Transformación urbana, espacio público y su percepción social. El río Segura a su paso por Orihuela y Rojales

El río Segura en su tramo final, la Vega Baja en la provincia de Alicante, atraviesa las ciudades de Orihuela y Rojales, que se caracterizan por ser las dos únicas de esta zona en las que el cauce recorre su casco urbano. Se parte de las obras de remodelación del cauce con el Plan de Defensa contra Avenidas en la Cuenca del Río Segura, concluido en 1994, en el que la solución adoptada para el encauzamiento en los tramos urbanos es similar en ambos municipios. Esta investigación expone en qué medida dichas actuaciones han tenido un refl ejo directo en la imagen de la ciudad, en las actividades en el espacio público urbano y en la manera que es percibido por los ciudadanos. Finalmente, se ponen en evidencia resultados coincidentes y divergentes, pese a la similitud del contexto de las actuaciones.

The Study of the Public Space

Except for the "practical exercises" section, this work is registered under the following ISBN numbers: 978-84-15768-61-6 and 978-84-15768-62-3

Trends in socioeconomic inequalities in amenable mortality in urban areas of Spanish cities, 1996-2007

Background: While research continues into indicators such as preventable and amenable mortality in order to evaluate quality, access, and equity in the healthcare, it is also necessary to continue identifying the areas of greatest risk owing to these causes of death in urban areas of large cities, where a large part of the population is concentrated, in order to carry out specific actions and reduce inequalities in mortality. This study describes inequalities in amenable mortality in relation to socioeconomic status in small urban areas, and analyses their evolution over the course of the periods 1996–99, 2000–2003 and 2004–2007 in three major cities in the Spanish Mediterranean coast (Alicante, Castellón, and Valencia). Methods: All deaths attributed to amenable causes were analysed among non-institutionalised residents in the three cities studied over the course of the study periods. Census tracts for the cities were grouped into 3 socioeconomic status levels, from higher to lower levels of deprivation, using 5 indicators obtained from the 2001 Spanish Population Census. For each city, the relative risks of death were estimated between socioeconomic status levels using Poisson’s Regression models, adjusted for age and study period, and distinguishing between genders. Results: Amenable mortality contributes significantly to general mortality (around 10%, higher among men), having decreased over time in the three cities studied for men and women. In the three cities studied, with a high degree of consistency, it has been seen that the risks of mortality are greater in areas of higher deprivation, and that these excesses have not significantly modified over time. Conclusions: Although amenable mortality decreases over the time period studied, the socioeconomic inequalities observed are maintained in the three cities. Areas have been identified that display excesses in amenable mortality, potentially attributable to differences in the healthcare system, associated with areas of greater deprivation. Action must be taken in these areas of greater inequality in order to reduce the health inequalities detected. The causes behind socioeconomic inequalities in amenable mortality must be studied in depth.

Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996–2007 (MEDEA project)

Background: Preventable mortality is a good indicator of possible problems to be investigated in the primary prevention chain, making it also a useful tool with which to evaluate health policies particularly public health policies. This study describes inequalities in preventable avoidable mortality in relation to socioeconomic status in small urban areas of thirty three Spanish cities, and analyses their evolution over the course of the periods 1996–2001 and 2002–2007. Methods: We analysed census tracts and all deaths occurring in the population residing in these cities from 1996 to 2007 were taken into account. The causes included in the study were lung cancer, cirrhosis, AIDS/HIV, motor vehicle traffic accidents injuries, suicide and homicide. The census tracts were classified into three groups, according their socioeconomic level. To analyse inequalities in mortality risks between the highest and lowest socioeconomic levels and over different periods, for each city and separating by sex, Poisson regression were used. Results: Preventable avoidable mortality made a significant contribution to general mortality (around 7.5%, higher among men), having decreased over time in men (12.7 in 1996–2001 and 10.9 in 2002–2007), though not so clearly among women (3.3% in 1996–2001 and 2.9% in 2002–2007). It has been observed in men that the risks of death are higher in areas of greater deprivation, and that these excesses have not modified over time. The result in women is different and differences in mortality risks by socioeconomic level could not be established in many cities. Conclusions: Preventable mortality decreased between the 1996–2001 and 2002–2007 periods, more markedly in men than in women. There were socioeconomic inequalities in mortality in most cities analysed, associating a higher risk of death with higher levels of deprivation. Inequalities have remained over the two periods analysed. This study makes it possible to identify those areas where excess preventable mortality was associated with more deprived zones. It is in these deprived zones where actions to reduce and monitor health inequalities should be put into place. Primary healthcare may play an important role in this process.

Urban Planning 2. Informal notes from the course’s practical content (2014-2015)

This document compiles, in an informal manner, the briefs of some of the practical exercises developed during the Urban Planning 2 course. The purpose of this compilation is to serve as reference and basis for future courses.

Costa Blanca: Public Space And Perceived Image as Key to Tourism Competitiveness

Los destinos turísticos tradicionales del litoral español se enfrentan a profundas transformaciones debidas a varios factores, entre los que se encuentran cambios notables en el comportamiento de la demanda y un intenso crecimiento de la competencia a todos los niveles, que puede poner en duda la pervivencia del modelo de desarrollo de estas áreas maduras. Lejos de ser una excepción, la situación que se describe para la Costa Blanca es extrapolable a otros destinos turísticos en otras regiones y en ámbitos urbanos, que se enfrentan al reto de incorporar nuevas estrategias de renovación, diversificación y reestructuración de su tejido urbano y turístico, como clave de reorientación de su ciclo de vida. A partir del estudio del caso de la Costa Blanca, pero con una vocación globalizadora, se tratan a continuación argumentos referidos a los cambios en la demanda turística y de ocio cotidiano, y cómo ello afecta a la necesidad de intervenir de un modo distinto en el diseño y gestión del tejido urbano que perciben los visitantes y residentes. Se percibe de forma clara que se ha de trabajar de un modo distinto tanto la escena urbana como el territorio turístico a partir de la potenciación de valores diferenciadores: por una adecuada intervención urbanística en los espacios públicos con acciones capaces de distinguir al destino de sus competidores, por la incorporación de nuevos elementos de atracción e innovación urbana, o por una gestión más eficiente de los servicios y las funciones urbanas de los destinos turísticos. A partir de varios indicadores se demuestra que la competitividad de los destinos tradicionales, sean áreas costeras o ciudades, ya no sólo reside en sus recursos patrimoniales, litorales o climáticos, sino que su valor diferenciador se vincula también a la calidad urbana percibida y a la capacidad de incorporar en las acciones de futuro las nuevas necesidades de residentes y visitantes, cada vez más exigentes e impredecibles.