Centre for Health Policy, Programs and Evaluation, School of Population Health University of Melbourne, Australia.
Health Place. 2010 Sep;16(5):861-7. doi: 10.1016/j.healthplace.2010.04.011. Epub 2010 Apr 28.
Neighbourhood Renewal [NR] Strategy is currently underway in the Victoria's most disadvantaged neighbourhoods. Neighbourhood Renewal utilises an 'area-based' approach to reducing inequalities between NR sites and the Victorian state average across a range of social, educational and health outcomes. We examine the impact of this intervention on health and life satisfaction in the five metropolitan sites involved in first phase of the project.
We employed a before-and-after study design using two cross sectional community surveys to assess changes in health and life satisfaction. The study sample includes people living in NR areas and people living in other areas of the same Local Government Area (LGA). Survey responses from the five metropolitan NR and their surrounding were used in this analysis.
NR residents involved in the program had worse health than people living in the LGA in all analyses. There was no evidence of an NR effect at a whole of area level. However, the health (OR=2.15, 95%CI 1.23-3.74) and life satisfaction (OR=1.79 95%CI 1.38-1.52) of people living in NR areas who participated in the intervention improved relative to people in the LGA.
The results suggest that area-based health interventions are an important tool in the portfolio of strategies to reduce health inequalities.
邻里更新[NR]战略目前正在维多利亚州最贫困的社区进行。邻里更新采用“基于区域”的方法，旨在缩小 NR 地点与维多利亚州平均水平之间在一系列社会、教育和健康结果方面的不平等。我们调查了该干预措施对参与项目第一阶段的五个大都市地点的健康和生活满意度的影响。
我们采用了前后对照研究设计，使用了两次横断面社区调查来评估健康和生活满意度的变化。研究样本包括居住在 NR 地区的人和同一地方政府区域（LGA）中其他地区的人。本分析使用了来自五个大都市 NR 及其周边地区的调查响应。
参与该计划的 NR 居民在所有分析中都比居住在 LGA 的人健康状况更差。在整个区域层面上没有 NR 效应的证据。然而，居住在 NR 地区并参与干预的人的健康（OR=2.15，95%CI 1.23-3.74）和生活满意度（OR=1.79，95%CI 1.38-1.52）相对于 LGA 中的人有所改善。
结果表明，基于区域的健康干预措施是减少健康不平等策略组合中的重要工具。
