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Proyectos de salud urbana en Madrid: Pasado, presente y futuro
1. Manuel Franco MD, PhD
Associate Professor
School of Medicine, University of Alcala, Spain
Adjunct Associate Professor
Department of Epidemiology
Johns Hopkins Bloomberg School of Public Health, Baltimore
@mfranco_uah
Diálogo (Im)probable
ITD UPM Enero 2023
Proyectos de Salud Urbana en Madrid:
Pasado, Presente y Futuro
2. http://hhhproject.eu
Manuel Franco Salud Urbana
Primero, agradecimientos
1. ITD UPM
– El día después, Ciudades, Desigualdad..
2. Ministerio de Universidades España,
“Recualificación”
http:/hhhproject.es
http:/hhhproject.es
3. http://hhhproject.eu
Manuel Franco Urban Health
1. Epidemiology and Public Health research career,
both in the US and Spain, on Urban Health and
Cardiovascular Diseases / NCDs
2. Social and Urban Determinants of CVD / NCDs
3. Social Epidemiology as an interdisciplanary
approach collaborating with different Social Sciences
http:/hhhproject.es
http:/hhhproject.es
4. http://hhhproject.eu
Manuel Franco
Urban Health Research
1. What we have done so far in Madrid
2. What we are doing right now
3. What I am starting to do
http:/hhhproject.es
http:/hhhproject.es
5. Manuel Franco
What we have done so far
Social and Physical Urban
Environment and CV Health:
The Much Needed
Population Approach
7. http://hhhproject.eu
1. To include social science approaches to
understand the context and meanings of the urban
environment in relation to cardiovascular health
2. To develop measurements to characterize the
social and physical urban environments in a
systematic and accurate fashion
Heart Healthy Hoods
Secondary Objectives
http:/hhhproject.es
http:/hhhproject.es
8. http://hhhproject.eu
To provide scientific evidence to researchers, the
general population and policy makers to intervene in
cities at the population level to prevent CVD, the first
cause of death in Europe.
HHH overarching objective
Policy and research implications
http:/hhhproject.es
http:/hhhproject.es
10. http://hhhproject.eu
21 Districts
128 Neighborhoods
2.412 Census Sections
(≅1.500 ps)
3,2 Mill. Residents
HHH will analyze the
Integrated Primary Care
Health System Electronic
Health Records Database of
1,4 mill. residents 40-75 ys.
MADRID MUNICIPALITY
http:/hhhproject.es
http:/hhhproject.es
http:/hhhproject.es
11. http://hhhproject.eu
Example of Interdisciplinarity
Tobacco HHH results
Epidemiología y Salud Publica: Control Tabaquismo
Geografía: Análisis geoespaciales
Administraciones públicas: Datos consumo de tabaco
http:/hhhproject.es
http:/hhhproject.es
14. http://hhhproject.eu
Epidemiología y Sociología Urbana: Normalización del consumo de alcohol
y su promoción en las ciudades
Fotografía: Documentación del entorno urbano, Foto-ensayo
Administraciones públicas: Plan Nacional Sobre Drogas
Example of Interdisciplinarity
Alcohol HHH results
http:/hhhproject.es
23. http://hhhproject.eu
HHH main results
1. HHH trained a great generation of Urban Health
researchers in Spain and the US
2. 8 sub-studies funded
3. 46 articles, a photobook and 5 book chapters so far
• Defining and measuring unequal urban environments
related to unequal health outcomes in Madrid
• Conducting participatory research in urban health
• Succesful Mixed Methods use in urban health
http:/hhhproject.es
http:/hhhproject.es
25. Manuel Franco MD, PhD
Associate Professor
School of Medicine, University of Alcala, Spain
Adjunct Associate Professor
Department of Epidemiology
Johns Hopkins Bloomberg School of Public Health
Un proyecto de investigación acción
participativa para mejorar el entorno
urbano en Madrid
PHOTOVOICE VILLAVERDE PROJECT
30. http://hhhproject.eu
Photovoice Urban Environment Food,
Physical Activity, Alcohol, Publications
• Diez J, et al. Health and Place,
• Diez J, et al. Public Health Nutrition,
• Budig K and Diez J, et al. BMC Public Health
• Gullón P and Diez J, et al. IJERPH
• Franco M, et al. Gaceta Sanitaria
• Gravina L, et al. Appetite
• Molina I, et al. Health and Place and PLOS One
• … All the way to Stockholm 2022 Occupational Epi Group, Bienal de
Ciencia y Ciudad; Olas de Calor y Salud en población vulnerable de El
Raval, Barcelona. Febrero 22-23 Madrid y Barcelona
http:/hhhproject.es
http:/hhhproject.es
31. http://hhhproject.eu
Photovoice Results
Action and Comunication
Residents participated in communication to promote action:
• Photobook
• Exhibition
• Video
• Citizen Science meetings
• Interactive Cartography
• Media collaboration
http:/hhhproject.es
36. http://hhhproject.eu
UAH What we are doing
Child Health and Nutrition projects
1. Unicef EUROPE: “Analysis of initiatives to reduce
poverty and social exclusion among children and
recommendations for the implementation of the
European Child Guarantee in Spain” HEALTH AND
NUTRITION CHAPTER
2. Plan Nacional: Estudio cualitativo Desigualdades
sociales en la Alimentación de los/as Adolescentes
(ADA) en Madrid y Bilbao. IP Jesús Rivera Navarro
http:/hhhproject.es
http:/hhhproject.es
37. http://hhhproject.eu
UAH What we are doing
Child Health and Nutrition projects
3. Estudio PASOS Physical Activity, Sedentarism
and Obesity in Spanish Youth Fundación Gasol,
Desigualdades y Entorno
4. Primera encuesta representativa de hogares que
sufren inseguridad alimentaria en España.
Universitat de Barcelona y Fundación Carasso
http:/hhhproject.es
http:/hhhproject.es
38. http://hhhproject.eu
UAH What we are doing
Child Health and Nutrition projects
5. Estudio SUECO, School Urban Environment
and Childhood Obesity, Fundación MAPFRE
Julia Diez, Luis Carmona
6. School Food For Change, Horizon Europe
http:/hhhproject.es
http:/hhhproject.es
39. http://hhhproject.eu
5,961 children ages 3-12 in 60 schools in the city of Madrid
http:/hhhproject.es
http:/hhhproject.es
UAH Urban Health
What we are doing, Julia Díez
Child Health
41. http://hhhproject.eu
New EU PROJECT, Child Health
14 cities, 4 evaluation cities
http:/hhhproject.es
Research and Innovation actions
Innovation actions
Project Title
SCHOOLFOOD4CHANGE: SHIFTING SCHOOL MEALS AND SCHOOLS INTO A NEW PARADIGM, ADDRESSING
PUBLIC HEALTH AND TERRITORIAL, SOCIAL AND ENVIRONMENTAL RESILIENCE
Work programme topics addressed:
Building a low-carbon, climate resilient future: Research and innovation in support of the European Green
Deal (H2020-LC-GD-2020) – subtopic F
45. GOAL
To create a shift to both
sustainable and healthy diets on a
broad societal scale by directly
impacting over 600,000 school
children and over 3,000 schools in
12 EU countries and providing a
framework and best practice that is
swiftly implementable by all schools
in Europe.
SF4C will shift school meals into a
new paradigm by focusing on the
relationship with public health
and territorial, social and
environmental resilience, learning
also from the experiences of the
COVID-19 pandemic.
46. Digital labour platforms and its effects on health
and well-being: a mixed-method project of gig
workers in Sweden
PI: Nurilla Matilla-Santander
KICK-OFF MEETING
January 20, 2022
47. 31 januari 2023 47
Call name: ResearchProjects 2021
Type ofgrant: ProjectJunior Researcher
Focus: Free
Call for proposalssubject area: Forte
Project title: Digital labour platforms andits effects onhealthandwell-being:a mixed-methodprojectof
gigworkers inSweden.
Project start: 2022-01-01
Reviewpanel appliedfor: AH2021,AO2021, FH2021 1
Project end: 2025-12-31
Classificationcode: 30303.Occupational HealthandEnvironmental Health
Keywords: Platformwork, Digital labour platforms,Mixed-methodstudy,Occupational determinantof
health, Precarious employment
Fundsappliedfor
Year:
Amount:
2022
1,344,830
2023
1,304,830
2024
1,279,830
2025
899,530
Total amountapplied
4,829,020
Participants
Participatingresearchers: SherryLBaron
Birthdate: 19550922
Gender: Female
Country: USA
Doctoral degree:
Academictitle: Professor
Employer: CityUniversityof NewYork
Participatingresearchers: TheoBodin
Birthdate: 19820407
Gender: Male
Country: Sweden
Doctoral degree: 2014-06-30
Academictitle: AssistantProfessor
Employer: Karolinska Institutet
Participatingresearchers: Manuel Franco
Birthdate: 19740913
Gender: Male
Country: Spain
Doctoral degree:
Academictitle: Professor
Employer: UniversidaddeAlcalá
48. http://hhhproject.eu
Manuel Franco Urban Health
What I would like to do
• Share and collaborate ongoing projects
• Secure European colaborative funding
on Urban Health topics
http:/hhhproject.es
http:/hhhproject.es
49. http://hhhproject.eu
Manuel Franco Urban Health
What I am doing right now
Secure European funding ERC Grants
– Advanced; “Urban Food Systems and their
triple impact: Health, Sustainability and Decent
Work”
• School Food 4 Change and Madrid Food Strategy
• Focus on children, adolescents and young
populations
http:/hhhproject.es
http:/hhhproject.es
50. http://hhhproject.eu
Manuel Franco Urban Health
What I am doing right now
http:/hhhproject.es
http:/hhhproject.es
https://elpais.com/salud-y-bienestar/la-salud-va-por-barrios/
51. http://hhhproject.eu
Manuel Franco Urban Health
What I m doing right now
Secure European funding ERC Grants
– Synergy Grant; “Climate change and urban
health inequalities”
– Bienal de Ciencia y Ciudad; Olas de Calor y
Salud en población vulnerable de El Raval,
Barcelona. Presentaciones: Febrero 22-23
Madrid y Barcelona
http:/hhhproject.es
http:/hhhproject.es
52. http://hhhproject.eu
What I m doing right now
Olas de Calor y Salud en población vulnerable de El Raval
http:/hhhproject.es
http:/hhhproject.es
Oficialmente 3 olas de calor el verano del 2022 en Barcelona
• 13-20 Junio
• 10-20 Julio
• 10-15 Agosto
El Raval, barrio del centro de Barcelona, distrito Ciutat Vella,
con 50.000 habitantes
• 61% inmigrante;
• Filipinas 11%, Pakistán 10%, Bangladesh 6%, Marruecos
3%, Países Andinos 4%
53. http://hhhproject.eu
What I m doing right now
Olas de Calor y Salud en población vulnerable de El Raval
http:/hhhproject.es
http:/hhhproject.es
54. http://hhhproject.eu
What I m doing right now
Olas de Calor y Salud en población vulnerable de El Raval
http:/hhhproject.es
http:/hhhproject.es
55. http://hhhproject.eu
What I am doing right now
Olas de Calor y Salud en población vulnerable de El Raval
http:/hhhproject.es
http:/hhhproject.es
Frases de l@s participantes:
• “El Raval ha cambiado mucho en 20 años, pero los pobres
seguimos siendo pobres”
• “En casa no se podía estar”
• “A la playa había que ir de noche”
• “El trabajo en el hospital “aire acondicionado” era una delicia”
• “Lo pasé muy mal mentalmente..”
• “Sólo se podía pasear de mañana temprano o de noche”
• “No sé lo que es un refugio climático”
56. Manuel Franco MD, PhD
Associate Professor
School of Medicine, University of Alcala, Spain
Adjunct Associate Professor
Department of Epidemiology
Johns Hopkins Bloomberg School of Public Health, Baltimore
@mfranco_uah
Diálogo (Im)probable
ITD UPM Enero 2023
Proyectos de Salud Urbana en Madrid:
Pasado, Presente y Futuro
HHH project may be interesting as an
ERC project
Interdisciplinary composition of the team
The Mixed-Methods
Participatory approaches
we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
el logo arriba y abajo queda repetido. Propongo quitar la chapa y centrar el título
Hacer un poco más pequeña la imagen para dejar márgenes
Repasar animacion! Porque al final sale el titulo de la diapo...valorar si el tñitulo sale desde el principio
using a qualitative approach
aqui de pronto aparece nuestra "interdisciplinaridad" -->sugiero comentarlo en metodos y dejar la descripcion del team para el final de la presentación
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
From my side, the HHH project may be interesting as an ERC project stressing the interdisciplinary composition of the team and the Mixed-Methods and participatory approaches we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
Incluso en el comité asesor nacional e internacional INTERDISCIPLINARIDAD
In addition (after point 1))
Schools are the entry point for a wider place-based, systemic food system approach and will allow to address all children and young people, including those vulnerable to diet-based conditions and disadvantaged neighbourhoods.
HHH project may be interesting as an
ERC project
Interdisciplinary composition of the team
The Mixed-Methods
Participatory approaches
we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.
HHH project may be interesting as an
ERC project
Interdisciplinary composition of the team
The Mixed-Methods
Participatory approaches
we have taken in several specific urban health domains as food, physical activity, alcohol and tobacco.