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The impact of urban regeneration programmes on health and health-related behaviour: Evaluation of the Dutch District Approach 6.5 years from the start

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  • Annemarie Ruijsbroek
  • Albert Wong
  • Anton E Kunst
  • Carolien van den Brink
  • Hans A M van Oers
  • Mariël Droomers
  • Karien Stronks

Abstract

Background: Large-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run. Methods: With a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003–04 –mid 2008) and intervention period (mid 2008–2013–14) in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD) to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme. Results: Changes in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes. Conclusion: We found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.

Suggested Citation

  • Annemarie Ruijsbroek & Albert Wong & Anton E Kunst & Carolien van den Brink & Hans A M van Oers & Mariël Droomers & Karien Stronks, 2017. "The impact of urban regeneration programmes on health and health-related behaviour: Evaluation of the Dutch District Approach 6.5 years from the start," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-13, May.
    • Handle: RePEc:plo:pone00:0177262
    DOI: 10.1371/journal.pone.0177262
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    References listed on IDEAS

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    1. Paul Lawless & Sarah Pearson, 2012. "Outcomes from Community Engagement in Urban Regeneration: Evidence from England's New Deal for Communities Programme," Planning Theory & Practice, Taylor & Francis Journals, vol. 13(4), pages 509-527, December.
    2. Egan, M. & Katikireddi, S.V. & Kearns, A. & Tannahill, C. & Kalacs, M. & Bond, L., 2013. "Health effects of neighborhood demolition and housing improvement: A prospective controlled study of 2 natural experiments in urban renewal," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 47-53.
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    1. Cristina Vert & Mark Nieuwenhuijsen & Mireia Gascon & James Grellier & Lora E. Fleming & Mathew P. White & David Rojas-Rueda, 2019. "Health Benefits of Physical Activity Related to an Urban Riverside Regeneration," IJERPH, MDPI, vol. 16(3), pages 1-18, February.

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