Determinantes sociales de la salud, modos de transporte, y su relación con riesgo de accidentalidad en jóvenes residentes de la región metropolitana Bogotá - Cundinamarca
- Autores: Andrea Cecilia Serge Rodríguez
- Directores de la Tesis: Francisco Manuel Alonso Pla (dir. tes.)
- Lectura: En la Universitat de València ( España ) en 2022
- Idioma: español
- Tribunal Calificador de la Tesis: Cristina Esteban Martínez (presid.), Cesáreo Fernández Fernández (secret.), Tanja Congiu (voc.)
- Programa de doctorado: Programa de Doctorado en Investigación en Psicología por la Universitat de València (Estudi General)
- Materias:
- Enlaces
- Tesis en acceso abierto en: TESEO
- Resumen
Mobility and circulation determine several dynamics that characterize human life. These activities are so important because they are considered a universal human right, constituting a constant source of concern. Limitations to the exercise of this right is turning into a detriment for quality of life, especially when it implies an unacceptable number of deaths and injuries, that are nowadays considered a pandemic, even though we know that accidents are closely related to health, especially from the perspective of Social Determinants of Health (SDoH). The objective of this research is to develop an assessment model that will allow us to know the risk and/or protection profile of traffic accidents of young people, at-risk and vulnerable road actors in a city with high urban concentration in an emerging or developing country, based on SDoH and transport modes. The epidemiological method has been selected. This work uses elements of induction and inference inspired by Machine Learning. It focusses on young people, and considering the challenges of highly urbanized cities, the Metropolitan Region of Bogotá-Cundinamarca in Colombia is selected as the research target. 598 young people between the ages of 18 and 28 participated in this study.
Young people present risky social conditions characterized by the social inequality gradient, this work concludes that this risk is a time bomb with negative and unfavorable consequences. The large proportion of young people belonging to low social strata stands out, as well as a high proportion of unemployed young people with debts, difficulties in accessing a stable working life or income that could allow them to develop.
Although young people have good health indices, they are in conditions that make them sick and are commonly associated with detrimental quality of life. This work managed to consolidate three indices: SES, Health, Habits and Lifestyle. These are useful because they establish a research guide and are easily replicable. Reducing three of the main SDoH by collecting 22 variables is extremely advantageous for rigorous research that seeks to have health information through self-report. A gender perspective is more than urgent, since men are involved in more accidents than women, and women participate less in mobility. In this environment, having healthy habits associated with mobility can be a source of accident risk.
From the proposed causal model of health, quality of life, individual differences, social determinants of health and traffic accidents, the occurrence of accidents can be predicted. This study was able to describe the phenomenon of accidents beyond chance, with a proportion of between 83% and 84% accuracy, and a probability of up to 65%. It must be highlighted that it’s a 15% more success probability than random, and that predictive models in science are influenced by confusing variables that cannot be controlled at the same time. Recognizing that five variables are determinant when reporting accidents, and, in addition, identifying whether some of them play a protective or risky role in young people is already a huge win for decision-making related to mobility
