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espanolIntroduccion: Las desigualdades socioeconomicas y territoriales se relacionan con la salud de la poblacion santiaguina; sin embargo, los mecanismos causales que generan las inequidades en salud no estan del todo claros. En este trabajo, se cuantifica el estres de individuos viviendo en diferentes comunas, y se lo discute como causa y consecuencia de procesos vinculados con inequidades en salud. El objetivo era relacionar el Indice de Calidad de Vida Urbana (ICVU) de la comuna de residencia de individuos en Santiago de Chile con las concentra¬ciones de cortisol en pelo (CCP), un biomarcador de los niveles de estres fisiologico cronico. Materiales y Metodos: Se exploro la relacion entre CCP y la edad, el sexo y el ICVU de la co¬muna de residencia en 80 estudiantes de educacion superior en Santiago de Chile. Resultados: No se encontraron correlaciones significativas entre CCP y la edad o el sexo de los participantes. Se encontro una correlacion significativa entre CCP y los valores del ICVU de la comuna de residencia, ademas de encontrar diferencias significativas entre CCP y los distintos rangos de ICVU (Superior, Promedio e Inferior). Discusion: Los resultados sugieren considerar las diferencias individuales de CCP como re¬sultado de desigualdades socio-territoriales y tambien como posible causa de inequidades en salud. Se recomienda incluir el rol del estres en las politicas publicas de salud, ampliando las redes de apoyo y prevencion de estres en los sectores con bajo ICVU EnglishIntroduction: Socioeconomic and urban inequalities are associated with health in Santiago; nonetheless, the causal mechanisms underlying health inequalities are not entirely clear. This article quantifies the stress of individuals living in different municipalities and discusses its role as cause and consequence in the generation of health inequalities. The objective of this study was to determine the relationship between the Urban Quality of Life Index (UQoLI) of individuals’ municipality of residence in Santiago, Chile with their hair cortisol concentrations (HCC), a biomarker of chronic physiological stress. Materials and Methods: The relationship of HCC with age, sex and UQoLI was explored in a sample of 80 university students in Santiago, Chile. Results: No significant correlations were found between HCC and age and sex. A significant correlation was found between HCC and UQoLI, and significant differences were found be¬tween HCC at different levels of UQoLI (High, Average, and Low). Discussion: Results suggest that HCC differences could be considered a result of urban in¬equalities, as well as a possible cause of health inequalities. The role of stress should be inclu¬ded in public health policies, to expand support networks and prevent stress, especially among people living in areas with low urban quality of life.

Mayores concentraciones de cortisol, biomarcador de estrés, en residentes de comunas con menor índice de calidad de vida urbana