The Living Roots Project: Building a community asset and research consortium in Ealing, West London to address health equity

这笔赠款将支持范围和形成“社区资产和研究伙伴关系”，以建立一个“活根桥”，汇集和探索社区和公共卫生联系内的西北伦敦（NWL）综合护理系统（ICS），以解决健康不平等。伊灵是伦敦西部的一个“超级多样化”的自治市，拥有少数民族和移民社区，长期以来为种族正义而动员，以及丰富的文化和社区资产。这些资产包括当地的公园，分配，青年中心，充满活力的音乐场景，艺术画廊和食品中心，仅举几例。在这里，存在着巨大的不平等，与健康的交叉社会决定因素有关，包括种族，财富和收入。以伊灵为重点，通过“综合征”框架和参与式行动研究，我们将（1）建立对与健康（不）公平和潜在变化领域相关的主要问题的共同理解，（2）绘制和界定社区资产并促进合作，以及（3）探索合作模式，以期建立一个（或多个）社区资产和研究中心，并与北威尔士综合社区服务系统建立联系。“疾病综合征”方法使我们能够将健康问题视为相互关联的问题，特别是关注导致弱势群体多种健康问题的社会背景。这比“单一疾病”方法更有力，后者往往主导公共卫生思维。我们将使用跨学科的，包容性的方法，关键是，寻求建立合作伙伴之间的信任，并通过一个可持续的，参与的研究联盟促进长期合作的目的，为系统的变化，健康公平和福利在伊灵。我们设想，这个项目将有利于更广泛的伊灵社区通过1）专注于“资产”或优势为基础的方法，其中包括更好地了解福祉，以及2）汇集不同的，也代表性不足，声音采取行动，在自治市镇的健康公平。

This grant will support the scoping and formation of a 'community asset and research partnership' to build a 'living roots bridge' that brings together and explores community and public health linkages within the North West London (NWL) Integrated Care System (ICS) to tackle health inequity. Ealing is a 'superdiverse' borough in West London with racially minoritised and migrant communities, longstanding histories of mobilising for racial justice, and rich cultural and community assets. These assets include local parks, allotments, youth centres, a vibrant music scene, art galleries, and food hubs, to name a few. Here, there are vast inequities in health between groups linked to intersecting social determinants of health, including ethnicity, wealth and income.Focusing on Ealing and through a 'syndemics' framework and participatory action research, we will (1) create shared understandings of the main problems related to health (in)equity and potential areas for change, (2) map and scope community assets and facilitate collaboration, and (3) explore collaborative models with a view to establishing one (or more) community asset and research hubs with linkages to the NWL ICS.A 'syndemics' approach enables us to view health problems as interconnected, specifically looking at the social context which drives multiple health problems in disadvantaged populations. This is more robust than 'single disease' approaches which often dominate public health thinking. We will use transdisciplinary, inclusive approaches which critically, seek to build trust amongst partners, and with the aim of facilitating long-term collaboration through a sustainable, engaged research consortium for systems change, health equity and wellbeing in Ealing.We envision that this project will benefit the wider Ealing community through 1) focusing on an 'assets' or strengths-based approach, which includes a better understanding of wellbeing, and 2) bringing together diverse, and also under-represented, voices to take action on health equity in the borough.