Community health assessment in vulnerable environments in the city of Guayaquil

Authors

DOI:

https://doi.org/10.31637/epsir-2024-1803

Keywords:

diagnosis, diagnosis of health situation, health status, health indicators, social determinants of health, risk groups, vulnerable populations, health equity

Abstract

Introduction: In recent years, the importance of community health has increased, particularly in vulnerable contexts. Methodology: A mixed-method approach was used, with a descriptive, cross-sectional, and prospective design. The sample included 385 residents of parishes identified as vulnerable, selected through cluster sampling. Data were collected using a purpose-designed questionnaire validated by specialists. Results: Of the sample, 29.9% were unemployed, and 43.1% had secondary education. The main risk factors identified were unhealthy diets (29.9%), sedentary lifestyles (29.6%), and smoking (27.3%). The most prevalent chronic diseases were hypertension (33.2%) and type II diabetes (15.8%). A total of 25.5% of the population rated air quality as poor, and 16.1% perceived drinking water as inadequate. Regarding lifestyle, 10.1% reported physical inactivity, and 28.3% had a diet of ultra-processed foods. Satisfaction with access to healthcare services was low, with 61.3% dissatisfied or very dissatisfied. Conclusions: The study highlights the high prevalence of risk factors, chronic diseases, and environmental issues in these communities, emphasizing the need for comprehensive interventions to improve socioeconomic conditions, healthcare services, and the environmental setting.

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Author Biographies

Elianne Rodríguez-Larraburu, Instituto Superior Tecnológico Bolivariano de Tecnología

Doctor of Medicine. Master's Degree in Clinical Safety Management and Quality of Healthcare. Accredited and classified as Auxiliary Researcher Level 2 by the Secretariat of Higher Education, Science, Technology, and Innovation of Ecuador. Certified in IPMA Level D Project Management. Director of research and outreach programs and projects with society. Assistant Professor and Coordinator of Research and Community Engagement at the Faculty of Health and Social Services of the Bolivarian Institute of Technology (ITB), Guayaquil-Ecuador. Lecturer at the Bolivarian University of Ecuador (UBE), Durán-Ecuador.

Ivis Yania Piovet-Hernández, Universidad Bolivariana del Ecuador

PhD in Medicine. Master's Degree in Clinical Patient Safety Management and Quality of Health Care. Assistant Lecturer at the Faculty of Health and Social Services of the Instituto Superior Universitario Bolivariano de Tecnología (ITB), Guayaquil-Ecuador. Assistant Lecturer at the Bolivarian University of Ecuador (UBE), Durán-Ecuador. Experience in the execution of research projects and social linking.

Alejandro Antuan Díaz-Díaz, Universidad de Ciencias Médicas de la Habana

Doctor of Medicine. Doctor in Pedagogical Sciences. Specialist in General Comprehensive Medicine and specialist in Health Organisation and Administration. Director of Science and Technological Innovation and member of the Scientific Degree Commission of the University of Medical Sciences of Havana. Member of the Cuban National Accreditation Board. Extensive academic, teaching and research experience in various undergraduate and postgraduate programmes in the areas of medical sciences and higher education. Extensive national and international experience, developed in various universities, participating as a teacher, programme coordinator, lecturer, thesis director and in research development and innovation. Numerous publications on university development and management in the medical sciences.

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Published

2024-12-27

How to Cite

Rodríguez-Larraburu, E., Piovet-Hernández, I. Y., & Antuan Díaz-Díaz, A. (2024). Community health assessment in vulnerable environments in the city of Guayaquil. European Public & Social Innovation Review, 9, 1–13. https://doi.org/10.31637/epsir-2024-1803

Issue

Section

INNOVATING IN CULTURAL AND SOCIAL STORYTELLING VALUES