Home > Publications
2017
Judith Green, Stefanie Buckner, Sarah Milton, Katie Powell, Sarah Salway; Suzanne Moffatt.
In: Social Science & Medicine, vol. 187, pp. 20 - 28, 2017.
Abstract | Links | Altmetric | Tags: Ageing, Social integration, Welfare
@article{,
title = {A model of how targeted and universal welfare entitlements impact on material, psycho-social and structural determinants of health in older adults.},
author = {Judith Green, Stefanie Buckner, Sarah Milton, Katie Powell, Sarah Salway and Suzanne Moffatt.},
doi = {10.1016/j.socscimed.2017.06.015},
year = {2017},
date = {2017-06-15},
journal = {Social Science & Medicine},
volume = {187},
pages = {20 - 28},
abstract = {A growing body of research attests to the impact of welfare regimes on health and health equity. However, the mechanisms that link different kinds of welfare entitlement to health outcomes are less well understood. This study analysed the accounts of 29 older adults in England to delineate how the form of entitlement to welfare and other resources (specifically, whether this was understood as a universal entitlement or as targeted to those in need) impacts on the determinants of health. Mechanisms directly affecting access to material resources (through deterring uptake of benefits) have been well documented, but those that operate through psychosocial and more structural pathways less so, in part because they are more challenging to identify. Entitlement that was understood collectively, or as arising from financial or other contributions to a social body, had positive impacts on wellbeing beyond material gains, including facilitating access to important health determinants: social contact, recognition and integration. Entitlement understood as targeted in terms of individualised concepts of need or vulnerability deterred access to material resources, but also fostered debate about legitimacy, thus contributing to negative impacts on individual wellbeing and the public health through the erosion of social integration. This has important implications for both policy and evaluation. Calls to target welfare benefits at those in most need emphasise direct material pathways to health impact. We suggest a model for considering policy change and evaluation which also takes into account how psychosocial and structural pathways are affected by the nature of entitlement.},
keywords = {Ageing, Social integration, Welfare},
pubstate = {published},
tppubtype = {article}
}
A growing body of research attests to the impact of welfare regimes on health and health equity. However, the mechanisms that link different kinds of welfare entitlement to health outcomes are less well understood. This study analysed the accounts of 29 older adults in England to delineate how the form of entitlement to welfare and other resources (specifically, whether this was understood as a universal entitlement or as targeted to those in need) impacts on the determinants of health. Mechanisms directly affecting access to material resources (through deterring uptake of benefits) have been well documented, but those that operate through psychosocial and more structural pathways less so, in part because they are more challenging to identify. Entitlement that was understood collectively, or as arising from financial or other contributions to a social body, had positive impacts on wellbeing beyond material gains, including facilitating access to important health determinants: social contact, recognition and integration. Entitlement understood as targeted in terms of individualised concepts of need or vulnerability deterred access to material resources, but also fostered debate about legitimacy, thus contributing to negative impacts on individual wellbeing and the public health through the erosion of social integration. This has important implications for both policy and evaluation. Calls to target welfare benefits at those in most need emphasise direct material pathways to health impact. We suggest a model for considering policy change and evaluation which also takes into account how psychosocial and structural pathways are affected by the nature of entitlement.
2016
Sara Ronzi, Daniel Pope, Lois Orton, Nicole Valtorta; Nigel Bruce.
Clarifying the relationship between respect, social inclusion and health in older people: a systematic review of intervention impacts Journal Article
In: PROSPERO International Prospective Register of Systematic Reviews , 2016.
Links | Tags: Ageing, health, Older People, Social integration, systematic review
@article{,
title = {Clarifying the relationship between respect, social inclusion and health in older people: a systematic review of intervention impacts},
author = {Sara Ronzi, Daniel Pope, Lois Orton, Nicole Valtorta and Nigel Bruce. },
url = {http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42014010107},
year = {2016},
date = {2016-09-30},
journal = {PROSPERO International Prospective Register of Systematic Reviews },
keywords = {Ageing, health, Older People, Social integration, systematic review},
pubstate = {published},
tppubtype = {article}
}
Sara Ronzi, Daniel Pope, Lois Orton; Nigel Bruce.
In: SSM-Population Health, vol. 2, pp. 732-745, 2016.
Abstract | Links | Altmetric | Tags: Age Friendly Cities, Ageing, Cities, Older People, Social integration
@article{,
title = {Using photovoice methods to explore older people's perceptions of respect and social inclusion in cities: Opportunities, challenges and solutions},
author = {Sara Ronzi, Daniel Pope, Lois Orton and Nigel Bruce.},
doi = {10.1016/j.ssmph.2016.09.004},
year = {2016},
date = {2016-09-13},
journal = {SSM-Population Health},
volume = {2},
pages = {732-745},
abstract = {Urbanisation and population ageing have contributed to recognise cities as important settings for healthy ageing. This paper considers opportunities, challenges and solutions of using photovoice methods for exploring how individuals perceive their cities and the contribution this makes to their health. It focuses on one aspect of older people's experiences – respect and social inclusion, in the context of a community-based participatory research. Drawing on selected findings (participants' photographs, associated quotes and researchers' field notes), we provide an assessment of the suitability of photovoice methodology for the intended purpose. Four groups of older people (n=26; aged 60 years or more) from four contrasting geographical areas in Liverpool, UK, were recruited purposively. Participants photographed perceived positive and negative aspects of respect and social inclusion in the city, reflecting on the meanings of the photographs in individual (n=23) and group interviews (n=9). Thematic and content analysis was conducted using NVivo 10 software.
The work reported here provides insights into how participants engage with the photovoice process; factors preventing taking photos of interest; and how photographs complement interviews and focus groups. The findings demonstrate that photovoice both facilitated the dissemination of personalised relevant knowledge, and encouraged critical dialogue between participants, and city stakeholders. Reported difficulties included photography of negative and social concepts, and anxiety when taking photographs due to (i) expectations of what is a ‘proper’ photograph, and (ii) the need to obtain consent from subjects. With preparation, training, and discussion of participants’ ideas not expressed through photographs, photovoice was well-suited to this topic, providing insights complementing other research methods. Through analysing the application of photovoice for exploring perceptions of respect and social inclusion in cities, our paper has identified potential issues and provides important recommendations for researchers on how photovoice methodology can be strengthened in exploring conditions for better health in the urban environment.},
keywords = {Age Friendly Cities, Ageing, Cities, Older People, Social integration},
pubstate = {published},
tppubtype = {article}
}
Urbanisation and population ageing have contributed to recognise cities as important settings for healthy ageing. This paper considers opportunities, challenges and solutions of using photovoice methods for exploring how individuals perceive their cities and the contribution this makes to their health. It focuses on one aspect of older people's experiences – respect and social inclusion, in the context of a community-based participatory research. Drawing on selected findings (participants' photographs, associated quotes and researchers' field notes), we provide an assessment of the suitability of photovoice methodology for the intended purpose. Four groups of older people (n=26; aged 60 years or more) from four contrasting geographical areas in Liverpool, UK, were recruited purposively. Participants photographed perceived positive and negative aspects of respect and social inclusion in the city, reflecting on the meanings of the photographs in individual (n=23) and group interviews (n=9). Thematic and content analysis was conducted using NVivo 10 software.
The work reported here provides insights into how participants engage with the photovoice process; factors preventing taking photos of interest; and how photographs complement interviews and focus groups. The findings demonstrate that photovoice both facilitated the dissemination of personalised relevant knowledge, and encouraged critical dialogue between participants, and city stakeholders. Reported difficulties included photography of negative and social concepts, and anxiety when taking photographs due to (i) expectations of what is a ‘proper’ photograph, and (ii) the need to obtain consent from subjects. With preparation, training, and discussion of participants’ ideas not expressed through photographs, photovoice was well-suited to this topic, providing insights complementing other research methods. Through analysing the application of photovoice for exploring perceptions of respect and social inclusion in cities, our paper has identified potential issues and provides important recommendations for researchers on how photovoice methodology can be strengthened in exploring conditions for better health in the urban environment.
The work reported here provides insights into how participants engage with the photovoice process; factors preventing taking photos of interest; and how photographs complement interviews and focus groups. The findings demonstrate that photovoice both facilitated the dissemination of personalised relevant knowledge, and encouraged critical dialogue between participants, and city stakeholders. Reported difficulties included photography of negative and social concepts, and anxiety when taking photographs due to (i) expectations of what is a ‘proper’ photograph, and (ii) the need to obtain consent from subjects. With preparation, training, and discussion of participants’ ideas not expressed through photographs, photovoice was well-suited to this topic, providing insights complementing other research methods. Through analysing the application of photovoice for exploring perceptions of respect and social inclusion in cities, our paper has identified potential issues and provides important recommendations for researchers on how photovoice methodology can be strengthened in exploring conditions for better health in the urban environment.
Joanna Reynolds
‘Missing out’: Reflections on the positioning of ethnographic research within an evaluative framing Journal Article
In: Ethnography, 2016.
Abstract | Links | Altmetric | Tags: Communities, Empowerment, health, Inequalities, Inequality, Social integration
@article{,
title = {‘Missing out’: Reflections on the positioning of ethnographic research within an evaluative framing},
author = {Joanna Reynolds},
doi = {10.1177/1466138116664106},
year = {2016},
date = {2016-08-17},
journal = {Ethnography},
abstract = {Contemporary approaches to evaluating ‘complex’ social and health interventions are opening up spaces for methodologies attuned to examining contextual complexities, such as ethnography. Yet the alignment of the two agendas – evaluative and ethnographic – is not necessarily comfortable in practice. I reflect on experiences of conducting ethnographic research alongside a public health evaluation of a community-based initiative in the UK, using the lens of ‘missing out’ to examine intersections between my own ethnographic concerns and those of the communities under study. I examine potential opportunities posed by the discomfort of ‘missing out’, particularly for identifying the processes and spaces of inclusion and exclusion that contributed both to my ethnographic experiences and to the realities of the communities engaging with the initiative. This reveals productive possibilities for a focus on ‘missing out’ as a form of relating for evaluations of the impacts of such initiatives on health and social inequalities.},
keywords = {Communities, Empowerment, health, Inequalities, Inequality, Social integration},
pubstate = {published},
tppubtype = {article}
}
Contemporary approaches to evaluating ‘complex’ social and health interventions are opening up spaces for methodologies attuned to examining contextual complexities, such as ethnography. Yet the alignment of the two agendas – evaluative and ethnographic – is not necessarily comfortable in practice. I reflect on experiences of conducting ethnographic research alongside a public health evaluation of a community-based initiative in the UK, using the lens of ‘missing out’ to examine intersections between my own ethnographic concerns and those of the communities under study. I examine potential opportunities posed by the discomfort of ‘missing out’, particularly for identifying the processes and spaces of inclusion and exclusion that contributed both to my ethnographic experiences and to the realities of the communities engaging with the initiative. This reveals productive possibilities for a focus on ‘missing out’ as a form of relating for evaluations of the impacts of such initiatives on health and social inequalities.