Conceptualising a Community-Based Response to Loneliness: The Representational Anchoring of Nature-Based Social Prescription by Professionals in Marseille, Insights from the RECETAS Project.

3区 综合性期刊
Lucie Cattaneo, Alexandre Daguzan, Gabriela García Vélez, Stéphanie Gentile
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引用次数: 0

Abstract

Background: Urban loneliness is rising worldwide and is a recognised public-health threat. Nature-Based Social Prescriptions (NBSPs), guided group activities in natural settings, are being piloted in six cities through the EU project RECETAS. However, in new contexts such as Marseille, its implementation is constrained by professionals' limited knowledge of the concept.

Objectives: (i) Exploring how professionals in Marseille (France) conceptualise NBSPs; (ii) Identifying perceived facilitators and barriers to implementing NBSPs among residents facing social isolation and loneliness.

Methods: Twelve semi-structured interviews were conducted with health, social-care, and urban-environment professionals selected via network mapping and snowball sampling. Verbatim transcripts underwent inductive thematic analysis informed by Social Representation Theory, with double coding to enhance reliability.

Results: Five analytic themes emerged: (1) a holistic health paradigm linking nature, community, and well-being; (2) stark ecological inequities with limited green-space access in deprived districts; (3) work challenges due to the urgent needs of individuals facing significant socio-economic challenges in demanding contexts; (4) a key tension between a perceived top-down process and a preference for participatory approaches; (5) drivers and obstacles: strong professional endorsement of NBSPs meets significant systemic and institutional constraints.

Conclusions: Professionals endorse NBSPs as a promising approach against loneliness, provided programmes tackle structural inequities and adopt participatory governance. Results inform the Marseille RECETAS pilot and contribute to global discussions on environmentally anchored health promotion.

概念化社区对孤独的反应:马赛专业人士对基于自然的社会处方的代表性锚定,来自RECETAS项目的见解。
背景:城市孤独感在世界范围内呈上升趋势,是公认的公共卫生威胁。基于自然的社会处方(nbsp)是一种在自然环境中指导小组活动的方法,目前正在六个城市通过欧盟RECETAS项目进行试点。然而,在马赛这样的新环境中,由于专业人员对这一概念的知识有限,其实施受到了限制。目标:(i)探索马赛(法国)的专业人士如何概念化nbsp;㈡查明在面临社会孤立和孤独的居民中实施nbsp的可能的促进因素和障碍。方法:采用网络测绘和滚雪球抽样的方法,对健康、社会保健和城市环境专业人员进行了12次半结构化访谈。采用社会表征理论对逐字抄本进行归纳主题分析,并采用双重编码提高可靠性。结果:出现了五个分析主题:(1)连接自然、社区和福祉的整体健康范式;(2)贫困地区生态不平等严重,绿地可及性有限;(3)由于在苛刻的环境中面临重大社会经济挑战的个人的迫切需求而产生的工作挑战;(4)自上而下的过程和对参与式方法的偏好之间的关键张力;(5)驱动因素和障碍:nbsp的强大专业认可面临着重大的体制和制度约束。结论:专业人士认可nbsp是一种很有希望的对抗孤独的方法,前提是该方案能解决结构性不平等问题并采用参与式治理。结果为马赛RECETAS试点提供了信息,并促进了关于以环境为基础的健康促进的全球讨论。
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来源期刊
自引率
0.00%
发文量
14422
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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