Evaluating the health effects of place-based slum upgrading physical environment interventions: A systematic review (2012-2018)

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dc.contributor.authorHenson, Rosie Mae
dc.contributor.authorOrtigoza, Ana
dc.contributor.authorMartinez Folgar, Kevin
dc.contributor.authorBaeza, Fernando
dc.contributor.authorCaiaffa, Waleska
dc.contributor.authorVives Vergara, Alejandra
dc.contributor.authorDiez Roux, Ana, V
dc.contributor.authorLovasi, Gina
dc.contributor.otherCEDEUS (Chile)
dc.date.accessioned2024-01-10T14:23:46Z
dc.date.available2024-01-10T14:23:46Z
dc.date.issued2020
dc.description.abstractRapid urbanization in low- and middle-income countries (LMIC) is associated with increasing population living in informal settlements. Inadequate infrastructure and disenfranchisement in settlements can create environments hazardous to health. Placed-based physical environment upgrading interventions have potential to improve environmental and economic conditions linked to health outcomes. Summarizing and assessing evidence of the impact of prior interventions is critical to motivating and selecting the most effective upgrading strategies moving forward. Scientific and grey literature were systematically reviewed to identify evaluations of physical environment slum upgrading interventions in LMICs published between 2012 and 2018. Thirteen evaluations that fulfilled inclusion criteria were reviewed. Quality of evaluations was assessed using an adapted Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Findings were then pooled with those published prior to 2012. Narrative analysis was performed. Of thirteen evaluations, eight used a long-itudinal study design ("primary evaluations"). All primary evaluations were based in Latin America and included two housing, two transportation, and four comprehensive intervention evaluations. Three supporting evaluations assessed housing interventions in Argentina and South Africa; two assessed a comprehensive intervention in India. Effects by intervention-type included improvements in quality of life and communicable diseases after housing interventions, possible improvements in safety after transportation and comprehensive interventions, and possible non-statistically significant effects on social capital after comprehensive interventions. Effects due to interventions may vary by regional context and intervention scope. Limited strong evidence and the diffuse nature of comprehensive interventions suggests a need for attention to measurement of intervention exposure and analytic approaches to account for confounding and selection bias in evaluation. In addition to health improvements, evaluators should consider unintended health consequences and environmental impact. Understanding and isolating the effects of place-based interventions can inform necessary policy decisions to address inadequate living conditions as rapid urban growth continues across the globe.
dc.description.funderWellcome Trust initiative "Our Planet, Our Health"
dc.fechaingreso.objetodigital09-04-2024
dc.format.extent13 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.socscimed.2020.113102
dc.identifier.issn0277-9536
dc.identifier.pubmedidMEDLINE:32739786
dc.identifier.urihttps://doi.org/10.1016/j.socscimed.2020.113102
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80140
dc.identifier.wosidWOS:000566756000005
dc.information.autorucFacultad de Medicina; Vives Vergara, Alejandra; S/I; 135637
dc.language.isoen
dc.nota.accesoContenido completo
dc.publisherPERGAMON-ELSEVIER SCIENCE LTD
dc.rightsacceso abierto
dc.subjectSlum upgrading
dc.subjectUrban upgrading
dc.subjectHealth impact
dc.subjectUrban environment
dc.subjectBuilt environment
dc.subjectLow-to-middle income countries
dc.subjectMIDDLE-INCOME COUNTRIES
dc.subjectPOPULATION HEALTH
dc.subjectBUILT ENVIRONMENT
dc.subjectINFRASTRUCTURE
dc.subjectPOVERTY
dc.subjectPROVISION
dc.subjectEXPOSURE
dc.subjectOUTCOMES
dc.subjectCHILDREN
dc.subjectQUALITY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEvaluating the health effects of place-based slum upgrading physical environment interventions: A systematic review (2012-2018)
dc.typeartículo de revisión
dc.volumen261
sipa.codpersvinculados135637
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga SIPA;09-01-2024
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