The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities

Abstract Background Reducing health inequalities in the UK has been a policy priority for over 20 years, yet, despite efforts to create a more equal society, progress has been limited. Furthermore, some inequalities have widened and become more apparent, particularly during the Covid-19 pandemic. Wi...

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Autores principales:	L. J. Thomson, R. Gordon-Nesbitt, E. Elsden, H. J. Chatterjee
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Consultation workshop Covid-19 Expert opinion Health Inequalities Survey Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5fdda98ced914ffba561fb7c77babb32
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spelling	oai:doaj.org-article:5fdda98ced914ffba561fb7c77babb322021-11-28T12:13:07ZThe role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities10.1186/s12939-021-01590-41475-9276https://doaj.org/article/5fdda98ced914ffba561fb7c77babb322021-11-01T00:00:00Zhttps://doi.org/10.1186/s12939-021-01590-4https://doaj.org/toc/1475-9276Abstract Background Reducing health inequalities in the UK has been a policy priority for over 20 years, yet, despite efforts to create a more equal society, progress has been limited. Furthermore, some inequalities have widened and become more apparent, particularly during the Covid-19 pandemic. With growing recognition of the uneven distribution of life expectancy and of mental and physical health, the current research was commissioned to identify future research priorities to address UK societal and structural health inequalities. Methods An expert opinion consultancy process comprising an anonymous online survey and a consultation workshop were conducted to investigate priority areas for future research into UK inequalities. The seven-question survey asked respondents (n = 170) to indicate their current role, identify and prioritise areas of inequality, approaches and evaluation methods, and comment on future research priorities. The workshop was held to determine areas of research priority and attended by a closed list of delegates (n = 30) representing a range of academic disciplines and end-users of research from policy and practice. Delegates self-selected one of four breakout groups to determine research priority areas in four categories of inequality (health, social, economic, and other) and to allocate hypothetical sums of funding (half, one, five, and ten million pounds) to chosen priorities. Responses were analysed using mixed methods. Results Survey respondents were mainly ‘academics’ (33%), ‘voluntary/third sector professionals’ (17%), and ‘creative/cultural professionals’(16%). Survey questions identified the main areas of inequality as ‘health’ (58%), ‘social care’ (54%), and ‘living standards’ (47%). The first research priority was ‘access to creative and cultural opportunities’ (37%), second, ‘sense of place’ (23%), and third, ‘community’ (17%). Approaches seen to benefit from more research in relation to addressing inequalities were ‘health/social care’ (55%), ‘advice services’ (34%), and ‘adult education/training’ (26%). Preferred evaluation methods were ‘community/participatory’ (76%), ‘action research’ (62%), and ‘questionnaires/focus groups’ (53%). Survey respondents (25%) commented on interactions between inequalities and issues such as political and economic decisions, and climate. The key workshop finding from determining research priorities in areas of inequality was that health equity could only be achieved by tackling societal and structural inequalities, environmental conditions and housing, and having an active prevention programme. Conclusions Research demonstrates a clear need to assess the impact of cultural and natural assets in reducing inequality. Collaborations between community groups, service providers, local authorities, health commissioners, GPs, and researchers using longitudinal methods are needed within a multi-disciplinary approach to address societal and structural health inequalities.L. J. ThomsonR. Gordon-NesbittE. ElsdenH. J. ChatterjeeBMCarticleConsultation workshopCovid-19Expert opinionHealthInequalitiesSurveyPublic aspects of medicineRA1-1270ENInternational Journal for Equity in Health, Vol 20, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Consultation workshop Covid-19 Expert opinion Health Inequalities Survey Public aspects of medicine RA1-1270
spellingShingle	Consultation workshop Covid-19 Expert opinion Health Inequalities Survey Public aspects of medicine RA1-1270 L. J. Thomson R. Gordon-Nesbitt E. Elsden H. J. Chatterjee The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
description	Abstract Background Reducing health inequalities in the UK has been a policy priority for over 20 years, yet, despite efforts to create a more equal society, progress has been limited. Furthermore, some inequalities have widened and become more apparent, particularly during the Covid-19 pandemic. With growing recognition of the uneven distribution of life expectancy and of mental and physical health, the current research was commissioned to identify future research priorities to address UK societal and structural health inequalities. Methods An expert opinion consultancy process comprising an anonymous online survey and a consultation workshop were conducted to investigate priority areas for future research into UK inequalities. The seven-question survey asked respondents (n = 170) to indicate their current role, identify and prioritise areas of inequality, approaches and evaluation methods, and comment on future research priorities. The workshop was held to determine areas of research priority and attended by a closed list of delegates (n = 30) representing a range of academic disciplines and end-users of research from policy and practice. Delegates self-selected one of four breakout groups to determine research priority areas in four categories of inequality (health, social, economic, and other) and to allocate hypothetical sums of funding (half, one, five, and ten million pounds) to chosen priorities. Responses were analysed using mixed methods. Results Survey respondents were mainly ‘academics’ (33%), ‘voluntary/third sector professionals’ (17%), and ‘creative/cultural professionals’(16%). Survey questions identified the main areas of inequality as ‘health’ (58%), ‘social care’ (54%), and ‘living standards’ (47%). The first research priority was ‘access to creative and cultural opportunities’ (37%), second, ‘sense of place’ (23%), and third, ‘community’ (17%). Approaches seen to benefit from more research in relation to addressing inequalities were ‘health/social care’ (55%), ‘advice services’ (34%), and ‘adult education/training’ (26%). Preferred evaluation methods were ‘community/participatory’ (76%), ‘action research’ (62%), and ‘questionnaires/focus groups’ (53%). Survey respondents (25%) commented on interactions between inequalities and issues such as political and economic decisions, and climate. The key workshop finding from determining research priorities in areas of inequality was that health equity could only be achieved by tackling societal and structural inequalities, environmental conditions and housing, and having an active prevention programme. Conclusions Research demonstrates a clear need to assess the impact of cultural and natural assets in reducing inequality. Collaborations between community groups, service providers, local authorities, health commissioners, GPs, and researchers using longitudinal methods are needed within a multi-disciplinary approach to address societal and structural health inequalities.
format	article
author	L. J. Thomson R. Gordon-Nesbitt E. Elsden H. J. Chatterjee
author_facet	L. J. Thomson R. Gordon-Nesbitt E. Elsden H. J. Chatterjee
author_sort	L. J. Thomson
title	The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
title_short	The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
title_full	The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
title_fullStr	The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
title_full_unstemmed	The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities
title_sort	role of cultural, community and natural assets in addressing societal and structural health inequalities in the uk: future research priorities
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5fdda98ced914ffba561fb7c77babb32
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The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities

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