Implementing community-based health promotion in socio-economically disadvantaged areas: a qualitative study.
Cupples, Margaret E
Tully, Mark A
Journal of public health (Oxford, England)
Oxford University Press
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Lawlor, E., Cupples, M. E., Donnelly, M., & Tully, M. A. (2020). Implementing community-based health promotion in socio-economically disadvantaged areas: a qualitative study.. Journal of public health (Oxford, England), 42 (4), 839-847. https://doi.org/10.1093/pubmed/fdz167
Background: There is a gradient relationship between socio-economic status and health. We investigated the views and perceptions of health promotion service providers regarding factors that affect lack of engagement in public health initiatives by residents in socio-economically disadvantaged (SED) communities. Methods: We conducted semi-structured interviews with a purposive sample of key providers (n=15) of community-based health promotion services to elicit their views about engagement-related factors and their experiences of the provision, delivery and impact of health promotion in SED areas. Interviews were analysed using thematic analysis. Results: Failure to (i) recognise within SED communities, socio-cultural norms of health-related behaviour and (ii) communicate to local residents an understanding of complex lifestyle influences appeared to affect adversely service engagement and contribute to the development of negative attitudes towards health promotion. Engagement is more likely when services are delivered within familiar settings, peer support is available, initiatives are organised within existing groups, external incentives are offered and there are options regarding times and locations. Collaborative working between providers and communities facilitates efficient, context-sensitive service delivery. Conclusions: Knowledge of a local community and its socio-environmental context alongside a collaborative, facilitative and tailored approach to delivery are required to ensure successful engagement of SED communities in health promotion.
This work was supported by a PhD studentship funded by the UKCRC Centre of Excellence for Public Health (Northern Ireland). EL is currently supported by the Medical Research Council (MC_UU_12015/4). MD, MEC and MAT are co-funded by the UKCRC Centre of Excellence for Public Health (Northern Ireland), a UKCRC Public Health Research Centre of Excellence. The UKCRC Public Health Research Centres of Excellence are funded by British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, HSC Research and Development Division and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration.
External DOI: https://doi.org/10.1093/pubmed/fdz167
This record's URL: https://www.repository.cam.ac.uk/handle/1810/299153
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