Abstract Addressing the characterization of social and economic determinants of health (SDH) properly is a key aspect in conducting a Health Impact Assessment (HIA). This article explores the level of knowledge on HIA environmental and public health professionals have as well as their perception regarding key concepts such as the definition of ‘health’ and the relevance of SDH. With this purpose in mind, a survey was conducted among experts (n = 41) who attended a technical session on HIA within the framework of the most important conference on the Environment on a national level in Spain. A hierarchical cluster analysis was conducted to categorize groups of respondents depending on their working profile and professional expertise and a Friedman test was used to compare mean ranks so as to assess the importance given to SDH according to the target respondents' perception. Strong differences were found in the relevance given to diverse SDH according to their contribution to a good state of health, the block referring to ‘Habits and lifestyle’ being the one perceived as more significant. SDH were ranked in a diverging order from that reported in the scientific evidence regarding the association between SDH and a wide range of health outcomes. Also, some diverging trends were illustrated between groups of respondents according to the relevance given to each block of SDH. However, differences in responses between groups of respondents were not statistically significant. A self-appraisal by respondents also revealed that the practitioner's level of knowledge on HIA ranged between low to medium. Therefore, it is recommended to improve their capacity.

中文翻译：

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关于主要类别健康决定因素与进行健康影响评估的相关性的认知调查

摘要 正确处理健康的社会和经济决定因素 (SDH) 的特征是进行健康影响评估 (HIA) 的一个关键方面。本文探讨了 HIA 环境和公共卫生专业人员的知识水平，以及他们对“健康”定义和 SDH 相关性等关键概念的看法。考虑到这一目的，在西班牙最重要的国家级环境会议框架内参加了 HIA 技术会议的专家（n = 41）进行了一项调查。进行层次聚类分析以根据受访者的工作概况和专业知识对受访者组进行分类，并使用弗里德曼测试来比较平均排名，以根据目标受访者的看法评估给予 SDH 的重要性。根据他们对良好健康状态的贡献，不同 SDH 的相关性存在很大差异，其中提到“习惯和生活方式”的块被认为更重要。SDH 的排名顺序与有关 SDH 与广泛健康结果之间关联的科学证据中报告的顺序不同。此外，根据与每个 SDH 块的相关性，受访者组之间显示了一些不同的趋势。然而，受访者群体之间的反应差异没有统计学意义。受访者的自我评价还显示，从业者对 HIA 的知识水平介于低到中等之间。因此，建议提高他们的能力。