Characterising a Setting with a High Level of Informality, Integrating National and Specialised Surveys, Administrative and Census Data

  • Lorenzo PaglioneEmail author
  • Laura Cacciani
  • Giovanni Baglio
  • Maria Alessandra Brandimarte
  • Elisabetta Confaloni
  • Adelaide Landi
  • Livia Maria Salvatori
  • Aurora Angelozzi
  • Susanna Caminada
  • Massimo Napoli
  • Miriam Errigo
  • Silvia Iorio
  • Anna Maria Bargagli
  • Maurizio Marceca
  • Enrico Di Rosa
  • Nera Agabiti
  • Marina Davoli
Part of the Green Energy and Technology book series (GREEN)


The history of the urbanization process can determine the social identity of specific places and neighbourhoods. Understanding historical processes behind the physical environment of a city is the first step in an action-research in an urban setting. The characterisation of a neighbourhood, especially in a deprived and segregated urban context, requires a multidisciplinary approach that cannot be separated from a dedicated quantitative analysis, integrating various tools and approaches. In this study’s setting, defined by a high level of informality due to a history of exclusion from the surrounding area and a structural segregation from the city’s fabric, the integration of tools and point of views had to be used to detect and assess the presence of any inequalities in health. We used administrative health data, census information, and a customised version of a national health survey, integrating different baseline populations in order to develop a global vision of the state of health. This research also includes an evaluation of social determinants of health, hospitalisation rates and access to the emergency room, as well as the general self-perception of the population’s health compared to the surrounding neighbourhoods.


Urban health Urban segregation Social determinant of health Social inequalities in health 


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Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Lorenzo Paglione
    • 1
    • 2
    • 4
    Email author
  • Laura Cacciani
    • 1
  • Giovanni Baglio
    • 3
  • Maria Alessandra Brandimarte
    • 4
  • Elisabetta Confaloni
    • 5
  • Adelaide Landi
    • 4
  • Livia Maria Salvatori
    • 6
  • Aurora Angelozzi
    • 6
  • Susanna Caminada
    • 6
  • Massimo Napoli
    • 4
  • Miriam Errigo
    • 6
  • Silvia Iorio
    • 7
  • Anna Maria Bargagli
    • 1
  • Maurizio Marceca
    • 6
  • Enrico Di Rosa
    • 4
  • Nera Agabiti
    • 1
  • Marina Davoli
    • 1
  1. 1.Department of Epidemiology, Lazio Regional Health ServiceASL RM1RomeItaly
  2. 2.Department of Civil, Building and Environmental Engineering DICEASapienza University of RomeRomeItaly
  3. 3.National Institute for Health, Migration and Poverty (NIHMP)RomeItaly
  4. 4.Department of PreventionASL RM1RomeItaly
  5. 5.Health District II, ASL RM1RomeItaly
  6. 6.Department of Public Health and Infectious DiseasesSapienza University of RomeRomeItaly
  7. 7.Unit of History of Medicine and BioethicsSapienza University of RomeRomeItaly

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