Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities

Cahuas, Madelaine C.; Wakefield, Sarah; Peng, Yun

doi:10.1016/j.socscimed.2014.09.022

Cited by 12 publications

(7 citation statements)

References 32 publications

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“…On the other hand, the substantive dimension is also related to the resources devoted to CAH (Poland, Krupa andMcCall 2009, Cahuas, Wakefield andPeng 2015). We analysed three key issues in this regard: the type of resources available (monetary, in kind, human), their recognition by the institutions involved (as well as the degree of specific dedication to CAH) and, finally, the stability and continuity over time of these resources.…”

Section: Substantive Dimensionmentioning

confidence: 99%

“…For example, two systematic reviews studied the effect of community action interventions among disadvantaged populations and found positive impacts on health and health inequalities (Cyril et al 2015;O'Mara-Eves et al 2015). However, a number of significant difficulties in the analysis of community health programs persist, and effective instruments are still required in order to advance these efforts (Gervits and Anderson 2014;Renedo et al 2015;Cahuas, Wakefield and Peng 2015;Wood 2016). Most experiences of CAH have been analysed focusing on the results of single actions or activities and less as a broad process with the interventions of multiple actors at the neighbourhood level.…”

Section: Introductionmentioning

confidence: 99%

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Facilitators and challenges of community action for health. Comparative analysis of four case studies in neighbourhoods of Barcelona

et al. 2019

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In a context of welfare austerity and growing inequalities many voices ask for public sector reforms in the health sector and for community action as a relevant practice. However, analyses of community action for health are still limited to single actions. For this reason, this paper analyzes community action for health as a whole process of a public intervention in the neighbourhood context, including multiple actors and actions. Based on research on four disadvantaged districts in Barcelona, we develop and apply an analytical tool that allows to identify facilitators and challenges of community action for health on three dimensions of policy: symbolic (why), substantive (what) and operational (how). In this regard, several factors emerge as key ones: generating a shared discourse on health and its assets, developing a common and transversal agenda, ensuring institutional recognition and improving participation and involvement at all times of the different agents.

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Section: Substantive Dimensionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Facilitators and challenges of community action for health. Comparative analysis of four case studies in neighbourhoods of Barcelona

et al. 2019

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“…Such participation can involve voluntary associations, groups, clubs, organizations, and societies [1,11,23]. Policymakers have aspired to increase participation particularly within disadvantaged and low-income communities, as a way to address place-based economic, social, and health inequalities [24]. Both place attachment and social interaction are considered to be separate concepts from participation and are often used to explain why different levels of participation exist in a given community [1,11,25].…”

Section: Community Participationmentioning

confidence: 99%

How Do Community Planning Features Affect the Place Relationship of Residents? An Investigation of Place Attachment, Social Interaction, and Community Participation

2018

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Abstract:Outdoor environment can have significant connections with place relationships. This study tried to explore the connection in detail. First, the relationship was examined through an integrated view of environmental planning, followed by reviewing impacts of essential elements from the outdoor environment on place relationships. Residents of three public housing communities in Taiwan were surveyed. Each community had a different layout: alley, cluster, and large courtyard. Exploratory factor analysis revealed that outdoor community planning features can be grouped into four factors: outdoor space quality, circulation planning, outdoor recreational facilities, and community layout. Canonical correlation analyses indicate different combinations of these factors were connected to diverse combinations of place relationship dimensions. More importantly, higher levels of satisfaction toward outdoor space quality as well as community layout were associated with greater place attachment and less community participation. Higher levels of satisfaction with circulation planning were connected to greater place attachment and community participation, and less social interaction. Multiple regression analyses found the associations between the community planning features and place relationship dimensions differed among the alley, cluster, and large courtyard. These findings can help planners and architects design public housing and similar communities that better enhance the emotional and social experiences of the inhabitants.

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“…Les propositions qui émanent de cette rencontre sont issues des invariants trouvés dans les différentes présentations faites par les participants de cette réunion lesquelles se sont aussi largement inspirées des débats en cours dans différents pays. En effet, la littérature académique comporte plusieurs exemples d'application de ce programme d'action sur les DSS notamment au Canada, aux USA et en Europe [20][21][22].…”

Section: Perspectivesunclassified

Pistes de réflexion pour l’évaluation et le financement des interventions complexes en santé publique

Dupin¹,

Breton²,

Kivits³

et al. 2015

Santé Publique

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In France, in a context of growing health inequalities, the need for action on life settings and, more broadly, on the social determinants of health (SDH), requires a contribution from health promotion research. Today's challenge is not only to design interventions tailored to contexts and actively targeting SDH, but also to develop innovative evaluation strategies of these complex interventions. A group of researchers and representatives from funding agencies met in Paris on june 2nd, 2014 to discuss current experiences conducted in France. The debates yielded five conclusions: (i) the context of the intervention must be considered as one of its active ingredients, (ii) evaluation must be guided by a sound intervention logic (iii) randomized controlled trials cannot capture the complexity of the environment and evaluation must be designed using alternative models, including process evaluation, (iv) interventional research should be collaborative, or co-constructed, (v) public health training should cover the diversity of evaluative methods. The conclusions described here, in the context of France, stress that to address these challenges, funding agencies, researchers and stakeholders should further engage in discussions concerning the conduct of interventional research, evaluation and implementation of complex public health interventions.

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Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities

Cited by 12 publications

References 32 publications

Facilitators and challenges of community action for health. Comparative analysis of four case studies in neighbourhoods of Barcelona

Facilitators and challenges of community action for health. Comparative analysis of four case studies in neighbourhoods of Barcelona

How Do Community Planning Features Affect the Place Relationship of Residents? An Investigation of Place Attachment, Social Interaction, and Community Participation

Pistes de réflexion pour l’évaluation et le financement des interventions complexes en santé publique

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