Community action for health in socioeconomically deprived neighbourhoods in Barcelona: Evaluating its effects on health and social class health inequalities |
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| Affiliation: | 1. Agència de Salut Pública de Barcelona, Spain;2. CIBER Epidemiología y Salud Pública, Spain;3. Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Spain;4. Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Spain;5. Institut de Govern i Polítiques Públiques, Universitat Autònoma de Barcelona, Spain;6. Departament de Ciència i Política i Dret Públic, Universitat Autònoma de Barcelona, Spain;7. Centre d''Atenció Primària Roquetes-Canteres, Institut Català de la Salut, Spain;1. Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan;2. Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan;3. Cancer Institute Hospital of Japanese Foundation for Cancer Research, Japan;1. Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, USA;2. Policy Research Group, University of Cambridge, UK;3. Faculty of Economics and Business, University of Groningen, the Netherlands;4. Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia;5. Faculty of Arts, Masaryk University, Czech Republic;6. Predictive Psychometrics Laboratory, University of Lincoln, UK;7. Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA;8. Department of Social Psychology and Methodology Department, Psychology Faculty, Universidad Autónoma de Madrid, Spain;1. Karl Polanyi Institute of Political Economy, Concordia University, Montreal, Canada;2. School of Public Policy and Administration, Carleton University (RH-5224), 1125 Colonel By Drive, Ottawa, Ontario, K1S 5B6, Canada;1. Henley Business School, University of Reading, Whiteknights, Reading, RG6 6UD, UK;2. NHS England South West, Jenner House, Langley Park, Chippenham, Wiltshire, SN15 1GG, UK;3. School of Economics and Management, Beijing Jiaotong University, Beijing, 100044, China;4. Royal Berkshire NHS Foundation Trust, Reading, RG1 5AN, UK |
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| Abstract: | BackgroundThe aim of this study was to analyse trends in several health-related indicators in socioeconomically deprived neighbourhoods in Barcelona with strong community action for health (CA), and compare them to neighbourhoods without such community action. A secondary goal was to analyse trends in socioeconomic inequalities in health in both types of neighbourhood.MethodsWe performed a quasi-experimental pre-post study using data from the Barcelona Health Surveys of 2001 and 2011. Our dependent variables were self-perceived health, mental health, previous drug use, and smoking cessation. We used Poisson regression with robust variance to calculate prevalence ratios (PR) and 95% Confidence Intervals (95% CI).ResultsThe percentage of men who had ever used drugs decreased over time in neighbourhoods with strong CA (PR = 0.48; 95% CI:0.25–0.92, from 2001 to 2011), but not in neighbourhoods without CA (PR = 1.02; 95% CI:0.74–1.40). However, the prevalence of poor mental health among men increased more in neighbourhoods with strong CA than in neighbourhoods without CA (p-value = 0.025). Among women, social class inequalities in poor mental health and smoking cessation decreased over time in neighbourhoods with strong CA but not in neighbourhoods without CA.ConclusionsOur study shows promising results regarding the effect of community action on health, particularly in terms of inequalities. Our results highlight the importance of allocating resources to implement and continuously evaluate CA initiatives. |
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| Keywords: | Community action for health Health Health behaviours Health inequalities |
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