Proportionate universalism in practice? A quasi-experimental study (GoWell) of a UK neighbourhood renewal programme's impact on health inequalities

Social Science & Medicine
Matt EganCarol Tannahill

Abstract

Recommendations to reduce health inequalities frequently emphasise improvements to socio-environmental determinants of health. Proponents of 'proportionate universalism' argue that such improvements should be allocated proportionally to population need. We tested whether city-wide investment in urban renewal in Glasgow (UK) was allocated to 'need' and whether this reduced health inequalities. We identified a longitudinal cohort (n = 1006) through data linkage across surveys conducted in 2006 and 2011 in 14 differentially disadvantaged neighbourhoods. Each neighbourhood received renewal investment during that time, allocated on the basis of housing need. We grouped neighbourhoods into those receiving 'higher', 'medium' or 'lower' levels of investment. We compared residents' self-reported physical and mental health between these three groups over time using the SF-12 version 2 instrument. Multiple linear regression adjusted for baseline gender, age, education, household structure, housing tenure, building type, country of birth and clustering. Areas receiving higher investment tended to be most disadvantaged in terms of baseline health, income deprivation and markers of social disadvantage. After five years, mean mental health sc...Continue Reading

References

Jul 1, 1957·British Journal of Preventive & Social Medicine·J S McMILLAN
Mar 23, 2005·Lancet·Michael Marmot
Jul 7, 2007·Social Science & Medicine·Robin Durie, Katrina Wyatt
Sep 25, 2008·BMJ : British Medical Journal·Philippa Howden-ChapmanJulian Crane
Oct 18, 2008·European Journal of Public Health·T A EikemoEspen Dahl
Nov 11, 2008·Lancet·Michael MarmotUNKNOWN Commission on Social Determinants of Health
Mar 26, 2009·JAAPA : Official Journal of the American Academy of Physician Assistants·UNKNOWN Education Council American Academy of Physician Assistants
Aug 21, 2009·Journal of Epidemiology and Community Health·C BambraM Petticrew
Feb 12, 2010·BMJ : British Medical Journal·David J HunterMargaret Whitehead
May 21, 2010·Health Promotion International·UNKNOWN WHO, UNKNOWN Government of South Australia
Nov 19, 2011·BMJ : British Medical Journal·Srinivasa Vittal KatikireddiSally Macintyre
Dec 22, 2011·BMJ : British Medical Journal·Martin McKee, David Stuckler
May 12, 2012·Journal of Epidemiology and Community Health·Peter CraigSimon Thompson
Sep 22, 2012·Science·Jens LudwigLisa Sanbonmatsu
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Hilary ThomsonMark Petticrew
Mar 15, 2013·Journal of Epidemiology and Community Health·Srinivasa Vittal KatikireddiGareth Williams
Aug 10, 2013·Journal of Epidemiology and Community Health·Elisabeth FenwickHilary Thomson
Aug 21, 2013·Preventive Medicine·Lyndal BondCarol Tannahill
Feb 27, 2014·European Journal of Public Health·Claire L NiedzwiedzRichard Mitchell
May 8, 2014·Journal of Epidemiology and Community Health·Roshanak MehdipanahCarme Borrell
Dec 3, 2014·Social Science & Medicine·Hilary Thomson, Sian Thomas
Jun 19, 2015·Journal of Epidemiology and Community Health·Pierre WaltheryJennie Popay

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Citations

Apr 22, 2017·Public Health·G McCartneyC Collins
May 10, 2017·American Journal of Epidemiology·James WhiteDavid Fone
Feb 5, 2019·Journal of Gerontological Social Work·Stephen Edward McMillin, Jason T Carbone
Jan 3, 2020·Current Opinion in Pediatrics·Tanja PoulainWieland Kiess
Aug 1, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·David N BlaneCatherine A O'Donnell
Sep 11, 2019·The Gerontologist·Daniel Rong Yao GanIm Sik Cho
Sep 12, 2020·International Journal for Equity in Health·Stefan Nickel, Olaf von dem Knesebeck
Oct 23, 2020·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Florence Francis-OlivieroFrançois Alla

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