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Health, well-being and social relations in a changing neighbourhood: protocol for a prospective, multimethods study of the consequences of large structural changes in an ethnic diverse social housing area in Denmark
  1. Rikke Lund1,2,
  2. Ulla Christensen1,
  3. Jimmi Mathisen1,
  4. Kristine S Sørensen3,
  5. Abirami Srivarathan1,2,
  6. Drude Molbo1,
  7. Kristian Halby4,
  8. Maria Kristiansen2,5
  1. 1 Department of Public Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark
  2. 2 Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark
  3. 3 Steno Diabetes Center Copenhagen, Gentofte, Denmark
  4. 4 Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
  5. 5 Department of Public Health, Section of Health Services Research, University of Copenhagen, Copenhagen, Denmark
  1. Correspondence to Professor Rikke Lund; rilu{at}sund.ku.dk

Abstract

Introduction Residential areas constitute an important arena for health, well-being and social relations. Structural interventions such as demolition and area renewal have been used to reduce inequality in health and well-being in disadvantaged areas. However, the effects of larger structural interventions are inconclusive. In a longitudinal perspective, this study aims to analyse how large-scale structural changes in an ethnic diverse social housing area are associated with the residents’ health, well-being and social relations.

Methods and analysis In this multimethods study, we examine this aim among middle-aged and older residents in a multiethnic social housing area in a Danish municipality by the inclusion of comprehensive survey (in 2018, 2019 and 2020), register (yearly 2015–2025) and qualitative (2018–2020) data. Municipal Health Profile survey data from 2017 and 2021 will be used for comparison. The area will undergo large structural changes in the built environment during 2018–2021. A ‘natural experiment’ (n=6000) compares differences in health and social outcomes across the study period between the study area and a similar neighbouring area not undergoing structural changes. Through user engagement in the design of the study, throughout the different phases of the study and in the two co-created interventions embedded in the study design, a focus on empowerment and recognition of the resources and perspectives of residents are encouraged.

Ethics and dissemination The study is registered in the University of Copenhagen’s record of biobanks and research projects containing personal data and will be conducted in accordance with the principles of the Helsinki Declaration. Residential and municipal representatives and local non-governmental organisations are engaged in the design and execution of the study to ensure the usefulness, reflexive interpretation of data, and relevance of interventions. Results will be published in international peer-reviewed scientific journals, presented at conferences and as short reports through the use of both written and visual outputs.

  • social relations
  • well-being
  • health
  • aging
  • inequity
  • interventions
  • non-profit social housing area
  • ethnic diversity
  • urban regeneration
  • co-creation

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors RL and MK: developed the original idea for the study and wrote the first draft of the protocol. JM, AS, KSS, DM and UC: provided detailed information regarding data collection, the chosen methods and commented on the first draft. KH: performed an extensive literature search and commented on the first draft of the paper.

  • Funding This work was supported by Nordea-fonden, grant number 02-2017-0685.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.