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，指出迫切需要采取健康和福祉干预措施，以解决日益扩大的不平等问题。罗姆人群体在整个社会经历了一些最糟糕的健康和福祉结果，包括预期寿命显著降低、长期慢性病患病率较高以及社会排斥增加。与健康相关的结果较差是因为在获取物质、社会和文化资产以很好地老龄化方面存在障碍和挑战。该项目的目的是确定社区资产如何支持罗姆人社区的健康老龄化，并共同制作旨在减少中老年健康不平等的综合地方枢纽(IPBH)(40+)。该项目将采用以社区为基础的参与性研究(CBPR)方法，利用合作研究员模式以及视觉和创造性方法，了解如何动员社区资产来改善健康和福祉，并减少罗姆人社区的边缘化和排斥。这项建议已经设计并将与罗姆人团体建立平等的合作伙伴关系，在英国的三个地方聚集了一个令人兴奋的跨学科团队，我们在这些地方与法定和非法定组织建立了强大的现有伙伴关系，以真正共同设计旨在解决卫生不平等问题的干预措施。通过这样做，这项研究提案创造了一个独特的机会，以提供一种以地点为基础的综合服务交付的变革性方法，旨在减少健康不平等，以确保罗姆人社区不会落后于政府的承诺，即到2035年提供额外的健康、独立的五年寿命。

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'.