Kearns Ade, Whitley Elise
Urban Studies, School of Social and Political Sciences, University of Glasgow, 25 Bute Gardens, Glasgow, G12 0NU, UK.
MRC/CSO Social and Public Health Sciences Unit, 200 Renfield Street, Glasgow, G2 3QB, UK.
SSM Popul Health. 2020 Aug 20;12:100645. doi: 10.1016/j.ssmph.2020.100645. eCollection 2020 Dec.
Community engagement and empowerment are central to delivery and outcomes from regeneration programmes, yet evidence for health gains in such contexts is sparse and mixed. This study addresses this issue in respect of mental health and wellbeing in disadvantaged communities in the UK, using a sample of 2862 householders living through housing improvements and regeneration in Glasgow. Feelings of empowerment were more strongly associated with mental wellbeing (WEMWBS) than mental health (SF-12 MCS). Neighbourhood empowerment was more strongly associated with mental wellbeing and mental health than housing empowerment, although its association with mental health disappeared in the period of welfare reform and austerity. Proactive forms of empowerment, such as influencing decisions affecting an area or taking action oneself to improve things, were more strongly associated with mental wellbeing than reactive or passive forms of empowerment. There is much scope to improve feelings of empowerment in disadvantaged communities and to contribute to national objectives to enhance mental wellbeing.
社区参与和赋权是再生计划实施及成果的核心,但在此背景下健康收益的证据却稀少且参差不齐。本研究针对英国弱势社区的心理健康和幸福感问题,以格拉斯哥2862户经历住房改善和再生的住户为样本进行研究。赋权感与心理健康状况(WEMWBS)的关联比与精神健康状况(SF - 12 MCS)的关联更强。邻里赋权与心理健康状况和精神健康状况的关联比住房赋权更强,尽管在福利改革和紧缩时期其与精神健康的关联消失了。积极形式的赋权,如影响影响某地区的决策或自己采取行动改善情况,与心理健康状况的关联比被动或消极形式的赋权更强。在弱势社区提高赋权感并为增进心理健康的国家目标做出贡献仍有很大空间。