Affiliation:
1. Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, UK
2. Institute of Population Health Sciences, University of Liverpool, Liverpool, UK
3. Centre for Trials Research, School of Medicine, Cardiff University, Cardiff, UK
4. Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
Abstract
Abstract
Poor mental health has been associated with socioeconomic deprivation. The aim was to describe possible mechanisms underpinning the narrowing of mental health inequalities demonstrated by Communities First, an area-wide regeneration programme in Wales, UK. Propensity score matched data from the Caerphilly Health and Social Needs Electronic Cohort Study, assessed changes in mental health, neighbourhood-level social cohesion, belongingness, quality and disorder. A multiple mediation analysis found c.76% of the total indirect effect was accounted for by neighbourhood quality and disorder. Targeted regeneration that increases neighbourhood quality and reduced neighbourhood disorder could mitigate the mental health inequalities associated with socioeconomic deprivation.
Funder
National Institute for Social Care and Health Research
NISCHR
Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement
UK Clinical Research Collaboration Public Health Research Centre of Excellence
British Heart Foundation, Cancer Research UK
Economic and Social Research Council, Medical Research Council
Welsh Government and the Wellcome Trust
UK Clinical Research Collaboration
Farr Institute of Health Informatics Research
Arthritis Research UK
British Heart Foundation
Cancer Research UK
Economic and Social Research Council
Engineering and Physical Sciences Research Council
Medical Research Council
National Institute of Health Research
Chief Scientist Office
Publisher
Oxford University Press (OUP)
Subject
Public Health, Environmental and Occupational Health