Is empowerment a route to improving mental health and wellbeing in an urban regeneration (UR) context?
Is empowerment a route to improving mental health and wellbeing in an urban regeneration (UR) context?
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DOI：
10.1177/0042098016632435
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发表时间：
2017-05-01
期刊：
影响因子：
4.7
通讯作者：
Lewsey, James
中科院分区：
文献类型：
--
作者：
Baba, Camilla;Kearns, Ade;Lewsey, James
城市再生（UR）计划被认为是一种人口健康干预（PHI），解决社会和健康不平等问题。政策建议方案通过参与和赋权让社区参与。虽然文献已经开始将增强权能与改善健康联系起来，但这并不是在工发组织代表的范围内。作为对社区赋权活动的经济评估的更广泛研究的一部分，本文探讨了如何通过促进赋权以及确定赋权的感觉是否与居民的个人特征或对社区的看法相关来产生健康收益。使用2011年社区健康和福祉调查（GoWell）的横截面数据，有序逻辑回归和简单线性回归分析的15个格拉斯哥街区进行再生与4302成年住户（≥ 16岁）完成。分析发现，增强权能与SF 12 v2的心理健康子量表以及与沃里克-爱丁堡心理健康量表（WEMWBS）量表的几个项目之间存在强相关性（P >= 0.05）。此外，感觉更有权力的居民对周围环境和住房提供者的态度更积极。这与最近的证据表明，居民的心理投资在他们的邻居影响他们的地方依恋感的重要性。这些分析初步证明，在工发组织代表方案内将资源投入旨在增强居民能力的活动是有价值的，因为这是产生保健收益的一种手段，而保健收益往往是方案中费用较高的方面所追求的。
Urban regeneration (UR) programmes are recognised as a type of Population Health Intervention (PHI), addressing social and health inequalities. Policy recommends programmes involve communities through engagement and empowerment. Whilst the literature has started to link empowerment with health improvement, this has not been within an UR context. As part of broader research on the economic evaluation of community empowerment activities, this paper examines how health gains can be generated through promoting empowerment as well as identifying whether feelings of empowerment are associated with residents personal characteristics or perceptions of their neighbourhood. Using 2011 Community Health and Wellbeing Survey (GoWell) cross-sectional data, ordinal logistic regression and simple linear regression analysis of 15 Glasgow neighbourhoods undergoing regeneration with 4302 adult householders (>= 16 years old) was completed. Analyses identified strong associations (P >= 0.05) between empowerment and the mental health subscale of the SF12v2 and with several items of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) scale. Furthermore, residents' who felt more empowered reported more positive attitudes towards their surroundings and housing providers. This concurs with recent evidence of the importance of residents' psychological investments in their neighbourhood influencing their sense of place attachment. Such analyses present initial evidence of the value of investing resources within UR programmes to activities geared towards increasing residents' empowerment as a means of producing those health gains often sought by more costly aspects of the programmes.