Engaging vulnerable communities in urban health: A systematic review of participation strategies

Abstract

Objective

Review the state of research on the participation of vulnerable populations in the context of urban health to promote health equity.

Study design

A systematic review according to PRISMA guidelines was conducted.

Methods

The review was carried out for English and German language publications by two independent researchers in 2022. Results from social, medical and health science databases (PubMed, AgeLine, CINAHL Complete, APA PsychArticles & PsychInfo, SocINDEX and LIVIVO) of the last 10 years were taken into account. Only publications with reference to participation strategies for integrated health promotion in urban settings were included. Extraction of articles and quality assessment of included publications was performed using PRISMA guidelines.

Results

Of 841 manuscripts found in the first step, eight were included in the qualitative analysis. The findings provide insights into the opportunities of urban health to promote health equity and public health in general. The results show among others that many different stakeholders are responsible for engaging vulnerable population groups. Commonly used methods for participation include e.g. Photo Voice, workshops and Co-creation.

Conclusions

The findings provide insights into the opportunities for urban health to promote health equity and public health in general. They provide a direct impetus for structural change, including more community engagement in cities. Apart from that, the research emphasises the need for further practice-oriented research as there is a lack of publications on the topic of participation of vulnerable population groups in urban health.