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The Regeneracion Urbana, Calidad de Vida y Salud-RUCAS project: a Chilean multi-methods study to evaluate the impact of urban regeneration on resident health and wellbeing
Indexado
WoS WOS:000641475200010
Scopus SCOPUS_ID:85104436581
DOI 10.1186/S12889-021-10739-3
Año 2021
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background The available evidence of the health effects of urban regeneration is scarce In Latin America, and there are no studies focused on formal housing that longitudinally evaluate the impact of housing and neighborhood interventions on health. The "Regeneracion Urbana, Calidad de Vida y Salud" (Urban Regeneration, Quality of Life, and Health) or RUCAS project is a longitudinal, multi-method study that will evaluate the impact of an intervention focused on dwellings, built environment and community on the health and wellbeing of the population in two social housing neighborhoods in Chile. Methods RUCAS consists of a longitudinal study where inhabitants exposed and unexposed to the intervention will be compared over time within the study neighborhoods (cohorts), capitalizing on interventions as a natural experiment. Researchers have developed a specific conceptual framework and identified potential causal mechanisms. Proximal and more distal intervention effects will be measured with five instruments, implemented pre- and post-interventions between 2018 and 2021: a household survey, an observation tool to evaluate dwelling conditions, hygrochrons for measuring temperature and humidity inside dwellings, systematic observation of recreational areas, and qualitative interviews. Survey baseline data (956 households, 3130 individuals) is presented to describe sociodemographics, housing and health characteristics of both cohorts, noting that neighborhoods studied show worse conditions than the Chilean population. Discussion RUCAS' design allows for a comprehensive evaluation of the effects that the intervention could have on various dimensions of health and health determinants. RUCAS will face some challenges, like changes in the intervention process due to adjustments of the master plan, exogenous factors -including COVID-19 pandemic and associated lockdowns- and lost to follow-up. Given the stepped wedge design, that the study capitalizes on within household changes over time, the possibility of adjusting data collection process and complementarity of methods, RUCAS has the flexibility to adapt to these circumstances. Also, RUCAS' outreach and retention strategy has led to high retention rates. RUCAS will provide evidence to inform regeneration processes, highlighting the need to consider potential health effects of regeneration in designing such interventions and, more broadly, health as a key priority in urban and housing policies.

Revista



Revista ISSN
Bmc Public Health 1471-2458

Métricas Externas



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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Baeza, F. Hombre Pontificia Universidad Católica de Chile - Chile
2 Vives, Alejandra Mujer Pontificia Universidad Católica de Chile - Chile
Centro de Desarrollo Urbano Sustentable CEDEUS - Chile
3 GONZALEZ-MUNIZAGA, FERNANDO GASTON Hombre Pontificia Universidad Católica de Chile - Chile
4 Orlando, Laura Mujer Pontificia Universidad Católica de Chile - Chile
5 Valdebenito, Roxana Mujer Pontificia Universidad Católica de Chile - Chile
6 Cortinez-O'Ryan, Andrea Mujer Pontificia Universidad Católica de Chile - Chile
Universidad de La Frontera - Chile
7 Slesinski, Claire Mujer Drexel Univ - Estados Unidos
Drexel University - Estados Unidos
8 Diez-Roux, Ana Mujer Drexel Univ - Estados Unidos
Drexel University - Estados Unidos

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Financiamiento



Fuente
Centro de Desarrollo Urbano Sustentable
Wellcome Trust
National Institute of Diabetes and Digestive and Kidney Diseases
Wellcome Trust initiative "Our Planet, Our Health"
SALURBAL (Salud Urbana en America Latina / Urban Health in Latin America)
SALURBAL
Salud Urbana en América Latina

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
This project is supported by SALURBAL (Salud Urbana en America Latina / Urban Health in Latin America). SALURBAL is funded by the Wellcome Trust initiative "Our Planet, Our Health" [205177/Z/16/Z]. Learn more at www. lacurbanhealth.org. All authors had financial support from SALURBAL, and the fieldwork has also been supported by SALURBAL as an ancillary study. Additional data collection and analysis related to evaluation of social and health effects of the COVID-19 pandemic in both neighborhoods has been founded by the National Agency of Research and Development of Chile (ANID) [COVID1032].
The authors acknowledge the contribution of Cristian Schmitt and Waldo Bustamante from CEDEUS, and all SALURBAL project team members, especially Urban Redevelopment Working Group and Brisa N. S?nchez. For more information on SALURBAL and to see a full list of investigators see https://drexel.edu/lac/salurbal/team/.

Muestra la fuente de financiamiento declarada en la publicación.