A ‘strategy of resistance’? How can a place-based empowerment programme influence local media portrayals of neighbourhoods and what are the implications for tackling health inequalities?

Halliday, Emma; Collins, Michelle; Egan, Matt; Ponsford, Ruth; Scott, Charles F.; Popay, Jennie

doi:10.1016/j.healthplace.2020.102353

Cited by 14 publications

(22 citation statements)

References 47 publications

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“…Participatory research methods can enable communities to resist negative external depictions by offering spaces for residents to create their own counternarratives that privilege their experiences and perceptions of an area (Elliott et al, 2015;Thomas et al, 2018). Place based programmes involving a degree of resident control have also been found to support resistance to negative media representations when communities are provided with resources to do so (Halliday et al, 2020).…”

Section: Implications For Future Research and Practicementioning

confidence: 99%

‘It is surprising how much nonsense you hear’: How residents experience and react to living in a stigmatised place. A narrative synthesis of the qualitative evidence

et al. 2021

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Section: Implications For Future Research and Practicementioning

confidence: 99%

‘It is surprising how much nonsense you hear’: How residents experience and react to living in a stigmatised place. A narrative synthesis of the qualitative evidence

et al. 2021

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“…Whereas the first group resisted stigmatization with indifference, the second group submitted to it through coping strategies, such as retreating into private space, distancing, and defensive othering, thus reproducing the stigma in everyday life. 41 Therefore, in this study, neighborhood stigma constituted a major challenge to community cohesion, which is a keystone in building social resilience against precariousness.…”

Section: Discussionmentioning

confidence: 91%

Healthcare Access Worsened for Women in Precarious Housing During the COVID-19 Pandemic: A Qualitative Study

Sevik,

Ciceklioglu

2024

INQUIRY

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This research aims to gain an in-depth understanding of precariously housed women’s experiences related to health and access to health care during the COVID-19 pandemic using a grounded theory approach. Qualitative data were obtained through interviews with 17 precariously housed women from Izmir, Turkey. Poor health among most participants was primarily attributed to unfavorable living conditions and weakened community networks. The COVID-19 pandemic exacerbated existing health issues due to barriers in accessing basic needs. Food insecurity was widespread during the pandemic and the critical role of aid and the inadequacy of social assistance in securing food were emphasized. Women’s health perceptions were significantly shaped by gender, and gendered caregiving duties have restricted women’s healthcare access. Access to healthcare was also limited by financial challenges, with health insurance being a crucial determinant. Longer waiting times, often exacerbated by the appointment system, and language were significant barriers to healthcare access. The findings propose that the participants were precarized by the blindness of COVID-19 measures to vulnerabilities, which resulted in deeper inequalities in housing, food, employment, and healthcare access. This research addresses the political, commercial, and social determinants of precariously housed women’s health. Improving precariously housed women’s health and wellbeing requires implementation of public policies targeting to improve housing quality, provide targeted assistance to food insecurity, promote gender inclusiveness, and foster gender empowerment.

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“…However, an important contribution of this research is that adopting a systems thinking perspective helped to demonstrate how contextual factors (neighbourhood stigma, lack of funding for intersectoral work, lack of institutional support and general work structures) enabled or hindered the mobilization of asset-based capacities beyond the time and space of the initiatives, for the different people engaged in the initiatives, and the extent to which the identified changes could affect health inequalities experienced and the wider health determinants in both neighbourhoods. An important barrier relates to the ways in which ‘limiting power’ shapes contexts, limiting the impacts that ABAs aim to generate; for instance, via the way stigmatizing and negative labels used for neighbourhoods (a form of ‘productive power’) can disempower and disadvantage ( Popay et al ., 2021 , p. 1258), negatively impacting self-perceived health among people who live there ( Halliday et al ., 2020 ). Likewise, although developing new activities in the community or sharing health information about health, and healthcare access and use, with other community members may support some community members, inequalities in access to services may not necessarily be reduced, as these are determined by other limiting powers, such as the systems’ social and political structures.…”

Section: Discussionmentioning

confidence: 99%

How can asset-based approaches reduce inequalities? Exploring processes of change in England and Spain

Cassetti,

Powell,

Barnes

et al. 2024

Health Promotion International

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Initiatives to promote health and reduce inequalities in place-based communities have increasingly adopted asset-based approaches (ABAs). However, the processes through which such initiatives might reduce inequalities are not well understood, and evidence of their impact on health is still limited. This study aimed to understand how ABAs can impact practices, relationships and the redistribution of resources to reduce health inequalities in and between less advantaged neighbourhoods. Qualitative research was conducted in two settings (England and Spain) where similar asset-based initiatives, aimed at training community members to become health promoters, were being implemented. Data were collected using theory of change workshops, 120 hours of observations and semi-structured interviews with 44 stakeholders (trained community members, voluntary and community sector organizations’ workers and health professionals). A thematic analysis informed by systems thinking was carried out. Three main processes of change were identified: first, ‘enabling asset-based thinking’ defined as supporting people to adopt a view that values their own resources and people’s skills and expertise. Second, ‘developing asset-based capacities’, described as developing personal skills, knowledge, self-confidence and relationships underpinned by asset-based thinking. Finally, ‘changing decision-making and wider health determinants through ABAs’ referred to achieving changes in neighbourhoods through mobilizing the asset-based capacities developed. These processes were associated with changes at an individual level, with potential to contribute to reducing inequalities through supporting individual empowerment and social capital. However, contextual factors were found key to enable or hinder changes in the neighbourhoods and acted as barriers to processes of collective empowerment, thus limiting ABAs’ impact on health inequalities.

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A ‘strategy of resistance’? How can a place-based empowerment programme influence local media portrayals of neighbourhoods and what are the implications for tackling health inequalities?

Cited by 14 publications

References 47 publications

‘It is surprising how much nonsense you hear’: How residents experience and react to living in a stigmatised place. A narrative synthesis of the qualitative evidence

‘It is surprising how much nonsense you hear’: How residents experience and react to living in a stigmatised place. A narrative synthesis of the qualitative evidence

Healthcare Access Worsened for Women in Precarious Housing During the COVID-19 Pandemic: A Qualitative Study

How can asset-based approaches reduce inequalities? Exploring processes of change in England and Spain

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