Manuel Franco

Universidad de Alcalá

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i-10 index

Research Trends

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Co-Authors

Julia Díez

Universidad de Alcalá

Usama Bilal

Drexel University

Pedro Gullón

Universidad de Alcalá

Alba Cebrecos

Universidad de Alcalá

Xisca Sureda

Universidad de Alcalá

María Sandín Vázquez

Universidad de Alcalá

Paloma Conde

Universidad de Alcalá

Francisco Escobar

Universidad de Alcalá

Roberto Valiente

University of Edinburgh

Joel Gittelsohn

Johns Hopkins University

Cooperative Institutions

Universidad de Alcalá

Instituto de Salud Carlos III

Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública

Johns Hopkins University

Agència de Salut Pública de Catalunya

Centro de Investigación Biomédica en Red

Escuela Nacional de Sanidad

Hospital de Sant Pau

Centre for Biomedical Network Research on Rare Diseases

Centro de Investigación Biomédica en Red de Enfermedades Respiratorias

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Citation

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The impact of heat waves on daily mortality in districts in Madrid: The effect of sociodemographic factors

Environmental Research (2020)

J.A. López-Bueno Julio Díaz Carmen Sánchez-Guevara Sánchez Gerardo Sánchez Martínez Manuel Franco

Variables

10.1016/j.envres.2020.109993

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Citations (45)

Mapping the visibility of smokers across a large capital city

Environmental Research (2019)

Roberto Valiente Francisco Escobar Jamie Pearce Usama Bilal Manuel Franco

Visibility

Sample (material)

10.1016/j.envres.2019.108888

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Citations (10)

Access to and availability of exercise facilities in Madrid: an equity perspective

International Journal of Health Geographics (2019)

Luis Cereijo Pedro Gullón Alba Cebrecos Usama Bilal José Antonio Santacruz Lozano

Identifying socioeconomic determinants that are associated with access to and availability of exercise facilities is fundamental to supporting physical activity engagement in urban populations, which in turn, may reduce health inequities. This study analysed the relationship between area-level socioeconomic status (SES) and access to, and availability of, exercise facilities in Madrid, Spain.

Equity

Health geography

10.1186/s12942-019-0179-7

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Citations (43)

Adaptation and Evaluation of the Nutrition Environment Measures Survey in Stores to Assess Mediterranean Food Environments (NEMS-S-MED)

International Journal of Environmental Research and Public Health (2020)

Alba Martínez-García Julia Díez Carlos Fernández‐Escobar Eva María Trescastro-López Pamela Pereyra-Zamora

The Nutrition Environment Measures Surveys are valid and reliable measures of community and consumer food environments. This article describes the adaptation and evaluation of the Nutrition Environment Measures Survey in Stores (NEMS-S) for Mediterranean urban contexts (NEMS-S-MED). Trained raters used the adapted NEMS-S-MED tool to observe and rate food outlets in 21 census tracts and 43 food stores across the city of Madrid, Spain. We evaluated inter-rater and intra-rater reliabilities, construct validity, and the tool's ability to discriminate between store types and between stores by area-level Socio-Economic Status (SES). Overall, the mean NEMS-S-MED score was 20.7 (SD = 9.8), which ranged from 7 to 43. Most food items displayed substantial or almost perfect inter-rater and intra-rater agreements; the percentage agreement across availability items was almost perfect and kappa statistics were also very high (median κ = 1.00 for inter-rater; κ = 0.92 for intra-rater). Furthermore, the NEMS-S-MED tool was able to discriminate between store types and census tracts of different SES. The adapted NEMS-S-MED instrument is a reliable and valid audit tool to assess the consumer food environment in Mediterranean urban contexts. Well-constructed measurement tools, such as the NEMS-S-MED, may facilitate the development of effective policy interventions to increase healthy food access and affordability.

Nanoelectromechanical systems

10.3390/ijerph17197031

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Citations (13)

Second-hand smoke exposure in outdoor hospitality venues: Smoking visibility and assessment of airborne markers

Environmental Research (2018)

Xisca Sureda Usama Bilal Esteve Fernández Roberto Valiente Francisco J. Escobar

Visibility

Hospitality

Exposure Assessment

Tobacco smoke

10.1016/j.envres.2018.04.024

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Citations (26)

A Community-Driven Approach to Generate Urban Policy Recommendations for Obesity Prevention

International Journal of Environmental Research and Public Health (2018)

Julia Díez Pedro Gullón María Sandín Vázquez Belén Álvarez M.a A. Martín

There is an increasing research interest in targeting interventions at the neighborhood level to prevent obesity. Healthy urban environments require including residents' perspectives to help understanding how urban environments relate to residents' food choices and physical activity levels. We describe an innovative community-driven process aimed to develop environmental recommendations for obesity prevention. We conducted this study in a low-income area in Madrid (Spain), using a collaborative citizen science approach. First, 36 participants of two previous Photovoice projects translated their findings into policy recommendations, using an adapted logical framework approach. Second, the research team grouped these recommendations into strategies for obesity prevention, using the deductive analytical strategy of successive approximation. Third, through a nominal group session including participants, researchers, public health practitioners and local policy-makers, we discussed and prioritized the obesity prevention recommendations. Participants identified 12 policy recommendations related to their food choices and 18 related to their physical activity. The research team grouped these into 11 concrete recommendations for obesity prevention. The 'top-three' ranked recommendations were: (1) to adequate and increase the number of public open spaces; (2) to improve the access and cost of existing sports facilities and (3) to reduce the cost of gluten-free and diabetic products.

Photovoice

Active living

10.3390/ijerph15040635

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Citations (31)

Availability, Promotion, and Signs of Alcohol Consumption: A Mixed Methods Study of Perceived Exposure and Objective Measures

International Journal of Environmental Research and Public Health (2020)

Andrea Pastor Irene Molina-de la Fuente María Sandín Vázquez Paloma Conde Marina Bosque‐Prous

This study describes the alcohol environment comparing residents' perceptions and objective measures in two different income-level districts. Measures were gathered between 2017 and 2018 in two districts with different income levels in Madrid, Spain. We obtained perceived measures using Photovoice. We procured objective measures through social systematic observation. Data were integrated using triangulation. Perceived and objective measures of the alcohol environment were characterized and compared in terms of alcohol availability, alcohol promotion, and signs of alcohol consumption. The integration was classified as agreement, partial agreement, or dissonance. The results related to alcohol availability and signs of its consumption showed high agreement. Availability was high in both areas, which was recognized by residents. Residents of the high-income district (HID) discussed fewer signs of alcohol consumption, whilst those in the low-income district (LID) reported extensive signs of consumption. Such observations agreed with the objective measures. There were dissonances between the approaches for alcohol promotion. Although the alcohol promotion was higher in HID according to the objective measures, it was deeply discussed by LID residents. Both methodologies helped us deepen the understanding of the alcohol environment. These results may help design more effective interventions to prevent hazardous drinking.

Promotion (chess)

Consumption

10.3390/ijerph17218153

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Citations (6)

Characterizing physical activity and food urban environments: a GIS-based multicomponent proposal

International Journal of Health Geographics (2016)

Alba Cebrecos Julia Díez Pedro Gullón Usama Bilal Manuel Franco

Healthier urban environments influence the distribution of cardiovascular risk factors. Our aim was to design and implement a multicomponent method based on Geographic Information Systems to characterize and evaluate environmental correlates of obesity: the food and the physical activity urban environments.Study location comprised a socio-demographically average urban area of 12 contiguous census sections (≈16,000 residents), in Madrid, Spain. We conducted on-field audits on all food stores and street segments. We designed a synthetic index integrating continuous measures of both environments, by kernel density analyses. Index ranges from 0 to 100 (least-most healthy).We found a heterogeneous distribution with 75 and 50 % of the area scoring less than 36.8 and 25.5, respectively. Census sections of study area were categorized by Jenks intervals as high, medium-high, medium-low and low. 41.0 % of residents lived in an area with a low score, 23.6 % medium-low and 31.1 % medium-high and 4.2 % in a high.The proposed synthetic index may be a relevant tool to inform urban health interventions, providing a feasible way to integrate different measures of barriers and facilitators of healthy urban environments in terms of food and physical activity.

Level design

Urban area

10.1186/s12942-016-0065-5

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Citations (15)

Changes in perceptions of the alcohol environment among participants in a Photovoice project conducted in two districts with different socio-economic status

PLoS ONE (2021)

Irene Molina-de la Fuente Andrea Pastor Paloma Conde María Sandín Vázquez Carmen Viana Ramos

Perceptions of the alcohol environment may influence alcohol consumption patterns. The purpose of this study was to describe changes in perceptions of the urban alcohol environment as experienced by residents of two districts with different socio-economic status after taking part in a Photovoice study. The study was conducted in Madrid, Spain, in a district with a high socio-economic status (HSES) and another district with a low socio-economic status (LSES). A Photovoice project was conducted with 26 participants divided into four groups based on sex and district. Groups met over five sessions in which they discussed photographs taken by the participants themselves on the subject of alcohol in their neighbourhood. A qualitative, descriptive and thematic analysis of participants’ discourses was performed to explore changes in their perceptions of the alcohol environment over the project sessions. Changes in perceptions of the alcohol environment were observed in all groups over the project. The process of change varied by districts’ socio-economic characteristics and gender. Greater changes in perceptions of the alcohol environment were observed in HSES, especially among women, as the participants had a much more positive initial view of their alcohol environment. In LSES, participants showed a more critical perception of the alcohol environment from the beginning of the study, and this broadened and intensified over the course of the sessions. Changes in perceptions also varied by thematic categories, including some categories that were discussed from the start (e.g. socialising and alcohol consumption) and categories that only emerged in later sessions (e.g. alcohol advertising). Involvement in a Photovoice project has favoured a shift in the participant’s perceptions of their alcohol environment towards more critical positions, widening their scope of perceived elements and raising their awareness of specific problems, such as alcohol advertising and social role of alcohol consumption in relation to alcohol exposure.

Photovoice

Thematic Analysis

10.1371/journal.pone.0254978

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Citations (5)

Residents’ Insights on Their Local Food Environment and Dietary Behaviors: A Cross-City Comparison Using Photovoice in Spain

International Journal of Environmental Research and Public Health (2021)

Leyre Gravina Amets Jauregi Irrintzi Fernández-Aedo Julia Díez Joel Gittelsohn

Perceptions of local food environments and the ability of citizens to engage in participatory research may vary, even if participants share similar cultural and socioeconomic contexts. In this study, we aimed to describe participants' narratives about their local food environment in two cities in Spain. We used the participatory methodology of Photovoice to engage participants in Madrid (n = 24) and Bilbao (n = 17) who took and discussed photographs about their local food environment (Madrid; n = 163 and Bilbao; n = 70). Common themes emerged across both cities (food insecurity, poverty, use of public spaces for eating and social gathering, cultural diversity and overconsumption of unhealthy foods); however, in Bilbao citizens perceived that there was sufficient availability of healthy foods despite that living in impoverished communities. Photovoice was a useful tool to engage participating citizens to improve their local food environments in both cities. This new approach allowed for a photovoice cross-city comparison that could be useful to fully understand the complexity and diversity of residents' perceptions regardless of their place of residence.

Photovoice

10.3390/ijerph181910134

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Citations (10)