Who is left behind? The impact of place on the possibility to follow Covid-19 restrictions

Sigurjónsdóttir, Hjördís Rut; Sigvardsson, Dan; Costa, Sandra Oliveira e

doi:10.6027/nord2021-032

Cited by 14 publications

(9 citation statements)

References 24 publications

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“…With regard to the COVID-19 pandemic, the Danish and Swedish governments and public authorities did not use tailored communications based on socio-demographic characteristics [33,24]. Authorities in the two countries received critique for the lack of adaptation of communication to many immigrant groups beyond translation of messages into multiple languages [34,35]. Reaching some immigrant groups in both countries proved challenging when the COVID-19 vaccination programmes rolled out, resulting in low vaccination rates among some sub-groups of the immigrant populations in the two countries [36].…”

Section: Discussionmentioning

confidence: 99%

Political trust in the handling of the COVID-19 pandemic: a survey in Denmark and Sweden

Nilsen

Karlsson

Seing

et al. 2022

Preprint

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Background The initial responses to the COVID-19 pandemic in Denmark and Sweden differed markedly. Balancing disparate concerns was crucial to generate trust in the COVID-19 restrictions. Political trust is public support for core political institutions. The aim was to investigate the extent to which there was trust in the handling of the pandemic by the Danish and Swedish governments and trust in the handling of the pandemic by the leading public health authorities in each country. A further aim was also to investigate the characteristics of those in Denmark and Sweden who expressed the lowest degree of trust. Methods Cross-sectional surveys were conducted in 2021, using web panels that are nationally representative of the socio-demographic characteristics. The population consisted of 2619 individuals from Denmark and 2633 from Sweden, representative of the age, sex and region of residence of the populations aged ≥ 18 years. Trust was captured in two questions: trust in how the government and the public health authority in each country had handled the pandemic. Responses on the two trust items were on a five-point Likert scale. Those who expressed “very small trust” or “moderately small trust” were labelled “low trusters”. Results Approximately 61% of the Danish respondents expressed moderately large or very large trust in the government’s handling of the pandemic. The corresponding proportion for Sweden was 42%. The proportion of low trusters was 11% in Denmark and 34% in Sweden. Moderately large or very large trust in the public health authority’s handling was expressed by 83% of the Danish respondents and 74% of the Swedes. The proportion of low trusters was 5% in Denmark and 17% in Sweden. In both countries, trust was lower among men than among women and among those aged < 65 years compared with those > 65 years. Conclusions Danes expressed significantly higher trust in their government’s handling of the pandemic than Swedes. In both countries, trust in the public health authority’s handling of the pandemic was higher than that for the government’s handling. Several socio-demographic characteristics were associated with lower trust in handling the pandemic by the government and public health authority.

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Section: Discussionmentioning

confidence: 99%

Political trust in the handling of the COVID-19 pandemic: a survey in Denmark and Sweden

Nilsen

Karlsson

Seing

et al. 2022

Preprint

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“…The overall public health strategy in Sweden was framed without taking into consideration the vulnerable communities living in socially deprived areas. The focus was mainly on the-population at risk for non-communicable diseases and elderly over 65 years [4]. According to Bambra and colleagues, the pandemic occurred against the backdrop of a rising rate of non-communicable diseases (NCDs) and unequal exposure to the social determinants of health, making it a more syndemic pandemic, which has further exacerbated the existing NCDs and social conditions [5].…”

Section: Covid−19 In Vulnerable Communitiesmentioning

confidence: 99%

‘No one size fits all’ – community trust-building as a strategy to reduce COVID-19-related health disparities

et al. 2023

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Background Citizens with low levels of social capital and social status, and relative poverty, seem to have been disproportionally exposed to COVID-19 and are at greater risk of experiencing poor health. Notably, the incidence of COVID-19 was nearly three times higher among citizens living in socially vulnerable areas. Experiences from the African Ebola epidemic show that in an environment based on trust, community partners can help to improve understanding of disease control without compromising safety. Such an approach is often driven by the civil society and local lay health promoters. However, little is known about the role of lay health promoters during a pandemic with communicable diseases in the European Union. This study had its point of departure in an already established Community Based Participatory Research health promotion programme in a socially disadvantaged area in southern Sweden. The aim of this study was to explore how citizens and local lay health promoters living in vulnerable neighbourhoods responded to the COVID-19 pandemic a year from the start of the pandemic. Method In-depth interviews with the 5 lay health promoters and focus group discussions with 34 citizens from the neighbourhood who were involved in the activities within the programme were conducted in autumn 2020. The interviews and focus group discussions were transcribed verbatim and analysed using qualitative content analysis following an inductive approach. Results Four themes emerged including, ‘balancing between different kinds of information’, ‘balancing between place-based activities and activities on social media’, ‘bridging between local authorities and the communities and community members’, and ‘balancing ambivalence through participatory dialogues’. Conclusion The study highlights that a Community Based Participatory Research programme with lay health promoters as community trust builders had a potential to work with communicable diseases during the pandemic. The lay health promoters played a key role in promoting health during the pandemic by deepening the knowledge and understanding of the role that marginalised citizens have in building resilience and sustainability in their community in preparation for future crises. Public health authorities need to take the local context into consideration within their pandemic strategies to reach out to vulnerable groups.

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“…Health equity is relevant for PA since both physical inactivity and sedentary behaviors are influenced by social determinants; specifically, socially disadvantaged neighborhoods have lower access to PA than their counterparts ( 4 ). In addition, the COVID-19 pandemic has created a double burden on health, especially among citizens living in disadvantaged neighborhoods, as physical inactivity and mental illness have been exacerbated ( 3 , 5 ). Previous research suggests that citizens in these neighborhoods require special support that is tailored to their needs to help them deal with the complexities of newly emerging diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Previous research suggests that citizens in these neighborhoods require special support that is tailored to their needs to help them deal with the complexities of newly emerging diseases. Such support should also promote integration to society where healthcare providers can better understand and respond to the needs of marginalized citizens ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, research also shows that inequalities in health cannot merely be explained by differences in the individual characteristics of citizens living in a neighborhood since the social and contextual features of the neighborhood are also identified to play a role ( 5 ). Thus, the current situation demands reorientation of traditional public health practices and shifting the goals of health promotion from solely achieving individual lifestyle changes to a more broadened approach that includes addressing the social and environmental factors ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

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Impact of a CBPR-informed physical activity intervention before and during COVID-19 among women from a disadvantaged neighborhood in Sweden

Ramji

Carlson

Kottorp

et al. 2022

Front. Public Health

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BackgroundPublic health practitioners have been striving to reduce the social gradient and promote physical activity among citizens living in disadvantaged neighborhoods. The emergence of the COVID-19 pandemic, which has affected these citizens extensively, has posed a significant challenge to efforts to maintain a physically active lifestyle. Thus, the aim of this study was to explore the impact of a CBPR-informed physical activity intervention before and during the COVID-19 pandemic from the perspective of women from a socially disadvantaged neighborhood.MethodsA total of 34 women participated in a CBPR-informed physical activity intervention previously developed in collaboration with lay health promoters and other citizens from the same neighborhood. Focus group discussions were conducted at four time points, namely, at baseline prior to the intervention, post-intervention, 6 months after the intervention ended, and during the COVID-19 pandemic. The data were analyzed using qualitative content analysis following an inductive approach.ResultsIn total, four themes emerged from the discussions: “Wavering between frustration and action,” “Shifting from prioritizing family needs to taking control of self,” “Between isolation and social support,” and “Restricted access to health-related knowledge vs. utilizing internalized knowledge”.ConclusionThe results of this study reveal that building on CBPR-informed health promotion initiatives has the potential to foster individual empowerment and assist during acute situations like the COVID-19 pandemic through mobilizing communities and their resources, which leads to increased community resilience and health. This study is regarded as unique in that it involves evaluation of a CBPR intervention that was initiated ahead of the pandemic and followed even during the pandemic.

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Who is left behind? The impact of place on the possibility to follow Covid-19 restrictions

Cited by 14 publications

References 24 publications

Political trust in the handling of the COVID-19 pandemic: a survey in Denmark and Sweden

Political trust in the handling of the COVID-19 pandemic: a survey in Denmark and Sweden

‘No one size fits all’ – community trust-building as a strategy to reduce COVID-19-related health disparities

Impact of a CBPR-informed physical activity intervention before and during COVID-19 among women from a disadvantaged neighborhood in Sweden

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