30.M. Workshop: Experiences using a multi-methods study in an ethnic diverse deprived social housing area in Denmark

Abstract

Abstract Structural changes are commonly used as a political tool to improve health and wellbeing and reduce health disparities in deprived social housing areas. However, the evidence of effect is limited and ambiguous. Potential consequences are both positive (increasing heterogeneity in socioeconomic background of residents, better overall health) and negative (poorer social cohesion, stress due to relocation of residents). In Denmark, a number of social housing areas have recently been selected for large structural changes based on a politically defined list of indicators related to the socio-economic status and ethnicity of the residents. The setting for the workshop is a prospective multi-methods study of health, wellbeing and social relations among residents in one of the selected social housing areas in the period 2015-2025 with a focus on middle-aged and older residents, 'Health, Well-being and Social Relations in a Changing Neighbourhood'. Twenty percent of the apartment blocks in the area will be demolished in the period 2019-2020. This study provides a unique opportunity to explore the effects of large-scale structural changes in a longitudinal and multi-methods perspective. Thus, the study aims to increase our understanding of how changes affect the health, well-being and social relations among residents from different perspectives. Through user engagement in the design of the study and in particular in the two co-created interventions embedded in the study design, a focus on empowerment and recognition of the resources and perspectives of residents is encouraged. The main objectives of this workshop is to present and discuss the advantages and challenges with the different methodological approaches and communicative tools and how to gain synergistic effects of this approach within the setting of the research project. The workshop will include five presentations followed by a discussion. A focus on the multiple methods employed in the project and how they interact and supplement each other will bind the presentations together. The purpose is to share and discuss with the public health research community the experienced advantages as well as challenges with this approach. The project includes: A three wave survey (before, during and after the structural changes) (target population N∼600 in each wave). A needs assessment based on 31 qualitative interviews and results from the first survey wave. Two co-created interventions with a main purpose of ensuring social cohesion in the community during the structural changes. Register-based information on health and social factors in the period 2015-2025 on all residents living in the social housing area as well as in a similar neighbouring control social housing area not undergoing structural changes until 2023 (natural experiment approach). Novel in this area, graphic illustrative methods will be included as an instrument for increasing communication success and as part of the interventions. Key messages The workshop offers insight on synergistic effects of a longitudinal, multi-methods study exploring health and social effects of large-scale structural changes in an ethnic diverse social housing area. Offers a discussion of the challenges with data collection in a period with Danish state level political decisions leading to significant structural changes in deprived social housing areas.