Centre for Research on Environment Society and Health, School of GeoSciences, University of Edinburgh, Scotland, EH8 9XP, United Kingdom.
Children in Scotland, Edinburgh, Scotland, EH12 5EZ, United Kingdom.
Soc Sci Med. 2021 Aug;283:114186. doi: 10.1016/j.socscimed.2021.114186. Epub 2021 Jun 29.
This article explores children's understanding of the role that neighbourhood plays in their health and well-being. Whilst evidence exists on the relationship between the environment and children's health, we have little knowledge of this from the perspective of children themselves. Children's experiences are all too frequently researched through the eyes of adults. Following a Rights of the Child framework, respecting children's views and giving them due weight, this paper reports from a project that worked with children from two relatively deprived urban neighbourhoods in Scotland. Using this framework, the children themselves were the researchers who designed the themes, decided upon the methods, conducted the research and analysed the resulting data. Using focus groups, visual mapping and community walks the children explored their local neighbourhoods and the findings reveal features of the environment that the children perceive as important for their health and well-being. The children selected three themes to explore in the research: safety, littering, and family and friends, through which they elicit their experiences, feelings and attitudes towards the environment and their well-being. The paper reveals that not only do the children have a deep understanding of the link between environment and health, but that they also understand how aspects of disadvantage, including place-based stigma, can limit their social participation and inclusion in society. We conclude with recommendations made by the children themselves, ranging from access to affordable activities, improved open spaces, 'support not stigma' and the need to be heard in local decision making.
本文探讨了儿童对邻里在其健康和福祉中所扮演角色的理解。虽然已有证据表明环境与儿童健康之间存在关联,但我们对儿童自身视角下的这种关联知之甚少。儿童的体验往往是通过成年人的眼光来研究的。本研究遵循儿童权利框架,尊重儿童的观点并赋予其应有的权重,报告了一个与苏格兰两个相对贫困的城市社区的儿童合作的项目。在这个框架下,儿童本身就是研究人员,他们设计主题、选择方法、进行研究并分析得出的数据。通过焦点小组、视觉映射和社区漫步,儿童探索了他们的当地社区,研究结果揭示了儿童认为对他们的健康和福祉重要的环境特征。儿童选择了三个主题来探索研究:安全性、乱扔垃圾以及家庭和朋友,通过这些主题,他们引出了自己对环境和福祉的体验、感受和态度。本文揭示,儿童不仅深刻理解了环境与健康之间的联系,还理解了包括基于地点的污名化在内的不利因素如何限制他们的社会参与和社会包容。最后,我们提出了儿童自己提出的建议,包括获得负担得起的活动、改善开放空间、“支持而非污名化”以及在地方决策中被倾听的需求。