Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach

Roshanak Mehdipanah, Ana Manzano, Carme Borrell, Davide Malmusi, Maica Rodriguez-Sanz, Joanne Greenhalgh, Carles Muntaner, Ray Pawson

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Introduction: Urban populations are growing and to accommodate these numbers, cities are becoming more involved in urban renewal programs to improve the physical, social and economic conditions in different areas. This paper explores some of the complexities surrounding the link between urban renewal, health and health inequalities using a theory-driven approach. Methods: We focus on an urban renewal initiative implemented in Barcelona, the Neighbourhoods Law, targeting Barcelona's (Spain) most deprived neighbourhoods. We present evidence from two studies on the health evaluation of the Neighbourhoods Law, while drawing from recent urban renewal literature, to follow a four-step process to develop a program theory. We then use two specific urban renewal interventions, the construction of a large central plaza and the repair of streets and sidewalks, to further examine this link. Discussion: In order for urban renewal programs to affect health and health inequality, neighbours must use and adapt to the changes produced by the intervention. However, there exist barriers that can result in negative outcomes including factors such as accessibility, safety and security. Conclusion: This paper provides a different perspective to the field that is largely dominated by traditional quantitative studies that are not always able to address the complexities such interventions provide. Furthermore, the framework and discussions serve as a guide for future research, policy development and evaluation.

Original languageEnglish
Pages (from-to)266-274
Number of pages9
JournalSocial Science and Medicine
Volume124
DOIs
Publication statusPublished - 2015 Jan 1
Externally publishedYes

Fingerprint

Urban Renewal
Urban Health
urban renewal
health
Health
Urban Population
Law
Policy Making
Social Conditions
urban population
evaluation
Spain
development policy
Realist
Pathway
Causal
Economics
Safety
Research

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

Cite this

Mehdipanah, R., Manzano, A., Borrell, C., Malmusi, D., Rodriguez-Sanz, M., Greenhalgh, J., ... Pawson, R. (2015). Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach. Social Science and Medicine, 124, 266-274. https://doi.org/10.1016/j.socscimed.2014.11.050

Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach. / Mehdipanah, Roshanak; Manzano, Ana; Borrell, Carme; Malmusi, Davide; Rodriguez-Sanz, Maica; Greenhalgh, Joanne; Muntaner, Carles; Pawson, Ray.

In: Social Science and Medicine, Vol. 124, 01.01.2015, p. 266-274.

Research output: Contribution to journalArticle

Mehdipanah, R, Manzano, A, Borrell, C, Malmusi, D, Rodriguez-Sanz, M, Greenhalgh, J, Muntaner, C & Pawson, R 2015, 'Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach', Social Science and Medicine, vol. 124, pp. 266-274. https://doi.org/10.1016/j.socscimed.2014.11.050
Mehdipanah, Roshanak ; Manzano, Ana ; Borrell, Carme ; Malmusi, Davide ; Rodriguez-Sanz, Maica ; Greenhalgh, Joanne ; Muntaner, Carles ; Pawson, Ray. / Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach. In: Social Science and Medicine. 2015 ; Vol. 124. pp. 266-274.
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