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More than jobs and houses: mental health, quality of life and the perceptions of locality in an area undergoing urban regeneration

  • Anne Rogers
  • Peter Huxley
  • Sherrill Evans
  • Claire Gately
ORIGINAL PAPER

Abstract

Background

Urban regeneration initiatives are considered to be one means of making a contribution to improving people’s quality of life and mental health. This paper considers the relationship between lay perceptions of locality adversity, mental health and social capital in an area undergoing urban regeneration.

Methods

Using qualitative methods as part of a larger multi-method study, perceptions of material, and non-material aspects of the locality and the way in which people vulnerable to mental health problems coped with living in adversity were identified as being more highly valued than intended or actual changes to structural elements such as the provision of housing or employment.

Results

Themes derived from narrative accounts included concerns about the absence of social control in the locality, the reputation of the area, a lack of faith in local agencies to make changes considered important to local residents, a reliance on personal coping strategies to manage adversity and perceived threats to mental health which reinforced a sense of social isolation. We suggest these elements are implicated in restricting opportunities and enhancing feelings of ‘entrapment’ contributing to low levels of local collective efficacy. The gap between social capital capacity at an individual level and links with collective community resources may in part have accounted for the absence of improvements in mental health during the early life of the urban regeneration initiative.

Implications/conclusions

In order to enhance quality of life or mental health, agencies involved in urban initiatives need as a basic minimum to promote security, increase leisure opportunities, and improve the image of the locality.

Key words

urban regeneration mental health quality of life UK social housing 

References

  1. 1.
    Brown GW, Harris TO, Hepworth C (1995) Loss, humiliation and entrapment among women developing depression: a patient and non-patient comparison. Psychol Med 25:7-21PubMedGoogle Scholar
  2. 2.
    Deardorff J, Gonzales NA, Sandler IN (2003) Control beliefs as a mediator of the relation between stress and depressive symptoms among inner-city adolescents. J Abnorm Child Psychol 31(2):205–217PubMedCrossRefGoogle Scholar
  3. 3.
    Dohrenwend BP, Dohrenwend BS (1982) Perspectives on the past and future of psychiatric epidemiology. Am J Public Health 72:1271–1279PubMedGoogle Scholar
  4. 4.
    Elliott M (2000) The stress process in its neighbourhood context. Health Place 6:287–299PubMedCrossRefGoogle Scholar
  5. 5.
    Faris RE, Dunham HW (1939) Mental disorders in urban areas: an ecological study of schizophrenia and other psychoses. The University of Chicago Press, ChicagoGoogle Scholar
  6. 6.
    Gesler WM (1992) Therapeutic landscapes: medical issues in light of the new cultural geography. Soc Sci Med 44(5):657–671CrossRefGoogle Scholar
  7. 7.
    Goldberg D (1992) General health questionnaire (GHQ-12). NFER-Nelson, WindsorGoogle Scholar
  8. 8.
    Gonzales NA, Tein JY, Sandler IN, Freidman RJ (2001). On the limits of coping: interaction between stress and coping for inner-city adolescents. J Adolesc Res 16(4):372–395CrossRefGoogle Scholar
  9. 9.
    Granovetter MS (1973) The strength of weak ties. Am J Soc 78(6):1360CrossRefGoogle Scholar
  10. 10.
    Hawe P, Shiell A (2000) Social capital and health promotion: a review. Soc Sci Med 51(6):871–885PubMedCrossRefGoogle Scholar
  11. 11.
    Huberman MA, Miles M (1994) Data management and analysis methods. In: Denzin NK, Lincoln YS (eds) The sage handbook of qualitative research, 3rd edn. Sage, Beverly HillsGoogle Scholar
  12. 12.
    Huxley P, Evans S, Leese M, Gately C, Rogers A, Thomas R et al. (2004) Urban regeneration and mental health. Soc Psychiatry Psychiatr Epidemiol 39(4):280–285PubMedCrossRefGoogle Scholar
  13. 13.
    Khan N, Bower P, Rogers A (2007) Guided self-help in primary care mental health—meta-synthesis of qualitative studies of patient experience. Br J Psychiatry 191:206–211PubMedCrossRefGoogle Scholar
  14. 14.
    Lewis G, Pelosi A J, Araya R et al (1992) Measuring psychiatric disorders in the community: a standardised assessment for use by lay interviewers. Psychol Med 22:465–486PubMedCrossRefGoogle Scholar
  15. 15.
    Lomas J (1998) Social capital and Health: implications for public health and epidemiology. Soc Sci Med 47(9):1181–1188PubMedCrossRefGoogle Scholar
  16. 16.
    Macintyre S, Ellaway A, Cummins S (2002) Place effects on health: how can we conceptualise, operationalise and measure them. Soc Sci Med 55(1):125–139PubMedCrossRefGoogle Scholar
  17. 17.
    Macintyre S, Maciver S, Sooman A (1993) Area, class and health: should we be focusing on places or people? J Soc Policy 122(2):23–34Google Scholar
  18. 18.
    Mullick MSI, Goodman R (2005) The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh. Soc Psychiatry Psychiatr Epidemiol 40(8):663–671PubMedCrossRefGoogle Scholar
  19. 19.
    Myers J, Bean L (1968) A decade later: a follow up of social class and mental illness. Wiley, New YorkGoogle Scholar
  20. 20.
    Nettleton S, Burrows R (1998) Mortgage debt, insecure home ownership and health: an exploratory analysis. Sociol Health Illn 20(5):731–754CrossRefGoogle Scholar
  21. 21.
    Paykel ES, Abbott R, Jenkins R, Brugha TS, Meltzer H (2000) Urban-rural mental health differences in Great Britain: findings from the National Morbidity Survey. Psychol Med 30(2):269–280PubMedCrossRefGoogle Scholar
  22. 22.
    Portes A (1998) Social capital: its origins and applications in modern sociology. Annu Rev Sociol (August) 24:1–24CrossRefGoogle Scholar
  23. 23.
    Putnam R (1993) Making democracy work: civic traditions in modern Italy. Princeton University Press, PrincetonGoogle Scholar
  24. 24.
    Rogers A, Day J, Randall F, Bentall RP (2003) Patients’ understanding and participation in a trial designed to improve the management of anti-psychotic medication—a qualitative study. Soc Psychiatry Psychiatr Epidemiol 38(12):720–727PubMedCrossRefGoogle Scholar
  25. 25.
    Rogers A, Pilgrim D (1997) The contribution of lay knowledge to understanding and promoting mental health J Ment Health 6(1):23–35CrossRefGoogle Scholar
  26. 26.
    Sampson RJ, Raudenbush SW, Earls F (1997) Neighbourhoods and violent crime: a multilevel study of collective efficacy. Science 277(5328):918–924PubMedCrossRefGoogle Scholar
  27. 27.
    Stansfeld SA, Head J, Marmot MG (1998) Explaining social class differences in depression and well being. Soc Psychiatr Epidemiol 33(1):1–9CrossRefGoogle Scholar
  28. 28.
    Szreter S (2002) The state of social capital: bringing back in power, politics and history. Theory Soc 31:573–621CrossRefGoogle Scholar
  29. 29.
    Thoits PA (1986) Multiple identities: examining gender and marital status differences in distress. Am Sociol Rev 51(2):259–272CrossRefGoogle Scholar
  30. 30.
    Thomas R, Huxley P, Robson B, Rogers A, Evans S, Stordy J, Gately C (2002) State-event interactions among indicators of susceptibility to mental distress in Wythenshawe. Soc Sci Med 6:921–935CrossRefGoogle Scholar
  31. 31.
    Turner B (2003) Social capital, inequality and health: the Durkheiminan revival. Soc Theory Health 1:4–20CrossRefGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2008

Authors and Affiliations

  • Anne Rogers
    • 1
  • Peter Huxley
    • 2
  • Sherrill Evans
    • 2
  • Claire Gately
    • 1
  1. 1.National Primary Care Research and Development CentreUniversity of ManchesterManchesterUK
  2. 2.School of Human Sciences, Dept. of Applied Social SciencesUniversity of SwanseaSwanseaUK

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