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Table 1 Characteristics of regions with unfavorable/deteriorating outcomes according to categories of the determinants of health inequalities

From: A holistic model of health inequalities for health policy and state administration: a case study in the regions of the Czech Republic

Categories of health inequalities

LAU1 CZ location and basic characteristics (comparison 2001–2003 and 2016–2019)

A.1 Economic status and social protection and

Urbanized outer (border) periphery: structurally affected LAU1 with formerly intensive coal mining and associated industries; economic development in the era of industrialization

A.2 Education

Rural outer and inner periphery: mountainous border settlements after World War II; inner (administrative) periphery at NUTS3 borders: "remote peripheral" rural areas with a weakened indigenous economic base without variant economic activity, selective migration accompanied by a negative educational structure, aging population and above-average unemployment

A.3 Demographic situation

Rural outer and inner periphery with selective migration exacerbating population aging

Some large cities (especially the capital Prague) with natural population decline and an above-average share of the post-reproductive population

A.4 Environmental status

Lowlands with intensive agriculture and road backbones

Structurally affected LAU1 in the north-western borderlands with mining, chemical and energy industries

A.5 Individual living status

Rural outer and inner periphery, especially hills and uplands: fragmented rural settlement pattern, large number of small and very small settlements (up to 200 inhabitants)

A.6 Road safety and crime

Urbanized LAU1

A.7 Sources of health and social care

Suburban rural: in the hinterland of large regional towns with intensive suburbanization processes: the development of residential function, health and social infrastructure is provided by core catchment areas (large towns)