scholarly journals Health, well-being and social relations in a changing neighbourhood

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Lund ◽  
U Christensen ◽  
J Mathisen ◽  
A Srivarathan ◽  
D Molbo ◽  
...  

Abstract The main purpose of the study is to examine the development in health, wellbeing and social relations among middle-aged and older residents during a four-year period from 2018-2021 in a Danish multi-ethnic social housing area undergoing large structural changes in the built environment. In addition, to develop two interventions with a focus on ensuring social cohesion in the area during the study period. This presentation will provide an overview of the study outline. The presentation will include a description of the study area, the political decisions that have led to the structural changes, the study population and a short overview of the aims and planned sub-studies. To prepare for the workshop discussion of the challenges, advantages and possibilities with the multi-methods approach this is followed by a short introduction to the different methods applied (a three-wave survey and qualitative data as well as two co-created interventions). The study is furthermore including a 'natural experiment' (N∼6.000) with a neighbouring non-profit social housing area not undergoing structural changes as the control area based on register data. The user-engagement in the design of study will be shortly described for example by their involvement in intervention development and by the involvement of citizen representatives and representatives from the Municipality and local non-governmental organizations in the design and execution of the study. Finally, the inclusion of graphical facilitation as a communication tool will be introduced.

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e030936 ◽  
Author(s):  
Rikke Lund ◽  
Ulla Christensen ◽  
Jimmi Mathisen ◽  
Kristine S Sørensen ◽  
Abirami Srivarathan ◽  
...  

IntroductionResidential areas constitute an important arena for health, well-being and social relations. Structural interventions such as demolition and area renewal have been used to reduce inequality in health and well-being in disadvantaged areas. However, the effects of larger structural interventions are inconclusive. In a longitudinal perspective, this study aims to analyse how large-scale structural changes in an ethnic diverse social housing area are associated with the residents’ health, well-being and social relations.Methods and analysisIn this multimethods study, we examine this aim among middle-aged and older residents in a multiethnic social housing area in a Danish municipality by the inclusion of comprehensive survey (in 2018, 2019 and 2020), register (yearly 2015–2025) and qualitative (2018–2020) data. Municipal Health Profile survey data from 2017 and 2021 will be used for comparison. The area will undergo large structural changes in the built environment during 2018–2021. A ‘natural experiment’ (n=6000) compares differences in health and social outcomes across the study period between the study area and a similar neighbouring area not undergoing structural changes. Through user engagement in the design of the study, throughout the different phases of the study and in the two co-created interventions embedded in the study design, a focus on empowerment and recognition of the resources and perspectives of residents are encouraged.Ethics and disseminationThe study is registered in the University of Copenhagen’s record of biobanks and research projects containing personal data and will be conducted in accordance with the principles of the Helsinki Declaration. Residential and municipal representatives and local non-governmental organisations are engaged in the design and execution of the study to ensure the usefulness, reflexive interpretation of data, and relevance of interventions. Results will be published in international peer-reviewed scientific journals, presented at conferences and as short reports through the use of both written and visual outputs.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Structural changes are commonly used as a political tool to improve health and wellbeing and reduce health disparities in deprived social housing areas. However, the evidence of effect is limited and ambiguous. Potential consequences are both positive (increasing heterogeneity in socioeconomic background of residents, better overall health) and negative (poorer social cohesion, stress due to relocation of residents). In Denmark, a number of social housing areas have recently been selected for large structural changes based on a politically defined list of indicators related to the socio-economic status and ethnicity of the residents. The setting for the workshop is a prospective multi-methods study of health, wellbeing and social relations among residents in one of the selected social housing areas in the period 2015-2025 with a focus on middle-aged and older residents, 'Health, Well-being and Social Relations in a Changing Neighbourhood'. Twenty percent of the apartment blocks in the area will be demolished in the period 2019-2020. This study provides a unique opportunity to explore the effects of large-scale structural changes in a longitudinal and multi-methods perspective. Thus, the study aims to increase our understanding of how changes affect the health, well-being and social relations among residents from different perspectives. Through user engagement in the design of the study and in particular in the two co-created interventions embedded in the study design, a focus on empowerment and recognition of the resources and perspectives of residents is encouraged. The main objectives of this workshop is to present and discuss the advantages and challenges with the different methodological approaches and communicative tools and how to gain synergistic effects of this approach within the setting of the research project. The workshop will include five presentations followed by a discussion. A focus on the multiple methods employed in the project and how they interact and supplement each other will bind the presentations together. The purpose is to share and discuss with the public health research community the experienced advantages as well as challenges with this approach. The project includes: A three wave survey (before, during and after the structural changes) (target population N∼600 in each wave). A needs assessment based on 31 qualitative interviews and results from the first survey wave. Two co-created interventions with a main purpose of ensuring social cohesion in the community during the structural changes. Register-based information on health and social factors in the period 2015-2025 on all residents living in the social housing area as well as in a similar neighbouring control social housing area not undergoing structural changes until 2023 (natural experiment approach). Novel in this area, graphic illustrative methods will be included as an instrument for increasing communication success and as part of the interventions. Key messages The workshop offers insight on synergistic effects of a longitudinal, multi-methods study exploring health and social effects of large-scale structural changes in an ethnic diverse social housing area. Offers a discussion of the challenges with data collection in a period with Danish state level political decisions leading to significant structural changes in deprived social housing areas.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M F Kvorning ◽  
A Srivarathan ◽  
S Nygaard ◽  
R Lund

Abstract Background During the coming years, selected social housing areas in Denmark will undergo large structural changes as part of a political agenda. Previous studies on the effects of such interventions are inconclusive. Residential areas are important for the development of social relations and health. The aim of this study was to explore the associations between social relations and self-rated health (SRH) and the interaction with country of origin in an ethnically diverse social housing area undergoing demolition, and compare results with the municipality. Methods Data include multilingual interviewer driven surveys with residents aged 45+ years before demolition began in 2018 (N = 209) and during the demolition in 2019 (N = 132), and a health survey on municipality level (N = 1638). Information on social relations include contact frequency with and support from family, friends and neighbors. SRH was dichotomized into high/low. Descriptive and multivariate logistic regression analyses adjusted for age, sex and Western/non-Western origin are presented. Results In cross-sectional analyses from 2018, low contact frequency and low support increased the risk of low SRH, OR = 1.44 (0.63-3.29) and OR = 1.23 (0.62-2.48), especially when also having non-Western origin compared to having high contact frequency or support and Western origin, OR = 6.27 (1.80-21.84) and OR = 4.43 (1.68-11.69), respectively. The same association was seen in 2019 and on municipality level. Low contact frequency in 2018 was associated with higher risk of developing or maintaining low SRH in 2019 compared to the group with high contact frequency in 2018 in longitudinal analyses, OR = 3.04 (0.91-10.91). Conclusions Poor social relations increased the risk of low SRH, especially when also having non-Western origin. Having poor social relations before the demolition was associated with an increased risk of developing or maintaining low SRH during the demolition in an ethnically diverse social housing area. Key messages Having low contact frequency before area demolition in a social housing area in Denmark increased the risk of developing or maintaining low self-rated health after demolition had begun. Having poor social relations and non-Western origin is associated with a strong increased risk of low self-rated health in a deprived ethnic diverse social housing area in Denmark.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Nygaard ◽  
A Srivarathan ◽  
J Mathisen ◽  
R Lund

Abstract Often an intervention is applied in an area (e.g. community, municipality) without it being an experiment and without a control group, this can be categorized as a natural experiment. Such a situation offers the opportunity to exploit exposure contrasts between areas regarding the specific intervention for evaluation. In the present study, we will employ the difference-in-difference approach to evaluate the natural experiment (the structural intervention) comparing measures of health and social factors retrieved from registers in the two social housing areas before and after the intervention. A 'natural experiment' study comparing individual and aggregated level differences in register-based information on health and social variables across time including the entire study period is included in the research project. The population includes all residents with an address in the study area and the control area at any point during the years 2015-2025 (∼3,000 residents in each area). All residents are linked to the Danish social and health registers by the unique personal identification number, which makes it possible to follow all permanent and former residents over time. Hereby we plan to study if the structural changes (the structural intervention, the 'natural experiment') give rise to differences in health (such as use of general practitioner, hospitalizations, use of selected medications) and social factors (e.g. divorces, income levels, unemployment) compared to the control area. The control area is representing a similar social housing area in the same municipality, which will not undergo structural changes until 2023. Findings will be evaluated drawing upon knowledge gained from the entire study from surveys and qualitative interviews as well experiences from the interventions. In this presentation, we wish to discuss how best to include the knowledge based on other methodologies in the register-based analyses.


2021 ◽  
pp. 140349482110546
Author(s):  
Siv Steffen Nygaard ◽  
Abirami Srivarathan ◽  
jimmi Mathisen ◽  
Maria Kristiansen ◽  
Ulla Christensen ◽  
...  

Aim: To document the challenges of developing and executing an interviewer-driven survey questionnaire in an ethnically diverse and deprived social housing area undergoing reconstruction in Denmark. Methods: The survey was initially planned to be conducted in three waves (before, during and after reconstruction of the housing area), based on a questionnaire covering health, wellbeing and social relations. The first two waves took place in 2018 and 2019 (invited n=~600 per wave) and the third wave will be conducted once the reconstruction is finalised. The approach to the third wave is under revision by the research team. The questionnaire was translated from Danish into the seven most common languages in the housing area. A bilingual interview team went door to door interviewing residents. Field notes were collected systematically during each wave to document the process. Results: The response rates were 35% ( n=209) and 22% ( n=132) for waves 1 and 2, respectively. There was an overall decrease in response rates between waves 1 and 2 for all language groups, but particularly for Arabic and Turkish-speaking men. The most frequently stated reasons for non-participation included illness and language barriers. The key lessons learnt were that overcoming linguistic and cultural barriers to conducting research among residents in this social housing area requires time and resources. Conclusions: Several challenges are associated with conducting a survey in ethnically diverse and deprived social housing areas. Documenting the challenges and learning from experience are both important, in order to include this hard-to-reach population in health research.


Author(s):  
Abirami Srivarathan ◽  
Rikke Lund ◽  
Ulla Christensen ◽  
Maria Kristiansen

Emerging evidence points towards a lower quality of life, fragile social relations and suboptimal health behavior and status of residents living in social housing areas characterized by ethnic diversity and socioeconomic deprivation. Community-based health promotion interventions developed in collaboration with the target group and adjusted to the local context can affect the acceptance of and engagement in such interventions. However, few studies have investigated the potential of community-based interventions in deprived social housing areas. This study explores residents’ perspectives on engagement in a community-based health promotion intervention focusing on enhancing social relations. The study builds on qualitative methods including participant observations combined with pre- and post-intervention interviews with a selected group of residents (n = 9). Data were thematically analyzed with focuses on participation in an everyday life context, concepts of othering, and territorial stigmatization. Engagement in the intervention was motivated by the need to establish and enhance social relations, and to explore the world outside the housing area. However, barriers including cultural and language differences among residents, and competing contextual factors, challenged engagement. We conclude that participatory community-based interventions have a potential to enhance social relations in deprived social housing areas. However, adequate support and efforts to overcome the identified barriers are needed.


Author(s):  
Nayeli del Carmen Rodríguez Esquivel ◽  
Katherina Edith Gallardo Córdova

RESUMEN El estudio del bienestar en el entorno educativo se ha replanteado con la inserción de elementos de la psicología positiva en el entorno escolar, misma que ha modificado algunas perspectivas en torno a la orientación educativa, en particular en la orientación vocacional. El sentido de bienestar ya no es un referente exclusivo del contexto de salud, contempla también las emociones, las relaciones sociales, el sentido de vida y logros personales, todos estos elementos se tornan necesarios a considerar en el currículo escolar. A esto se suma, que actualmente se conoce más sobre las características de los adolescentes que son parte de la generación de aprendices digitales. Por tanto, el reto en los proyectos de orientación educativa es consolidar cambios estructurales necesarios para orientar de la mejor manera posible a jóvenes. A ellos, en pocos años les tocará diseñar y elegir un proyecto de vida en un mundo que ofrece cada vez más opciones de formación profesional y en diversos formatos. Este trabajo propone un análisis de perspectivas y enfoques que abordan estos temas desde diferentes vertientes y plantea la necesidad de conjuntar visiones en enfoques propositivos e innovadores para atender las demandas de los jóvenes con la inclusión del sentido de bienestar en dichas propuestas de orientación.ABSTRACT  The study of well-being in the educational environment has been reconsidered with the inclusion of elements of positive psychology in the school environment. This situation has modified some perspectives regarding educational guidance, particularly in vocational guidance. The sense of well-being is no longer an exclusive reference of the health context, it also includes emotions, social relations, the meaning of life and personal goals and achievements, all these elements are necessary to consider at the school curriculum. Additionally, more has been learned of the adolescents who belong to the digital-learner generation. Therefore, the challenge in educational projects is to consolidate structural changes necessary to guide young people in the best way possible. In the next years they will have to design and make decisions about a life project in a world that offers more and more options for professional training in different formats. This paper proposes an analysis of perspectives and approaches that address these issues from different perspectives and raises the need to combine visions in proactive and innovative approaches at educational guidance projects to meet the demands of digital learners with the inclusion of the sense of well-being in these proposals.


2021 ◽  
Vol 19 ◽  
Author(s):  
Mohd Ismail Isa ◽  
Massoomeh Hedayati Marzbali ◽  
Izzati Hilda Azizan

This research aims to study the changes in physical and social patterns among tsunami victims in Kedah, Malaysia by examining the relationship between their perceptions of safety and satisfaction. Data were obtained through a questionnaire survey on 109 respondents who live in Taman Permatang Katong, a new housing area built by the federal government. Results indicated the positive relationship between perception of safety and satisfaction. Meanwhile, social relations played a mediating role on the relationship between perception of safety and satisfaction. This finding implies that those who perceived the new resettlement area to be safer reported higher levels of social relations and, consequently, higher levels of satisfaction. Overall, the majority of residents in Taman Permatang Katong are satisfied with their new houses after the tsunami and feel safe in their area of residency. In conclusion, the resettlement programme should be well planned and should consider both social and physical aspects to improve the well-being of residents.


2012 ◽  
pp. 32-51 ◽  
Author(s):  
M. Fleurbaey

The second part of the paper is devoted to the non-monetary indicators of social welfare. Various approaches to the study of subjective well-being and happiness are described. The author shows what problems a researcher would encounter trying to analyze welfare on the micro-level and to take account of the cognitive and affective aspects of the individuals assessment of their well-being, as well as the relevance of social relations. The author also shows to what extent the alternative approaches, particularly the analysis of functionings and capabilities advanced by A. Sen are compatible to the modern welfare economics and what prospects the latter has.


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