دورية أكاديمية
A spatial equity analysis of a public health intervention: a case study of an outdoor walking group provider within local authorities in England.
| العنوان: | A spatial equity analysis of a public health intervention: a case study of an outdoor walking group provider within local authorities in England. |
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| المؤلفون: | Hanson S; Norwich Medical School, University of East Anglia, Norwich, Norfolk, NR4 7TJ, UK. s.hanson@uea.ac.uk., Jones A; Norwich Medical School, University of East Anglia, Norwich, Norfolk, NR4 7TJ, UK. a.p.jones@uea.ac.uk. |
| المصدر: | International journal for equity in health [Int J Equity Health] 2015 Oct 29; Vol. 14, pp. 106. Date of Electronic Publication: 2015 Oct 29. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2002- |
| مواضيع طبية MeSH: | Spatial Analysis*, Delivery of Health Care/*methods , Demography/*methods , Healthcare Disparities/*statistics & numerical data , Public Health Practice/*statistics & numerical data , Residence Characteristics/*statistics & numerical data , Walking/*trends, Demography/statistics & numerical data ; England ; Humans |
| مستخلص: | Introduction: If an intervention is not well spatially targeted, appropriate levels of uptake, efficacy, long-term compliance and improved health outcomes are unlikely to be attained. Effective health interventions should seek to achieve not only absolute improvements in health but also to reduce inequity. There is often a disparity whereby preventative interventions are more likely to be successful amongst the more affluent, a process which has been coined the 'inverse prevention law'. Physical inactivity is known to be socially patterned and disproportionately prevalent in disadvantaged communities yet there is a lack of clear evidence on which interventions have the potential to influence inequity. Walking groups have been found to have multiple health benefits and increase physical activity. In England the major facilitator is a not for profit organisation which has 70,000 regular walkers and is lay led with 10,000 volunteers. The aim of this study was to evaluate the extent to which walking groups operated in those places with the greatest health need and whether consequently the scheme has the potential to influence health inequity. Method: The work used a spatial approach whereby geographical variations in walking group provision within the 326 local authorities in England (mean population 163,410) were linked to health and socio-economic measures of population need. Results: Generally, greater need was not associated with higher provision of the walking group intervention. Although the magnitude of differences was small, provision of the intervention tended to be poorest in those local authorities with the greatest health need, as measured by our indicators. Conclusions: Without targeting those areas with greater health and socio-economic need, there is a concern that walking groups may not be set up in areas that need them most. There is therefore a potential that this intervention could, albeit in a small way, widen inequity between local authorities. However small-scale and well-intentioned, interventions need to be evaluated for their potential impact on inequity. |
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| معلومات مُعتمدة: | United Kingdom Wellcome Trust; MR/K023187/1 United Kingdom MRC_ Medical Research Council; United Kingdom British Heart Foundation |
| تواريخ الأحداث: | Date Created: 20151030 Date Completed: 20160511 Latest Revision: 20220129 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4625463 |
| DOI: | 10.1186/s12939-015-0256-x |
| PMID: | 26511620 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1475-9276 |
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| DOI: | 10.1186/s12939-015-0256-x |