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Collective control, social-cohesion and health and wellbeing: Baseline survey results from the Communities in Control Study in England

McGowan, V.J.; Akhter, N.; Halliday, E; Popay, J; Kasim, A; Bambra, C

Collective control, social-cohesion and health and wellbeing: Baseline survey results from the Communities in Control Study in England Thumbnail


Authors

V.J. McGowan

E Halliday

J Popay

A Kasim

C Bambra



Abstract

Background: Area-based initiatives (ABIs) are receiving renewed interest as part of ‘place-based public health’ approaches to reducing health inequalities. Purpose: Examine associations between collective control, social-cohesion and health amongst residents involved in the Big Local ABI. Methods: Survey data on general health, mental wellbeing, perceptions of individual and collective control, and social-cohesion was obtained in 2016 for 1600 residents involved in the 150 Big Local ABI areas in England, 862 responded - a response rate of >50%. Adjusted mean differences and adjusted odds ratios were calculated using random effect linear and generalised estimating equation models. Subgroup analysis by gender and educational level was conducted. Results: Mental wellbeing was positively associated with collective control (Mean Difference 3.06 units, 1.23-4.90) and some measures of social cohesion (‘people in the area are willing to help each other’ [Mean Difference 1.77 units, 0.75-2.78]). General health was positively associated with other measures of social cohesion (area-belonging [Odds Ratio 4.25, 2.26-7.97]). Conclusion: Collective control and some aspects of social cohesion were positively associated with better mental wellbeing and self-rated health amongst residents involved with Big Local. These positive associations were often greater amongst women and participants with a lower education. Increasing the collective control residents have in ABIs could improve the health effects of ABIs.

Citation

McGowan, V., Akhter, N., Halliday, E., Popay, J., Kasim, A., & Bambra, C. (2022). Collective control, social-cohesion and health and wellbeing: Baseline survey results from the Communities in Control Study in England. Journal of Public Health, 44(2), 378-386. https://doi.org/10.1093/pubmed/fdaa227

Journal Article Type Article
Acceptance Date Nov 11, 2020
Online Publication Date Jan 11, 2021
Publication Date 2022-06
Deposit Date Dec 10, 2020
Publicly Available Date Mar 29, 2024
Journal Journal of Public Health
Print ISSN 1741-3842
Electronic ISSN 1741-3850
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 44
Issue 2
Pages 378-386
DOI https://doi.org/10.1093/pubmed/fdaa227

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Copyright Statement
This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The version of record: McGowan, V.J., Akhter, N., Halliday, E, Popay, J, Kasim, A & Bambra, C,1,2 (2022). Collective control, social-cohesion and health and wellbeing: Baseline survey results from the Communities in Control Study in England. Journal of Public Health 44(2): 378-386 is available online at: https://doi.org/10.1093/pubmed/fdaa227





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