Faculty of Health and Medical Sciences, Department of Public Health, Section of Social Medicine, University of Copenhagen, Øster Farimagsgade 5, 1014 Copenhagen K, Denmark.
Faculty of Health and Medical Sciences, Center for Healthy Aging, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen N, Denmark.
Int J Environ Res Public Health. 2020 Mar 30;17(7):2341. doi: 10.3390/ijerph17072341.
Emerging evidence points towards a lower quality of life, fragile social relations and suboptimal health behavior and status of residents living in social housing areas characterized by ethnic diversity and socioeconomic deprivation. Community-based health promotion interventions developed in collaboration with the target group and adjusted to the local context can affect the acceptance of and engagement in such interventions. However, few studies have investigated the potential of community-based interventions in deprived social housing areas. This study explores residents' perspectives on engagement in a community-based health promotion intervention focusing on enhancing social relations. The study builds on qualitative methods including participant observations combined with pre- and post-intervention interviews with a selected group of residents ( = 9). Data were thematically analyzed with focuses on participation in an everyday life context, concepts of othering, and territorial stigmatization. Engagement in the intervention was motivated by the need to establish and enhance social relations, and to explore the world outside the housing area. However, barriers including cultural and language differences among residents, and competing contextual factors, challenged engagement. We conclude that participatory community-based interventions have a potential to enhance social relations in deprived social housing areas. However, adequate support and efforts to overcome the identified barriers are needed.
新出现的证据表明，居住在以族裔多样性和社会经济贫困为特征的社会住房区域的居民的生活质量较低、社会关系脆弱、健康行为和状况不佳。与目标群体合作制定并适应当地情况的基于社区的健康促进干预措施会影响居民对这些干预措施的接受程度和参与度。然而，很少有研究调查基于社区的干预措施在贫困社会住房区域的潜力。本研究探讨了居民对参与以增强社会关系为重点的基于社区的健康促进干预措施的看法。该研究基于定性方法，包括参与者观察，并结合了一组选定居民（=9）的干预前后访谈。数据采用主题分析方法进行分析，重点关注日常生活背景中的参与、他者化概念和领土污名化。参与干预的动机是建立和加强社会关系，并探索住房区域外的世界。然而，包括居民之间的文化和语言差异以及竞争的背景因素在内的障碍挑战了参与度。我们的结论是，参与式基于社区的干预措施有可能增强贫困社会住房区域的社会关系。然而，需要提供足够的支持并努力克服已确定的障碍。
