The impact of urban regeneration programmes on health and health-related behaviour

Evaluation of the Dutch District Approach 6.5 years from the start

A. Ruijsbroek, A. Wong, A.E. Kunst, C.L. van den Brink, J.A.M. van Oers, M. Droomers, K. Stronks

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Abstract

Background
Large-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run.
Methods
With a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003–04 –mid 2008) and intervention period (mid 2008–2013–14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme.
Results
Changes in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes.
Conclusion
We found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.
Original languageEnglish
Article numbere0177262
JournalPLoS ONE
Volume12
Issue number5
DOIs
Publication statusPublished - 2017

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Health
Netherlands
Mental Health

Cite this

Ruijsbroek, A. ; Wong, A. ; Kunst, A.E. ; van den Brink, C.L. ; van Oers, J.A.M. ; Droomers, M. ; Stronks, K. / The impact of urban regeneration programmes on health and health-related behaviour : Evaluation of the Dutch District Approach 6.5 years from the start. In: PLoS ONE. 2017 ; Vol. 12, No. 5.
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title = "The impact of urban regeneration programmes on health and health-related behaviour: Evaluation of the Dutch District Approach 6.5 years from the start",
abstract = "BackgroundLarge-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run.MethodsWith a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003–04 –mid 2008) and intervention period (mid 2008–2013–14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme.ResultsChanges in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes.ConclusionWe found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.",
author = "A. Ruijsbroek and A. Wong and A.E. Kunst and {van den Brink}, C.L. and {van Oers}, J.A.M. and M. Droomers and K. Stronks",
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The impact of urban regeneration programmes on health and health-related behaviour : Evaluation of the Dutch District Approach 6.5 years from the start. / Ruijsbroek, A.; Wong, A.; Kunst, A.E.; van den Brink, C.L.; van Oers, J.A.M.; Droomers, M.; Stronks, K.

In: PLoS ONE, Vol. 12, No. 5, e0177262, 2017.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The impact of urban regeneration programmes on health and health-related behaviour

T2 - Evaluation of the Dutch District Approach 6.5 years from the start

AU - Ruijsbroek, A.

AU - Wong, A.

AU - Kunst, A.E.

AU - van den Brink, C.L.

AU - van Oers, J.A.M.

AU - Droomers, M.

AU - Stronks, K.

PY - 2017

Y1 - 2017

N2 - BackgroundLarge-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run.MethodsWith a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003–04 –mid 2008) and intervention period (mid 2008–2013–14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme.ResultsChanges in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes.ConclusionWe found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.

AB - BackgroundLarge-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run.MethodsWith a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003–04 –mid 2008) and intervention period (mid 2008–2013–14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme.ResultsChanges in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes.ConclusionWe found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.

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