makers.Results: The EURO-URHIS 2 project collaborated with policy-makers, researchers, non-governmental agencies and civil society through a number of activities including consultation during the development stage, through training workshops and through the European Urban Health Conference in Amsterdam, September 2012EURO-URHIS 2 has produced profiles for each participating city, to be used for benchmarking and future monitoring of urban health. These included calculation of summary measures of population health (DALYs, HLYs, future trends and PIMs) in relation to risk factors to health and disease, providing public health policymakers with information to make informed decisions about their populations. It is anticipated that different risk factors will be more prominent in some cities compared to others, with some congruence between those cities with similar fundamental conditions. The project provided information on a wide range of determinants of health specific to urban populations and offer insight into the feasibility of conducting uniform surveys in multiple languages in different cultural contexts. Differences expected between cities, both within and between countries were observed. It is expected that different public health priorities will emerge in different cities from our project. All the health profiles for each of the 26 cities, together with the raw data, meta-data and validation can be found on our websites: www.urhis.eu and http://results.urhis.eu . The websites also provide data from other participating urban areas and comparisons between specific cities can be made. The EURO-URHIS 2 project has been disseminated widely via an exclusive supplement of the European Journal of Public Health, four PhDs, 78 peer-reviewed publications and presentations, Validated existing, adult and youth survey instruments, Urban Health Impact Assessment and Screening tools, Health Profiles for 26 Urban Areas, links with other organisations including WHO, UN Habitat, the European Public Health Association including conferences such as the Festival of Public Health UK (www.festivalofpublichealthuk.co.uk ) , ICUH 2014 (www.icuh2014.com ), ISUH, EUPHA. Methodology is freely available including the EURO-URHIS 2 “cookbook”. The web platforms provide both access to the data and metadata for the lay population, researchers and policy makers. The future of the EURO-URHIS programme has led to scientific partnerships with existing and new Universities including ERASMUS University of Rotterdam and Georgia State University. Potential applications: • Validated instruments to measure urban health• Websites for and other tools including health profiles for policy-makers • Visualisation of health data for urban areasProject web-site: http://www.urhis.euhttp://results.urhis.euhttp://www.icuh2014.comhttp://www.festivalofpublichealth.co.ukhttp://www.population-health.manchester.ac.uk/epidemiology/MUCH/Key words: List them by order of importance in reflecting the content of the research proposal, putting the first three in bold.Coordinator: Dr Arpana VermaRoom 2.523 Stopford BuildingUniversity of ManchesterOxford RoadManchesterM13 9PTUNITED KINGDOMTel: +44 (0)161 275 5206Fax: +44 (0)161 306 0693Email arpana.verma@manchester.ac.ukPartners: Dr Chris Birt, North West Regional Health Brussels Office , SPCT-NWHBO, UK Christopher.Birt@liverpool.ac.uk Dr Daniel Pope, Department of Public Health, University of Liverpool, UoL, UK danpope@liverpool.ac.uk Dr Erik van Ameijden, Municipal Health Service Utrecht , GGDUtrecht, Netherlands e.van.ameijden@utrecht.nlProf Ioan Bocsan, The Iuliu Hatieganu University of Medicine and Pharmacy Epidemiology Department , UMFCNEPI, Romania ibocsan@yahoo.com Ms Heidi Lyshol, The Norwegian Institute of Public Health , NIPH, Norway Heidi.Lyshol@fhi.no Dr Peter Achterberg, National Institute for Public Health and the Environment , RIVM, Netherlands peter.achterberg@rivm.nl Prof Arnoud Verhoeff, Municipal Health Service Amsterdam , GGDAmsterdam, Netherlands AVerhoeff@ggd.amsterdam.nl Dr Skirmante Sauliune, Lithuanian University of Health Sciences, KMU, Lithuania smante@centras.lt Dr Olivera Stanojevic, Regional Public Health and Health Promotion Centre , ZZV MB, Slovenia olivera.stanojevic@zzv-mb.si Dr Monika Mensing, Institute for Public Health North Rhine Westphalia , LIGA.NRW, Germany monika.mensing@liga.nrw.de Dr Iveta Nagyova, Slovak Public Health Association , SAVEZ, Slovakia iveta.nagyova@upjs.sk Prof Nesrin Cilingiroglu, Hacettepe University, Department of Public Health , HACUNI, Turkey nesrinc@hacettepe.edu.tr Dr Chi Le-Ha, Vietnam chileha@gmail.com Dr Jolanta Skrule, Latvian Public Health Agency , PHA, Latvia jolanta.skrule@sva.gov.lv Prof Murtezan Ismaili, South East European University , IEH-SEEU, Macedonia murtezan.ismaili@seeu.edu.mk Dr Andre Ochoa, National Federation of Regional Health Observatories , FNORS, France andre.ochoa@orange.fr Dr the Dung, Pham Ngoc Thach University of Medicine, PNTUM, Vietnam dung71481@yahoo.com

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uk-ac-man-scw:223873
Created by:
Verma, Arpana
Created:
23rd April, 2014, 15:06:37
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Verma, Arpana
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23rd April, 2014, 15:06:37

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