title: [A good investment: promoting health in cities and neighbourhoods].
abstract: Local administration is responsible for health-related areas, and evidence of the health impact of urban policies is available. Barriers and recommendations for the full implementation of health promotion in cities and neighbourhoods have been described. The barriers to the promotion of urban health are broad: the lack of leadership and political will, reflectes the allocation of health outcomes to health services, as well as technical, political and public misconceptions about the root causes of health and wellbeing. Ideologies and prejudices, non-evidence-based policies, narrow sectoral cultures, short political periods, lack of population-based health information and few opportunities for participation limit the opportunities for urban health. Local policies on early childhood, healthy schools, employment, active transport, parks, leisure and community services, housing, urban planning, food protection and environmental health have great positive impacts on health. Key tools include the political prioritisation of health and equity, the commitment to «Health in All Policies» and the participation of communities, social movements and civil society. This requires well organised and funded structures and processes, as well as equity-based health information and capacity building in the health sector, other sectors and society. We conclude that local policies have a great potential for maximising health and equity and equity. The recommendations for carrying them out are increasingly solid and feasible.
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España. Electronic address: ediez@aspb.cat.
authors.forename: Elia
authors.initials: E
authors.lastname: Díez
authors.affiliation: Centro de Salud Pública de Alzira (Valencia); Fundación para la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España.
authors.forename: Dory
authors.initials: D
authors.lastname: Aviñó
authors.affiliation: Centro de Salud Pública de Alzira (Valencia); Fundación para la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España; Direcció General de Salut Pública, Valencia, España.
authors.forename: Joan J
authors.initials: JJ
authors.lastname: Paredes-Carbonell
authors.affiliation: Subdirección General de Prevención y Promoción de la Salud, Madrid Salud, Ayuntamiento de Madrid, Madrid, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Segura
authors.affiliation: Observatorio de Salud (OBSA), Dirección General de Salud Pública, Principado de Asturias, Oviedo, España.
authors.forename: Óscar
authors.initials: Ó
authors.lastname: Suárez
authors.affiliation: Ayuntamiento de San Fernando de Henares, San Fernando de Henares (Madrid), España.
authors.forename: Maria Dolores
authors.initials: MD
authors.lastname: Gerez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España.
authors.forename: Anna
authors.initials: A
authors.lastname: Pérez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España.
authors.forename: Ferran
authors.initials: F
authors.lastname: Daban
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España.
authors.forename: Lluís
authors.initials: L
authors.lastname: Camprubí
mesh_terms: D002947:Cities; D004782:Environmental Health; D006293:Health Promotion; D006801:Humans; D007449:Investments; D014504:Urban Health
keywords: Cities; Ciudades; Determinantes sociales; Equidad; Equity; Gobernanza; Governance; Health promotion; Promoción de la salud; Salud urbana; Social determinants; Urban health