Agència de Salut Pública de Barcelona, Barcelona, Spain; Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
School of Sociology and Social Policy, University of Leeds, UK.
Soc Sci Med. 2015 Jan;124:266-74. doi: 10.1016/j.socscimed.2014.11.050. Epub 2014 Nov 26.
Urban populations are growing and to accommodate these numbers, cities are becoming more involved in urban renewal programs to improve the physical, social and economic conditions in different areas. This paper explores some of the complexities surrounding the link between urban renewal, health and health inequalities using a theory-driven approach.
We focus on an urban renewal initiative implemented in Barcelona, the Neighbourhoods Law, targeting Barcelona's (Spain) most deprived neighbourhoods. We present evidence from two studies on the health evaluation of the Neighbourhoods Law, while drawing from recent urban renewal literature, to follow a four-step process to develop a program theory. We then use two specific urban renewal interventions, the construction of a large central plaza and the repair of streets and sidewalks, to further examine this link.
In order for urban renewal programs to affect health and health inequality, neighbours must use and adapt to the changes produced by the intervention. However, there exist barriers that can result in negative outcomes including factors such as accessibility, safety and security.
This paper provides a different perspective to the field that is largely dominated by traditional quantitative studies that are not always able to address the complexities such interventions provide. Furthermore, the framework and discussions serve as a guide for future research, policy development and evaluation.
城市人口不断增长，为了容纳这些人口，城市越来越多地参与城市更新计划，以改善不同地区的物质、社会和经济条件。本文采用理论驱动的方法探讨了城市更新、健康和健康不平等之间联系的一些复杂性。
我们专注于巴塞罗那实施的一项城市更新计划——邻里法，该计划针对巴塞罗那（西班牙）最贫困的街区。我们展示了两项关于邻里法健康评估的研究证据，同时借鉴了最近的城市更新文献，以遵循四步程序来制定方案理论。然后，我们使用两个具体的城市更新干预措施，即建造一个大型中央广场和修复街道和人行道，进一步研究这种联系。
为了使城市更新计划能够影响健康和健康不平等，邻居们必须使用和适应干预措施所产生的变化。然而，存在一些障碍可能导致负面结果，包括可达性、安全性和保障性等因素。
本文为该领域提供了一个不同的视角，该领域主要由传统的定量研究主导，这些研究并不总是能够解决这些干预措施带来的复杂性。此外，该框架和讨论为未来的研究、政策制定和评估提供了指导。
