Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach

Mehdipanah, Roshanak; Manzano, Ana; Borrell, Carme; Rodríguez-Sanz, Maica; Greenhalgh, Joanne; Muntañer, Carles; Pawson, Ray

doi:10.1016/j.socscimed.2014.11.050

Cited by 52 publications

(48 citation statements)

References 52 publications

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“…For example, through a gentrification process, high-income residents may begin moving into the area, contributing to the increase in living expenses. This could ultimately result in unaffordable and non-accessible neighbourhoods for populations deemed as place-bound,23 including low-income residents,22 ultimately resulting in their displacement. Furthermore, within Barcelona, tourist rentals have impacted both housing and living conditions in the neighbourhoods, leading to the rise of temporary residents in the city, instability in the neighbourhoods and the displacement of long-term residents 24.…”

Section: Introductionmentioning

confidence: 99%

“…Existing research in Barcelona connecting large urban renewal programme to health outcomes have shown positive impacts on health and health inequities 23. However, such programme have often been localised or targeted at specific populations.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence shows that neighbourhoods with greater socio-economic inequities are more likely to have a lack of community participation including voting turnout and less likely to have strong social networks 25. At the individual-level, interactions with the built environment differ for various groups including women, children, people of colour, residents of low social status, people with disabilities and seniors, all of whom navigate physical and social spaces differently 23. Urban renewal programme like the Superblock have direct impacts on these interactions that can ultimately have positive or negative health impacts for these groups 23.…”

Section: Introductionmentioning

confidence: 99%

“…At the individual-level, interactions with the built environment differ for various groups including women, children, people of colour, residents of low social status, people with disabilities and seniors, all of whom navigate physical and social spaces differently 23. Urban renewal programme like the Superblock have direct impacts on these interactions that can ultimately have positive or negative health impacts for these groups 23. For example, while improved walkability is associated with various positive health outcomes, individuals with physical and mental disabilities will not experience the same level of benefits as others.…”

Section: Introductionmentioning

confidence: 99%

“…For example, unequal distribution and uptake of resources made available by local governments at the neighbourhood level can result in inequities across the physical and social factors that may influence the implementation phases of the intervention and the ultimate outcomes attained 23. Therefore, an understanding of various factors including civic engagement (eg, neighbourhood relations, neighbourhood organisations, voter turnout), geographic location (eg, downtown, proximity to mountains) and land use (eg, residential areas, commercial areas or mixed-land use), that can influence social and physical environments, should be considered when discussing potential variations across the outcomes attained.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Superblocks on health and health inequities: a proposed evaluation framework

Mehdipanah

Novoa

León-Gómez

et al. 2019

J Epidemiol Community Health

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The following essay outlines the intervention and presents a framework that will serve as a guide in the evaluation of the different effects of the Superblocks. Superblocks consist of amalgamations of blocks throughout the city, with the goal of improving the habitability of public spaces, advancing sustainable mobility, increasing urban green, and promoting residents’ participation and coresponsibility, while ultimately influencing residents’ health and health inequities. The evaluation framework considers the following aspects: the interventions implemented in the Superblock strategy, the changes that occur at neighbourhood and individual level and the population turnover as intermediate factors and finally the health outcomes. Inequity dimensions are also considered.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of Superblocks on health and health inequities: a proposed evaluation framework

Mehdipanah

Novoa

León-Gómez

et al. 2019

J Epidemiol Community Health

Self Cite

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Causes, consequences and health impacts of gentrification in the Global North: a conceptual framework

Cole,

Vásquez-Vera,

Triguero-Mas

et al. 2024

J Hous and the Built Environ

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We aimed to create a theoretical framework to understand how neighborhood gentrification may impact urban health and health equity, taking into account perspectives and evidence from multiple disciplines. In addition to reviewing the literature and harnessing our own experience and expertise, we elicited input from researchers, activists and professionals from multiple fields using an eDelphi process, determined the agreements and disagreements between respondents on the causes, consequences, and health impacts of gentrification. Respondents agreed that neighborhood gentrification has important implications for mental health and on many of the causes and consequences of gentrification but reached less agreement on the pathways by which gentrification may affect health and the specific health outcomes that may be affected. Finally, we generated an evidence-informed conceptual framework taking into account the input from the eDelphi process. Here we present this conceptual framework for understanding the relationship between gentrification and health and discuss a future research agenda for this emerging theme in public health research.

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Measuring and Analysing Community Action for Health: An Indicator-Based Typology and Its Application to the Case of Barcelona

et al. 2017

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Social welfare systems face major challenges, particularly in a context of social transformation, austerity and growing inequalities. This process is highly visible in the health sector. In this context, many voices ask for public sector reforms and community action for health as a relevant practice. However, analyses and evaluations of this kind of practices are still limited, particularly beyond the cases of single community health actions or interventions. We still need to identify key indicators for measuring and characterising what community action for health consists of, as well as to what degree this kind of intervention has been developed across a city. Based on a research about 49 neighborhoods in Barcelona, this paper creates an index to measure and characterize community action for health, using different indicators: citizen engagement programs in community health, organizational transformation of the health and social protection systems, stable participatory structures with specific teams, and urban health policies. We apply the index to the case of Barcelona and build a map of community action for health in the city using 4 categories: strong community health development (one neighbourhood), middle (9 neighborhoods), emergent (25 neighborhoods) and without specific community health promotion (14 neighbourhoods). We find that community action for health is extensive within the city of Barcelona, have great potential as a response to the need for change in the relationship between the public (health) sector and the citizenry, but is still implemented unequally across the urban territory in terms of types and methods.

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Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach

Cited by 52 publications

References 52 publications

Effects of Superblocks on health and health inequities: a proposed evaluation framework

Effects of Superblocks on health and health inequities: a proposed evaluation framework

Causes, consequences and health impacts of gentrification in the Global North: a conceptual framework

Measuring and Analysing Community Action for Health: An Indicator-Based Typology and Its Application to the Case of Barcelona

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