Centre for Performance Science, Royal College of Music, London, UK; Faculty of Medicine, Imperial College London, London, UK.
Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Perspect Public Health. 2024 Sep;144(5):297-303. doi: 10.1177/17579139241288678. Epub 2024 Oct 15.
The Global South has some of the world's largest cities, where rapid, ad hoc development of urban centres and 'megacities' has fuelled major socio-economic, environmental, and public health concerns. These urban environments can generate feelings of loneliness, with multiple barriers for access and participation in socio-cultural infrastructures. An inclusive future agenda for global creative health must, therefore, consider how urbanisation impacts social public health, what creative health approaches can do to alleviate this, and what the barriers are to access. This article explores barriers and facilitators to accessing socio-cultural urban infrastructures in two case-study cities: Salvador in Brazil and Cochabamba in Bolivia.
Data were collected as part of a survey examining access to, and engagement in, arts and cultural activities undertaken between 25 January and 1 May 2023. This article focuses on two questions: What helps you to access artistic and cultural events in your city? and What barriers do you face in accessing artistic and cultural events in your city? 239 open responses from adults, in Portuguese and Spanish, were analysed using descriptive thematic analysis.
Findings highlight how emergent issues around existing economic inequality, safety, and accessibility can limit residents' capacity to engage in creative health activities. While preliminary in scope, this raises wider public health implications for how creative health approaches may be leveraged within urban, Global South contexts.
Findings highlight how greater dialogue is needed between the urban development, public health, and creative health sectors. Given the emerging evidence of the role of creative engagement to alleviate loneliness, integrating creative health approaches within urban public health may further strengthen connections with the most vulnerable communities, and help to build healthier cities. The article ends by outlining an approach that incorporates both local and city-wide creative encounters, highlighting how future interventions could be appropriately designed that gradually scale these types of interventions from tailored local offerings to larger, city-wide activities.
全球南方拥有一些世界上最大的城市，这些城市中心和“特大城市”的快速、临时发展引发了重大的社会经济、环境和公共卫生问题。这些城市环境可能会让人感到孤独，人们在进入和参与社会文化基础设施方面面临多重障碍。因此，全球创意健康的包容性未来议程必须考虑城市化对社会公共健康的影响、创意健康方法可以在多大程度上缓解这种影响，以及进入这些方法的障碍是什么。本文探讨了在两个案例研究城市（巴西萨尔瓦多和玻利维亚科恰班巴）中，进入社会文化城市基础设施的障碍和促进因素。
数据是作为一项调查的一部分收集的，该调查旨在研究 2023 年 1 月 25 日至 5 月 1 日期间参与艺术和文化活动的情况。本文重点关注两个问题：是什么帮助您在您的城市中参加艺术和文化活动？以及在您的城市中参加艺术和文化活动时，您面临哪些障碍？对来自成年人的 239 份葡萄牙语和西班牙语的开放式回复进行了描述性主题分析。
研究结果强调了围绕现有经济不平等、安全和无障碍问题的新出现问题如何限制居民参与创意健康活动的能力。尽管范围有限，但这对创意健康方法在城市、全球南方背景下如何发挥作用提出了更广泛的公共卫生影响。
研究结果强调了城市发展、公共卫生和创意健康部门之间需要进行更多的对话。鉴于创意参与缓解孤独感的作用的新证据，将创意健康方法纳入城市公共卫生可能会进一步加强与最脆弱社区的联系，并有助于建设更健康的城市。文章最后概述了一种方法，该方法结合了本地和全市范围的创意邂逅，强调了如何设计适当的未来干预措施，逐步将这些类型的干预措施从量身定制的本地提供扩展到更大的全市范围的活动。
