Factors which nurture geographical resilience in Britain: a mixed methods study: Figure 1

Richard Mitchell · Helena Tunstall · Stephen D. Platt · Danny Dorling

28 citations0/0 files storedJournal of Epidemiology & Community Health

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Health disparities and outcomes Public Health and Social Inequalities Regional resilience and development

Abstract

OBJECTIVES: To identify plausible mechanisms by which resilience (low mortality rates despite persistent economic adversity) was achieved in some areas in Britain between 1971 and 2001. METHODS: Mixed method observational study, combining quantitative analyses of cause- and age group-specific mortality rates, and area sociodemographic and environmental characteristics, with case studies of resilient areas which included in-depth interviews. RESULTS: The causes of death, and age groups, contributing most to resilience varied markedly between the 18 resilient areas; as disease aetiology varies, a range of protective processes must be in operation. Four area characteristics, which plausibly contributed to resilience, emerged from the in-depth interviews: population composition; retaining or attracting population; environment and housing; and social cohesion. Quantitative analyses demonstrated significant difference between resilient and non-resilient areas in retaining or attracting population only. CONCLUSIONS: While we identified plausible area characteristics through which resilience was achieved, there does not appear to be a definitive set that reliably produces resilience, and resilient and non-resilient areas did not differ significantly in their possession of most of these characteristics. If such characteristics do have a role in creating resilience, but are present in both resilient and non-resilient areas, further work is needed to explore what makes them "successful" in some areas, but not in others.

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References

2000Bowling alone: the collapse and revival of American community 2000Bowling alone 1996Unhealthy Societies: The Afflictions of Inequality 2001Social Capital: Measurement and Consequences 2003Resilience and Vulnerability: Adaptation in the Context of Childhood Adversities 1997Socioeconomic determinants of health : Health and social cohesion: why care about income inequality?2005Handbook of Resilience in Children 2003Research on Resilience: An Integrative Review

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