La localización de la clase creativa en ciudades turísticas. Un análisis a escala local del sistema urbano Mediterráneo español

La tendencia a la concentración de flujos económicos y humanos en las principales aglomeraciones ha generado unos polos de atracción global en detrimento de las opciones de desarrollo del resto de territorios. Sin embargo la recomposición territorial está siendo más compleja y afecta también al territorio no metropolitano. La introducción de elementos de creatividad en las economías urbanas es un ejemplo de la relativa dispersión territorial de nuevas actividades productivas. La localización de actividades económicas creativas ha sido analizada para el caso de ciudades medias, periferias urbanas y espacios rurales, pero no para el de ciudades turísticas. El objetivo del trabajo es analizar, a escala local y partiendo del cálculo de un índice sintético de creatividad, el comportamiento de dicho índice y en qué medida la clase creativa se localiza en los destinos turísticos del mediterráneo español y las Islas Canarias en comparación con otros tipos de municipios y entre municipios turísticos según su grado de especialización. Los resultados obtenidos permiten formular la hipótesis sobre cómo contribuyen los espacios turísticos a la reorganización productiva del territorio y valorar sus posibilidades de competitividad basadas en la mejora de la tolerancia, la innovación y el emprendimiento, proporcionando oportunidades de desarrollo más integrales y diversificadas en el momento de crisis actual.

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.