Community action for health in socioeconomically deprived neighbourhoods in Barcelona: Evaluating its effects on health and social class health inequalities

Laia Palència, Maica Rodríguez-Sanz, M. José López, Nuria Calzada, Raquel Gallego, Ernesto Morales, Nicolás Barbieri, Xavier Blancafort, Montse Bartroli, M. Isabel Pasarín

Research output: Contribution to journalArticleResearch

3 Citations (Scopus)

Abstract

© 2018 Elsevier B.V. Background: The aim of this study was to analyse trends in several health-related indicators in socioeconomically deprived neighbourhoods in Barcelona with strong community action for health (CA), and compare them to neighbourhoods without such community action. A secondary goal was to analyse trends in socioeconomic inequalities in health in both types of neighbourhood. Methods: We performed a quasi-experimental pre-post study using data from the Barcelona Health Surveys of 2001 and 2011. Our dependent variables were self-perceived health, mental health, previous drug use, and smoking cessation. We used Poisson regression with robust variance to calculate prevalence ratios (PR) and 95% Confidence Intervals (95% CI). Results: The percentage of men who had ever used drugs decreased over time in neighbourhoods with strong CA (PR = 0.48; 95% CI:0.25–0.92, from 2001 to 2011), but not in neighbourhoods without CA (PR = 1.02; 95% CI:0.74–1.40). However, the prevalence of poor mental health among men increased more in neighbourhoods with strong CA than in neighbourhoods without CA (p-value = 0.025). Among women, social class inequalities in poor mental health and smoking cessation decreased over time in neighbourhoods with strong CA but not in neighbourhoods without CA. Conclusions: Our study shows promising results regarding the effect of community action on health, particularly in terms of inequalities. Our results highlight the importance of allocating resources to implement and continuously evaluate CA initiatives.
Original languageEnglish
Pages (from-to)1384-1391
JournalHealth Policy
Volume122
DOIs
Publication statusPublished - 1 Dec 2018

Keywords

  • Community action for health
  • Health
  • Health behaviours
  • Health inequalities

Fingerprint Dive into the research topics of 'Community action for health in socioeconomically deprived neighbourhoods in Barcelona: Evaluating its effects on health and social class health inequalities'. Together they form a unique fingerprint.

Cite this