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Growing up during neighbourhood change: The impacts of urban regeneration on the psychosocial health of young people in South East London

在社区变革中成长：城市复兴对伦敦东南部年轻人社会心理健康的影响

基本信息

批准号：
1917741
负责人：
金额：
--
依托单位：
King's College London
依托单位国家：
英国
项目类别：
Studentship
财政年份：
2017
资助国家：
英国
起止时间：
2017 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=studentship-1917741
关键词：
Growing up during neighbourhood change

项目摘要

This study will examine the effects of urban regeneration understood as a process of neighborhood change on two aspects of psychosocial health -common mental disorders (CMD) and wellbeing- of young people in South East London. Using mixed methods and participatory action research with young people as co-researchers to explore how they experience neighborhood transformation. Mental health in young people is of concern, with half of lifetime mental health problems starting by age 14 (Smith et al, 2015b). CMD such as depression and anxiety have higher prevalence in urban environments (Hatch et al, 2011;). There is evidence on socio-economic determinants of psychosocial health showing that disadvantage over life course is linked to poor health. It is less clear whether aspects of physical and social environments at neighbourhood-level also affect the risk of CMD (Polling, 2014). In the UK, studies investigating the health and wellbeing impacts of regeneration are rare and offer mixed findings (Thomson et al, 2006; Smith et al, 2012; Huxley and Roger, 2006). These commonly exclude young people under the age of 16 (Smith et al, 2015a). South East London has widespread regeneration programmes underway, higher eviction rates than the national average and 24.2% of the adult population reporting CMD (Lees and White, 2016; Hatch et al, 2011). The study will be supported by the South East London Community Health Study (SELCoH), providing local longitudinal quantitative data.Methodology: The study will conduct a quantitative analysis using SELCoH data and undertake qualitative participatory action research. Participatory Action Research helps to introduce a flexible, collaborative and socially owned process (Kindon, Pain & Kesby, 2007) that will provide a platform for young people to voice their opinions on designing and managing sustainable neighbourhood change. Aim 1a. To perform a critical review of literature related to urban regeneration and the influence of neighborhood spatial, built, environmental and social features on mental health and wellbeing; Aim 1b. To examine national and local regeneration policies, plans, aims and features that shape and influence regeneration in South East London; Aim 2. To investigate the relationship between neighborhood characteristics and CMD, and to examine how they vary by age and across areas; This will involve secondary data analysis on longitudinal data from SELCoH. The SELCoH study is an UK psychiatric and physical morbidity survey of 1698 adults, aged 16 years and over residing in 1075 randomly selected households in the boroughs of Southwark and Lambeth (2008-2010). Initial descriptive analyses will be performed, accounting for clustering by household. Multinomial and logistic regression models will be used to estimate the associations between neighbourhood characteristics and CMD and how they vary by age. Using full postcode data available for each household, analysis will use multilevel logistic regression models to account for hierarchical nature of the data. Aim 3. To explore how young people perceive, negotiate and experience regeneration as a process of neighbourhood change and its impacts on their psychosocial health; 6 young people aged 16 - 18 will be recruited as co-researchers to design and deliver a participatory action research project over 12 months, participating in workshops, research methods training. 40 aged 14 - 18 will be recruited to participate in 4 group sessions delivered by the co-researchers. Co-researchers will collaborate in analysis and coding to identify key findings. Data will be analysed using discourse and content analysis methods and coded using emerging themes and sub-themes that relate to the research questions. A thematic framework will be developed, using existing theories and literature as a basis to analyse the data. Co-researchers will present their findings to participating organisations or community actors.

本研究将研究城市再生的影响，将其理解为社区变化过程对伦敦东南部年轻人心理社会健康的两个方面的影响——常见精神障碍（CMD）和福祉。采用混合方法和参与式行动研究，与年轻人共同研究，探索他们如何体验社区转型。年轻人的心理健康令人担忧，一生中有一半的心理健康问题始于14岁（Smith et al ., 2015b）。抑郁和焦虑等CMD在城市环境中的患病率更高（Hatch et al ., 2011;）。关于心理社会健康的社会经济决定因素的证据表明，生命过程中的不利条件与健康状况不佳有关。不太清楚的是，社区层面的物理和社会环境方面是否也会影响CMD的风险（Polling, 2014）。在英国，调查再生对健康和福祉影响的研究很少，并且提供了不同的结果（Thomson等人，2006；Smith等人，2012；Huxley和Roger， 2006）。这些通常将16岁以下的年轻人排除在外（Smith et al ., 2015）。伦敦东南部正在进行广泛的重建计划，驱逐率高于全国平均水平，24.2%的成年人口报告患有CMD （Lees和White, 2016； Hatch等人，2011）。这项研究将得到伦敦东南部社区健康研究（SELCoH）的支持，提供当地纵向定量数据。研究方法：本研究将使用SELCoH数据进行定量分析，并进行定性参与行动研究。参与式行动研究有助于引入一个灵活、协作和社会所有的过程（Kindon, Pain & Kesby, 2007），这将为年轻人提供一个平台，就设计和管理可持续社区变化发表意见。目的1。对与城市更新和社区空间、建筑、环境和社会特征对心理健康和福祉的影响相关的文献进行批判性审查；目标1 b。审查国家和地方再生政策、计划、目标和特点，塑造和影响伦敦东南部的再生；目标2。探讨社区特征与CMD之间的关系，以及它们在不同年龄和地区之间的差异；这将涉及对SELCoH纵向数据的二次数据分析。SELCoH研究是一项英国精神和身体疾病调查，调查对象是1698名16岁及以上的成年人，随机选择居住在萨瑟克和兰贝斯区的1075个家庭（2008-2010年）。将进行初步的描述性分析，按家庭计算聚类。多项和逻辑回归模型将用于估计邻里特征和CMD之间的关联以及它们如何随年龄变化。使用每个家庭可用的完整邮政编码数据，分析将使用多层逻辑回归模型来解释数据的层次性质。目标3。探索青年人如何看待、协商和体验作为邻里变化过程的再生及其对其心理社会健康的影响；将招募6名年龄在16 - 18岁之间的年轻人作为共同研究人员，在12个月内设计和交付一个参与式行动研究项目，参加研讨会，研究方法培训。将招募40名年龄在14 - 18岁之间的人参加由共同研究人员提供的4个小组会议。共同研究人员将在分析和编码方面进行合作，以确定关键发现。数据将使用话语和内容分析方法进行分析，并使用与研究问题相关的新兴主题和子主题进行编码。将制定一个专题框架，利用现有理论和文献作为分析数据的基础。共同研究人员将向参与的组织或社区行动者展示他们的发现。