Co-Producing Integrated Place-Based Supports to Enable Healthy Ageing-In-Place for Roma Communities

公共卫生机构、政府报告和政策已将罗姆人社区确定为关键优先事项，并指出迫切需要采取健康和福祉干预措施来解决日益扩大的不平等问题。罗姆人群体的健康和福祉状况在全社会最差，包括预期寿命显著降低、长期慢性病患病率较高和社会排斥加剧。与老年人健康相关的结果是由于在获得物质、社会和文化资产方面存在障碍和挑战。该项目的目的是确定社区资产如何能够支持罗姆人社区的健康老龄化，并共同制作旨在减少中年和晚年（40岁以上）健康不平等的综合场所中心。该项目将采用基于社区的参与式研究（CBPR）方法，利用共同研究员模型以及视觉和创造性方法，了解如何调动社区资产，以改善健康和福祉，减少罗姆人社区的边缘化和排斥。该提案已被设计，并将与罗姆人团体平等合作，汇集了一个令人兴奋的跨学科团队在英国的三个地方，我们与法定和非法定组织建立了强大的现有伙伴关系，真正共同设计针对解决健康不平等的干预措施。在这样做的过程中，这项研究提案创造了一个独特的机会，以提供一种基于地方的变革性方法来提供综合服务，旨在减少健康不平等，以确保罗姆人社区在政府承诺提供“到2035年额外五年健康，独立的生活”方面不会落后。

Public health bodies, government reports and policies have identified Roma communities as a key priority, stating that health and wellbeing interventions are urgently needed to address widening inequalities. Roma groups experience some of the poorest health and wellbeing outcomes across society, including significantly lower life expectancies, higher prevalence of long-term chronic conditions and increased social exclusion. Poorer health related outcomes result from barriers and challenges to accessing the physical, social, and cultural assets to age well. The aim of this project is to identify how community assets can support healthy ageing for Roma communities and to co-produce Integrated Place-based Hubs (IPBHs) aimed at reducing health inequities in middle to later life (40+). This project will adopt a community based participatory research (CBPR) approach, utilising a co-researcher model and visual and creative methods to understand how community assets can be mobilised to improve health and wellbeing and reduce marginalisation and exclusion for Roma communities. This proposal has been designed and will be conducted in equal partnership with Roma groups, bringing together an exciting transdisciplinary team across three localities in the UK where we have strong existing partnerships with statutory and non-statutory organisations, to truly co-design interventions targeted at addressing health inequities. In doing so, this research proposal creates a unique opportunity to deliver a transformative place-based approach to integrated service delivery aimed at reducing health inequalities to ensure that the Roma community are not left behind in the government commitment to deliver 'five extra healthy, independent years of life by 2035'.