Urban regeneration as population health intervention: a health impact assessment in the Bay of Pasaia (Spain)

International Journal for Equity in Health

Research

Dolores Martinez¹  Maite Morteruel²  Elena Aldasoro³  Amaia Bacigalupe⁴  Isabel Larrañaga⁵  Mikel Basterrechea⁶  Elena Serrano⁷  María Dolores Baixas de Ros⁸ 

[1] BIODONOSTIA Health Research Institute, San Sebastian, Spain;Department of Environment and Regional Planning, Basque Government, c/Infanta Cristina. 11- Villa Begoña, 20008, San Sebastian, Gipuzkoa, Spain;BIOEF Basque Institute of Health Research, Bilbao, Spain;Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP), Barcelona, Spain;Public Health and Addictions Directorate, Basque Government, Vitoria-Gasteiz, Spain;Department of Sociology 2, University of the Basque Country (UPV/EHU), Leioa, Spain;OPIK- Research Group Social Determinants of Health and Demographic Change, Leioa, Spain;Public Health and Addictions Division of Gipuzkoa, Basque Government, Avd. Navarra 4, 20013, San Sebastian, Spain;BIODONOSTIA Health Research Institute, San Sebastian, Spain;Public Health and Addictions Division of Gipuzkoa, Basque Government, Avd. Navarra 4, 20013, San Sebastian, Spain;BIODONOSTIA Health Research Institute, San Sebastian, Spain;Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP), Barcelona, Spain;Public Health and Addictions Division of Gipuzkoa, Regional Public Health Centre Bidasoa, Basque Government, Avd. Navarra, 41-20302, Irún, Spain;San Pedro Health Center, Osakidetza-Basque Public Health Service, c/Los Marinos 1, 20110, Pasaia, Spain;

关键词: Health impact assessment;    Urban regeneration;    Social determinants of health;    Health inequalities;    Mixed method design;   

DOI  :  10.1186/s12939-016-0424-7

 received in 2016-02-23, accepted in 2016-08-23,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAn important health issue in urban areas is how changes arising from the regeneration of city-areas affect social determinants of health and equity. This paper examines the impacts attributable to a new fish market and to delays in the regeneration of a port area in a deteriorated region of the Bay of Pasaia (Spain). Potential differential impacts on local residents and socially vulnerable groups were evaluated to determine health inequalities.MethodsAn in-depth, prospective and concurrent Health-Impact-Assessment (HIA) focused on equity was conducted by the regional Public Health Department, following the Merseyside guidelines. Data from different sources was triangulated and impacts were identified using qualitative and quantitative methods.ResultsThe intervention area is characterised by poor social, environmental, and health indicators. The distinctness of the two projects generates contrasting health and inequality impacts: generally positive for the new fish market and negative for the port area. The former creates recreational spaces and improves urban quality and social cohesion. By contrast, inaction and stagnation of the project in the port area perpetuates deterioration, a lack of safety, and poor health, as well as increased social frustration.ConclusionsIn addition to assessing the health impacts of both projects this HIA promoted intersectoral partnerships, boosted a holistic and positive view of health and incorporated health and equity into the political discourse. Community-level participatory action enabled public health institutions to respond to new urban planning challenges and responsibilities in a more democratic manner.

【 授权许可】

CC BY   
© The Author(s). 2016