Health trajectories in regeneration areas in England : the impact of the New Deal for Communities intervention

Walthery, Pierre and Stafford, Mai and Nazroo, James and Whitehead, Margaret and Dibben, Christopher and Halliday, Emma and Povall, Sue and Popay, Jennie (2015) Health trajectories in regeneration areas in England : the impact of the New Deal for Communities intervention. Journal of Epidemiology and Community Health, 69 (8). pp. 762-768. ISSN 0143-005X

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BACKGROUND: A large body of evidence documents the adverse relationship between concentrated deprivation and health. Among the evaluations of regeneration initiatives to tackle these spatial inequalities, few have traced the trajectories of individuals over time and fewer still have employed counterfactual comparison. We investigate the impact of one such initiative in England, the New Deal for Communities (NDC), which ran from 1999 to 2011, on socioeconomic inequalities in health trajectories. METHODS: Latent Growth Curve modelling of within-person changes in self-rated health, mental health and life satisfaction between 2002 and 2008 of an analytical cohort of residents of 39 disadvantaged areas of England in which the NDC was implemented, compared with residents of comparator, non-intervention areas, focusing on: (1) whether differences over time in outcomes can be detected between NDC and comparator areas and (2) whether interventions may have altered socioeconomic differences in outcomes. RESULTS: No evidence was found for an overall improvement in the three outcomes, or for significant differences in changes in health between respondents in NDC versus comparator areas. However, we found a weakly significant gap in life satisfaction and mental health between high and low socioeconomic status individuals in comparator areas which widened over time to a greater extent than in NDC areas. Change over time in the three outcomes was non-linear: individual improvements among NDC residents were largest before 2006. CONCLUSIONS: There is limited evidence that the NDC moderated the impact of socioeconomic factors on mental health and life satisfaction trajectories. Furthermore, any NDC impact was strongest in the first 6 years of the programmes.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Epidemiology and Community Health
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Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to
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?? public health, environmental and occupational healthepidemiology ??
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Deposited On:
09 Sep 2015 06:34
Last Modified:
28 Nov 2023 11:21