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“We Don’t Assume That Everyone Has the Same Idea About Health, Do We?” Explorative Study of Citizens’ Perceptions of Health and Participation to Improve Their Health in a Low Socioeconomic City District

Author

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  • Marja A. J. G. de Jong

    (GGD IJsselland, Zeven Alleetjes 1, 8011 CV Zwolle, The Netherlands)

  • Annemarie Wagemakers

    (Health and Society, Social Sciences Group, Wageningen University & Research, P.O. Box 8130, 6700 EW Wageningen, The Netherlands)

  • Maria A. Koelen

    (Health and Society, Social Sciences Group, Wageningen University & Research, P.O. Box 8130, 6700 EW Wageningen, The Netherlands)

Abstract

In community health promotion programs that aim to reduce health inequities, citizen participation is recommended, as it strengthens citizens’ active involvement and has a positive impact on health. A prerequisite for citizen participation is recognizing and incorporating citizens’ perceptions of health. Therefore, this study aimed to explore these perceptions and actions needed to improve the health of citizens living in a low socioeconomic city district. Concept mapping was used to actively engage community members as part of the action research method. Eleven community groups (n = 89 citizens) together with community workers participated in the study. Participants in all groups agreed that health entails more than the absence of disease, and therefore it is a multidimensional concept. Social relations, physical activity, positive life attitude, healthy eating, and being in control were important perceptions about health. Although the participants were aware of the relation between lifestyle and health, actions to improve health included doing things together, collaboration, self-confidence, focusing on possibilities, and socially shared meanings. Creating a supportive environment to address health behavior appeared to be the most important action for citizens to facilitate behavior change. Concept mapping helped to involve citizens and provided community workers with valuable information to shape the program together with citizens.

Suggested Citation

  • Marja A. J. G. de Jong & Annemarie Wagemakers & Maria A. Koelen, 2020. "“We Don’t Assume That Everyone Has the Same Idea About Health, Do We?” Explorative Study of Citizens’ Perceptions of Health and Participation to Improve Their Health in a Low Socioeconomic City Distri," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4958-:d:382615
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    References listed on IDEAS

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    1. Wagemakers, Annemarie & Vaandrager, Lenneke & Koelen, Maria A. & Saan, Hans & Leeuwis, Cees, 2010. "Community health promotion: A framework to facilitate and evaluate supportive social environments for health," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 428-435, November.
    2. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    3. Trochim, William M. K., 1989. "An introduction to concept mapping for planning and evaluation," Evaluation and Program Planning, Elsevier, vol. 12(1), pages 1-16, January.
    4. Herens, Marion & Wagemakers, Annemarie, 2017. "Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 54-68.
    5. Lisa M. Vaughn & Farrah Jacquez & Daniel Marschner & Daniel McLinden, 2016. "See what we say: using concept mapping to visualize Latino immigrant’s strategies for health interventions," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 837-845, September.
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    Cited by:

    1. Ya Yang & Zhengyu Jiang & Yawei Hou & Huaxing Wang & Zeyu Wang, 2023. "Healthy City Community Space-Oriented Structural Planning and Management Optimization under COVID-19," IJERPH, MDPI, vol. 20(5), pages 1-14, February.

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