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Exploring the relationship between perceptions of neighbourhood-resources, sense of coherence and health for different groups in a Norwegian neighbourhood

Ruca Maass, Bengt Lindstrøm, Monica Lillefjell
  • Ruca Maass
    Department of Occupational Therapy, Faculty of Health Education and Social Work, Sør-Trøndelag University College, Trondheim; Research Centre for Health Promotion and Resources; Department of Social Work and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway | ruca.e.maass@hist.no
  • Bengt Lindstrøm
    Research Centre for Health Promotion and Resources and Department of Social Work and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
  • Monica Lillefjell
    Department of Occupational Therapy, Faculty of Health Education and Social Work, Sør-Trøndelag University College, Trondheim; Research Centre for Health Promotion and Resources; Department of Social Work and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway

Abstract

Background. Health and conditions for health are unevenly distributed across neighbourhoods. Within a salutogenic perspective, neighbourhood-resources can be internalised, and become generalised resistance resources. This paper aims to examine whether the neighbourhood could be a supportive arena for health-promotion, and for whom.
Design and Methods. A cross-sectional study, based on register data from the population-survey in Malvik, Norway, (N=865) was conducted. Using multiple regression analysis, total sample and sub-group analyses (men/women, low/high earners, employed/unemployed) of 5 independent neighbourhood-measures (overall satisfaction, neighbourhood Social Capital, satisfaction with availability and quality of neighbourhood-resources, and neighbourhood participation) on Sense of Coherence (SOC) and health respectively were obtained.
Results. Overall satisfaction (β=0.153) and neighbourhood social capital (β=0.134) emerged as the most consistent partial correlates of SOC across groups. In turn, SOC was the strongest coefficient for health-outcomes (β=0.238). Neighbourhood participation had more consistent correlations with health than SOC across groups. Group-differences became visible in proportions of explained variance in SOC (varying from 7 to 23.7%) and health (varying from 6.7 to 20.6%), and in the relative importance of neighbourhood-variables. Satisfaction with quality of neighbourhood-resources was significantly related to SOC in non-workers (β=0.451) and low-earners (β=0.261), and health-outcomes in women (β=0.143).
Conclusions. Health might be promoted in the neighbourhood mainly through strengthening SOC, and deprived groups, especially non-workers, may benefit most from health-promotion in the neighbourhood. Findings suggest that high satisfaction with quality can conribute to better health-outcomes for groups with weaker average SOC. The proposed theoretical framework is only partly supported.

Keywords

neighbourhood, sense of coherence, health, health promotion, group differences

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Submitted: 2013-10-09 12:27:29
Published: 2014-03-26 00:00:00
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Copyright (c) 2014 Ruca Maass, Bengt Lindstrøm, Monica Lillefjell

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