Poverty Reduction's Influence On Risk factors for non-communicable diseases: A systems approach (PRIOR)

背景较贫穷的人患心脏病、胸部问题和精神健康状况等慢性病的比例较高。我们也知道债务的恶性循环会导致更差的精神和身体健康。在我们城市的一些地区，日益严重的粮食和燃料短缺导致了可怕的后果，包括儿童的预期寿命低于其父母，在工作年龄期间患多种疾病的可能性更大。为了防止人们变得更穷，许多理事会与雇主和其他机构（如志愿团体）合作，开展“扶贫”活动。卫生专业人员经常衡量贫困，以找出最贫困的社区生活在哪里，并针对这些地区开展卫生活动，然后衡量对健康的影响，同时考虑到贫困问题。许多卫生政策注重个人生活方式的改变。这依赖于高水平的健康和数字素养，以及个人有责任改变行为。金融知识也遇到了同样的问题。人们应该知道如何避免债务，明智地消费，并培养提高财富的技能。我们还知道，较贫穷的人比那些背景较富裕的人更早患上许多精神和身体疾病。我们注意到，当我们与这些社区的人们交谈时，他们告诉我们，他们的财务状况如何意味着他们无法为自己和家人做出健康的选择，也无法驾驭最新的数字技术。他们还描述了他们对负债和无法提供繁荣所需的一切的恶性循环的沮丧。地点和社区对人们如何做出健康和其他生活选择的重要性正在成为研究、政策和实践的一个重要领域。这一名为“减贫对非传染性疾病风险因素的影响：一种系统方法（PRIOR）”的独特方案旨在将减贫领域的所有专业学科、慈善机构和志愿部门与公众和企业结合起来。其目的是通过共同设计、共同筹资、实施和评估减贫战略来改善健康和福祉，重点是心理健康，减贫战略包括教育干预措施，改善健康、金融和数字包容性和扫盲，小额赠款计划，以及通过改善福祉的激励计划预防非传染性疾病。我们将把重点放在曼彻斯特、柴郡和唐卡斯特最贫困的社区，以展示改善的社会资本和凝聚力、就业能力和改善的公共空间。通过改变影响贫困和健康的各种制度，我们将能够减轻我们社区中最弱势群体的非传染性疾病负担。健康促进理论的基础是发展“社会有组织的努力”，以帮助个人“轻松地做出健康选择”。同样，金融包容性干预措施确保人们对自己的财务状况有很好的了解。我们的项目管理只有五所大学，因为我们将专注于我们的联盟，包括直接与社区个人合作的广泛人员。我们将与社区合作，利用我们自己的专业知识，提出新的解决方案，例如卫生、数字和金融知识培训、小额赠款计划、激励健康选择。他们将决定什么是重要的，以及如何最好地实施它。然后，我们将使用稳健的方法来实现系统变更，以衡量它对个人是否有效，是否负担得起。我们知道这个系统对个人的选择有巨大的影响，所以我们将改变系统，以确保每个人都公平地拥有他们需要的技能，同时将其与没有我们工作方式的地区进行比较。这种证据可以在其他地方以很少或没有额外费用使用。

People from poorer backgrounds have higher levels of chronic diseases e.g. heart disease, chest problems and mental health conditions. We also know of the vicious cycle of debt leading to poorer mental and physical health. In some parts of our cities, there is increasing food and fuel poverty leading to terrible consequences, including children having lower life expectancies than their parents and more chance of multiple diseases developing during their working age. To prevent people from becoming poorer, many councils work with employers and other agencies, such as voluntary groups, to develop 'poverty alleviation' activities. Health professionals often measure poverty to find where the most deprived communities live and target health activities in these areas and then measure the impacts on health, taking into account poverty. Many health policies have focused on lifestyle changes for the individual. This relies on high levels of health and digital literacy and changing behaviour being the individual's responsibility. Financial literacy has also suffered the same problem. People are expected to know how to avoid debt, spend wisely and develop skills to improve their wealth. We also know that poorer people suffer from many mental and physical diseases earlier in life than those from richer backgrounds. We noticed from when we speak to people from these communities they tell us how their finances mean they are not able to make healthy choices for themselves and their families or able to navigate the latest digital technologies. They also describe their frustration with the vicious cycle of being in debt and not being able to provide all that is needed to thrive. The importance of place and community on how people make healthy and other life choices is becoming an important area for research, policy and practice. This unique programme called "Poverty Reduction's Influence On Risk factors for non-communicable diseases: A systems approach (PRIOR)", aims to combine all the professional disciplines, charities and the voluntary sector in poverty alleviation with the public and business. The aim is to improve health and wellbeing, with a focus on mental wellbeing, through the co-design, co-financing, implementation and evaluation of poverty alleviation strategies which include education interventions, improving health, financial and digital inclusivity and literacy, a microgrant scheme, and non-communicable disease (NCD) prevention through incentivised schemes to improve wellbeing. We will focus on the most deprived communities in Manchester, Cheshire and Doncaster to demonstrate improved social capital and cohesion, employability and improving public spaces. By changing the various systems that influence poverty and health, we will be able to reduce the burden of NCDs on the most vulnerable in our communities. Health promotion theory is based on developing 'organised efforts of society' to help individuals make "the health choice the easy choice". Financial inclusion interventions, similarly, make sure people have good understanding of their finances. Our project management only has five universities because we will focus on our consortium including the wide range of people who directly work with individuals in communities. We will work together with communities, bringing our own expertise to come up with novel solutions e.g. health, digital and financial literacy training, microgrant schemes, incentivised healthy options. They will decide on what is important and how best to implement it. We will then use robust methodologies to bring about system change to measure whether it is effective both for the individuals and is affordable. We know the system has a huge impact on the choices that an individual will make, so we will change the systems to ensure everyone fairly has the skills they need whilst comparing this to areas without our way of working. This evidence can be used in other places at little or no additional cost.