Location, location, location: The role of experience of disadvantage in lay perceptions of area inequalities in health

Davidson, Rosemary; Mitchell, Richard; Hunt, Kate

doi:10.1016/j.healthplace.2007.05.008

Cited by 41 publications

(62 citation statements)

References 31 publications

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“…Our findings are similar to those from qualitative studies in urban settings of developed countries (Bolam et al 2004;Castro and Lindbladh 2004;Davidson et al 2008;Popay et al 2003;Wallis et al 2010) in that poor housing quality and inappropriate waste disposal featured prominently in women's accounts of the physical features of neighbourhoods that were perceived to influence their wellbeing. However, a notable difference was that women in our study hardly referred to physical health problems that they associated with the conditions in which they lived.…”

Section: Discussionsupporting

confidence: 89%

Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo

Ahmad

Fouad

Zaman

et al. 2018

Int J Public Health

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Objectives To explore how married women living in low-income formal and informal neighbourhoods in Aleppo, Syria, perceived the effects of neighbourhood on their health and well-being, and the relevance of these findings to future urban rebuilding policies post-conflict. Methods Semi-structured interviews were undertaken with eighteen married women living in informal or socioeconomically disadvantaged formal neighbourhoods in Aleppo in 2011, a year before the armed conflict caused massive destruction in all these neighbourhoods. Results Our findings suggest that the experience of neighbourhood social characteristics is even more critical to women's sense of well-being than environmental conditions and physical infrastructure. Most prominent was the positive influence of social support on well-being. Conclusions The significance of this study lies, first, in its timing, before the widespread destruction of both formal and informal neighbourhoods in Aleppo and, second, and in its indication of the views of women who lived in marginalised communities on what neighbourhood characteristics mattered to them. Further research post-conflict needs to explore how decisions on urban rebuilding are made and their likely influence on health and well-being.

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Section: Discussionsupporting

confidence: 89%

Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo

Ahmad

Fouad

Zaman

et al. 2018

Int J Public Health

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“…As described in the literature, 28,66 the analysis presented here suggests that the non-random distribution of social determinants of health emerges from a confluence of factors. These factors and their devastating manifestations and consequences are products of the combination of political and social decisions and processes, as well as the accumulation of vulnerabilities in the population.…”

Section: Discussionmentioning

confidence: 59%

“…[63][64][65] Second, we engaged local actors in examining the contributions to hypertension across levels of an ecological model. Findings such as these are crucial in public health as they represent the particular social world of participants and extend the few studies aimed at directly exploring lay understandings of the causes of health risks and disparities, 66 as well as the role of place in framing a particular public health problem. Research that actively engages decision makers in thinking and talking about the multilevel causes of excess health risks in their city provides an opportunity to initiate a conversation about the policy-making process and potential initiatives that might be considered for addressing hypertension in Quibdó.…”

Section: Discussionmentioning

confidence: 74%

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

2016

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Conditions in the social and physical environment influence population health and risk for CVD, including hypertension. These environmental conditions are influenced by the decisions of public officials, community leaders, and service providers. Examining the frames that local decision makers bring to understanding hypertension can provide important insights into the decisions that they make about strategies for addressing this problem in their jurisdiction. The goal of this study was to examine the frames that local decision makers in Quibdó, Colombia, bring to understanding hypertension risk, and in particular, whether and how they use frames that encompass associations between living conditions and hypertension risk. Data for this qualitative study were collected using a stratified sampling strategy. Semi-structured interviews were conducted in 2012 with 13 local decision makers and analyzed using a framework approach. Participants linked the structural conditions experienced in Quibdó, including displacement, limited economic opportunities, and the infrastructure of the city, to hypertension risk through multiple pathways, including behavioral risk factors for hypertension and physiologic responses to stress. They described the social patterning of these factors across socioeconomic, racial/ethnic, and gender hierarchies. Although several conditions associated with hypertension risk are widely distributed in the city's population, social processes of marginalization and stratification create additional disadvantages for those on the lower rungs of the social hierarchy.

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“…To date, research by Popay et al., 2003, Macintyre et al., 2005 and Davidson et al., 2006, Davidson et al., 2008 has examined lay perspectives in socio-economically contrasting areas of cities across northern England and Scotland. Other studies (such as Blaxter, 1983, Blaxter, 1997, Parry et al., 2007, Mackenzie et al., 2016) have examined the perspectives of people living in the most deprived areas.…”

Section: Introductionmentioning

confidence: 99%

“How the other half live”: Lay perspectives on health inequalities in an age of austerity

Garthwaite

Bambra

2017

Social Science & Medicine

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This paper examines how people living in two socially contrasting areas of Stockton on Tees, North East England experience, explain, and understand the stark health inequalities in their town. Participants displayed opinions that fluctuated between a variety of converging and contrasting explanations. Three years of ethnographic observation in both areas (2014–2017) generated explanations which initially focused closely on behavioural and individualised factors, whilst 118 qualitative interviews subsequently revealed more nuanced justifications, which prioritised more structural, material and psychosocial influences. Findings indicate that inequalities in healthcare, including access, the importance of judgemental attitudes, and perceived place stigma, would then be offered as explanations for the stark gap in spatial inequalities in the area. Notions of fatalism, linked to (a lack of) choice, control, and fear of the future, were common reasons given for inequalities across all participants. We conclude by arguing for a prioritisation of listening to, and working to understand, the experiences of communities experiencing the brunt of health inequalities; especially important at a time of austerity.

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Location, location, location: The role of experience of disadvantage in lay perceptions of area inequalities in health

Cited by 41 publications

References 31 publications

Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo

Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

“How the other half live”: Lay perspectives on health inequalities in an age of austerity

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