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Deprived yet healthy: Neighbourhood-level resilience in New Zealand

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  • Pearson, Amber L.
  • Pearce, Jamie
  • Kingham, Simon

Abstract

Geographical inequalities in health are omnipresent with health and related behaviours typically worse in socioeconomically deprived places. However, this is not always true. Deprived places with unexpectedly good health outcomes, or what might be considered ‘resilient’ places, have been noted. Few studies have quantitatively examined resilience in neighbourhoods or investigated potential explanations for this resilience. This paper examines the paradox of low mortality despite high social deprivation in New Zealand neighbourhoods and considers possible neighbourhood characteristics that contribute to unanticipated positive health outcomes. Using area-level mortality (2005–2007) and socioeconomic data, we developed the Resilience Index New Zealand to quantify neighbourhood levels of resilience across the country. We then examined relationships between this measure and a suite of built, physical and social characteristics. We found that resilient places tended to be densely populated, urban areas. We observed gradients and increases/decreases in the most resilient groups in access to or levels of physical environment factors (environmental deprivation, safe drinking water, air quality) and unhealthy living infrastructure (alcohol and gambling outlets). Since these factors are amenable to change, these findings are the strongest evidence that such improvements may lower mortality in similarly deprived places. The social environment of resilient areas was characterised by high levels of incoming residents. We also found some surprising associations and observed U-shaped relationships for a number of the neighbourhood factors. Such findings suggest the need to develop a better proxy of community cohesion and a better understanding of the interactions between people and their neighbourhoods, rather than simply the presence of certain factors. We argue that this study has identified amenable neighbourhood characteristics and highlighted the importance of ‘place-specific’ resilience factors that may be effective in reducing mortality in some neighbourhoods, but be less effective in others.

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  • Pearson, Amber L. & Pearce, Jamie & Kingham, Simon, 2013. "Deprived yet healthy: Neighbourhood-level resilience in New Zealand," Social Science & Medicine, Elsevier, vol. 91(C), pages 238-245.
    • Handle: RePEc:eee:socmed:v:91:y:2013:i:c:p:238-245
    DOI: 10.1016/j.socscimed.2012.09.046
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    References listed on IDEAS

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    1. Haynes, Robin & Pearce, Jamie & Barnett, Ross, 2008. "Cancer survival in New Zealand: Ethnic, social and geographical inequalities," Social Science & Medicine, Elsevier, vol. 67(6), pages 928-937, September.
    2. Richardson, Ken & Blakely, Tony & Young, Jim & Graham, Patrick & Tobias, Martin, 2009. "Do ethnic and socio-economic inequalities in mortality vary by region in New Zealand? An application of hierarchical Bayesian modelling," Social Science & Medicine, Elsevier, vol. 69(8), pages 1252-1260, October.
    3. Wiles, Janine L. & Wild, Kirsty & Kerse, Ngaire & Allen, Ruth E.S., 2012. "Resilience from the point of view of older people: ‘There's still life beyond a funny knee’," Social Science & Medicine, Elsevier, vol. 74(3), pages 416-424.
    4. Ivory, Vivienne C. & Collings, Sunny C. & Blakely, Tony & Dew, Kevin, 2011. "When does neighbourhood matter? Multilevel relationships between neighbourhood social fragmentation and mental health," Social Science & Medicine, Elsevier, vol. 72(12), pages 1993-2002, June.
    5. Simoes, E.J. & Hallal, P. & Pratt, M. & Ramos, L. & Munk, M. & Damascena, W. & Perez, D.P. & Hoehner, C.M. & Gilbertz, D. & Malta, D.C. & Brownson, R.C., 2009. "Effects of a community-based, professionally supervised intervention on physical activity levels among residents of Recife, Brazil," American Journal of Public Health, American Public Health Association, vol. 99(1), pages 68-75.
    6. van Hooijdonk, Carolien & Droomers, Mariël & van Loon, Jeanne A.M. & van der Lucht, Fons & Kunst, Anton E., 2007. "Exceptions to the rule: Healthy deprived areas and unhealthy wealthy areas," Social Science & Medicine, Elsevier, vol. 64(6), pages 1326-1342, March.
    7. Jamie Pearce & Danny Dorling, 2009. "Tackling Global Health Inequalities: Closing the Health Gap in a Generation," Environment and Planning A, , vol. 41(1), pages 1-6, January.
    8. Barnett, Ross & Pearce, Jamie & Moon, Graham, 2005. "Does social inequality matter? Changing ethnic socio-economic disparities and Maori smoking in New Zealand, 1981-1996," Social Science & Medicine, Elsevier, vol. 60(7), pages 1515-1526, April.
    9. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1993. "Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain," Social Science & Medicine, Elsevier, vol. 37(6), pages 725-733, September.
    10. Canvin, Krysia & Marttila, Anneli & Burstrom, Bo & Whitehead, Margaret, 2009. "Tales of the unexpected? Hidden resilience in poor households in Britain," Social Science & Medicine, Elsevier, vol. 69(2), pages 238-245, July.
    11. Pearce, Jamie R. & Richardson, Elizabeth A. & Mitchell, Richard J. & Shortt, Niamh K., 2011. "Environmental justice and health: A study of multiple environmental deprivation and geographical inequalities in health in New Zealand," Social Science & Medicine, Elsevier, vol. 73(3), pages 410-420, August.
    12. Sweet, E., 2011. "Symbolic capital, consumption, and health inequality," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 260-264.
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    3. Sara Meerow & Melissa Stults, 2016. "Comparing Conceptualizations of Urban Climate Resilience in Theory and Practice," Sustainability, MDPI, vol. 8(7), pages 1-16, July.
    4. Breetzke, G.D. & Pearson, A.L., 2015. "Socially disorganized yet safe: Understanding resilience to crime in neighborhoods in New Zealand," Journal of Criminal Justice, Elsevier, vol. 43(6), pages 444-452.
    5. M, Hobbs & N, Bowden & L, Marek & J, Wiki & J, Kokaua & R, Theodore & T, Ruhe & J, Boden & H, Thabrew & S, Hetrick & B, Milne, 2023. "The environment a young person grows up in is associated with their mental health: A nationwide geospatial study using the integrated data infrastructure, New Zealand," Social Science & Medicine, Elsevier, vol. 326(C).
    6. Georgia Rudd & Kane Meissel & Frauke Meyer, 2023. "Measuring Childhood Exposure to Neighbourhood Deprivation at the Macro- and Micro-level in Aotearoa New Zealand," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(4), pages 1581-1606, August.

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