Adaptation to Social Change and Urbanization: Community-Based Health Strategies for Public Health
Article Sidebar
-
Health Equity, Public Health, Social Change
Abstract
Social change and rapid urbanization have profoundly impacted public health systems, presenting challenges such as rising health disparities, increased prevalence of non-communicable diseases, and the strain on healthcare infrastructure. In response to these challenges, community-based health strategies have gained traction as effective approaches to improving public health outcomes. This research explores the role of community-based health strategies in adapting to the demands of social change and urbanization, with a focus on their impact on health equity, accessibility, and health system resilience. A mixed-methods approach was employed, combining quantitative data from health surveys and qualitative interviews with community leaders and healthcare providers to assess the effectiveness of community-driven health initiatives. The findings indicate that community-based programs significantly improved health outcomes, especially in urban areas facing overcrowding and limited access to healthcare. These programs enhanced health literacy, preventive care, and collaborative efforts between communities and healthcare providers. The study concludes that community-driven health models offer a sustainable solution to public health challenges in rapidly urbanizing regions. The research highlights the importance of integrating these strategies into urban health policy to ensure a more resilient and equitable healthcare system.
Full text article
References
Avelino, F. (2021). Theories of power and social change. Power contestations and their implications for research on social change and innovation. Journal of Political Power, 14(3), 425–448. https://doi.org/10.1080/2158379X.2021.1875307
Bader, B. (2023). Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: A scoping review on strategies and methods used. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-15691-y
Bailey, F. G. (2023). Politics and social change: Orissa in 1959. In Politics and Social Change: Orissa in 1959 (p. 241). https://api.elsevier.com/content/abstract/scopus_id/85171239260
Bangalan, S. G. (2023). Mental health and protective strategies among community-based health workers in region 3, Philippines during COVID-19 pandemic. Behavioral Medicine, 49(4), 344–351. https://doi.org/10.1080/08964289.2022.2069666
Barker, T. H. (2022). Revising the JBI quantitative critical appraisal tools to improve their applicability: An overview of methods and the development process. JBI Evidence Synthesis, 21(3), 478–493. https://doi.org/10.11124/JBIES-22-00125
Bauer, G. R. (2021). Intersectionality in quantitative research: A systematic review of its emergence and applications of theory and methods. SSM - Population Health, 14(Query date: 2024-12-01 09:57:11). https://doi.org/10.1016/j.ssmph.2021.100798
Birditt, K. S. (2021). Age Differences in Stress, Life Changes, and Social Ties During the COVID-19 Pandemic: Implications for Psychological Well-Being. Gerontologist, 61(2), 205–216. https://doi.org/10.1093/geront/gnaa204
Borkowska, M. (2021). Coming together or coming apart? Changes in social cohesion during the Covid-19 pandemic in England. European Societies, 23(Query date: 2025-02-03 20:20:13). https://doi.org/10.1080/14616696.2020.1833067
Carmen, E. (2022). Building community resilience in a context of climate change: The role of social capital. Ambio, 51(6), 1371–1387. https://doi.org/10.1007/s13280-021-01678-9
Cialdini, R. B. (2021). Influences of social norms on climate change-related behaviors. Current Opinion in Behavioral Sciences, 42(Query date: 2025-02-03 20:20:13), 1–8. https://doi.org/10.1016/j.cobeha.2021.01.005
Constantino, S. M. (2022). Scaling Up Change: A Critical Review and Practical Guide to Harnessing Social Norms for Climate Action. Psychological Science in the Public Interest, 23(2), 50–97. https://doi.org/10.1177/15291006221105279
Crandon-Malamud, L. (2023). From the Fat of Our Souls: Social Change, Political Process, and Medical Pluralism in Bolivia. In From the Fat of Our Souls: Social Change, Political Process, and Medical Pluralism in Bolivia (p. 267). https://api.elsevier.com/content/abstract/scopus_id/85173300470
Cui, J. (2022). Technological forecasting & social change does environmental regulation induce green innovation? A panel study of Chinese listed firms. Technological Forecasting and Social Change, 176(Query date: 2025-02-03 20:20:13). https://doi.org/10.1016/j.techfore.2022.121492
Dwivedi, Y. K. (2023). Evolution of artificial intelligence research in Technological Forecasting and Social Change: Research topics, trends, and future directions. Technological Forecasting and Social Change, 192(Query date: 2025-02-03 20:20:13). https://doi.org/10.1016/j.techfore.2023.122579
Elam, A. R. (2023). Engagement in the Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine Program: Comparing the Effect of Clinic versus Community-Based Recruitment Strategies. Ophthalmology Glaucoma, 6(3), 266–276. https://doi.org/10.1016/j.ogla.2022.10.006
Falkenberg, M. (2022). Growing polarization around climate change on social media. Nature Climate Change, 12(12), 1114–1121. https://doi.org/10.1038/s41558-022-01527-x
Groot, J. I. M. de. (2021). Listen to others or yourself? The role of personal norms on the effectiveness of social norm interventions to change pro-environmental behavior. Journal of Environmental Psychology, 78(Query date: 2025-02-03 20:20:13). https://doi.org/10.1016/j.jenvp.2021.101688
Haslam, C. (2021). Life Change, Social Identity, and Health. Annual Review of Psychology, 72(Query date: 2025-02-03 20:20:13), 635–661. https://doi.org/10.1146/annurev-psych-060120-111721
Ji, H. (2021). Qualitative and quantitative recognition method of drug-producing chemicals based on SnO2 gas sensor with dynamic measurement and PCA weak separation. Sensors and Actuators B: Chemical, 348(Query date: 2024-12-01 09:57:11). https://doi.org/10.1016/j.snb.2021.130698
Jian, C. (2020). Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling. PLoS ONE, 15(1). https://doi.org/10.1371/journal.pone.0227285
Jones, C. A. (2021). Disempowering emotions: The role of educational experiences in social responses to climate change. Geoforum, 118(Query date: 2025-02-03 20:20:13), 190–200. https://doi.org/10.1016/j.geoforum.2020.11.006
Kettner, H. (2021). Psychedelic Communitas: Intersubjective Experience During Psychedelic Group Sessions Predicts Enduring Changes in Psychological Wellbeing and Social Connectedness. Frontiers in Pharmacology, 12(Query date: 2025-02-03 20:20:13). https://doi.org/10.3389/fphar.2021.623985
Lapidus, G. W. (2023). Women in Soviet Society: Equality, Development, and Social Change. In Women in Soviet Society: Equality, Development, and Social Change (p. 382). https://api.elsevier.com/content/abstract/scopus_id/85179297305
Li, R. (2021). Per-capita carbon emissions in 147 countries: The effect of economic, energy, social, and trade structural changes. Sustainable Production and Consumption, 27(Query date: 2025-02-03 20:20:13), 1149–1164. https://doi.org/10.1016/j.spc.2021.02.031
Marriott, B. R. (2022). Measuring Evidence-Based Treatment Strategies in Youth Community Mental Health Care: The Evidence-Based Strategies Scale. Journal of Behavioral Health Services and Research, 49(3), 335–345. https://doi.org/10.1007/s11414-021-09779-9
Okabe-Miyamoto, K. (2021). Changes in social connection during COVID-19 social distancing: It’s not (household) size that matters, it’s who you’re with. PLoS ONE, 16(1). https://doi.org/10.1371/journal.pone.0245009
Owusu, C. (2021). IMPROVE, a community-based exercise intervention versus support group to improve functional and health outcomes among older African American and Non-Hispanic White breast cancer survivors from diverse socioeconomic backgrounds: Recruitment strategies and baseline characteristics. Cancer, 127(11), 1836–1846. https://doi.org/10.1002/cncr.33430
Philpot, L. M. (2021). Changes in social relationships during an initial “stay-at-home” phase of the COVID-19 pandemic: A longitudinal survey study in the U.S. Social Science and Medicine, 274(Query date: 2025-02-03 20:20:13). https://doi.org/10.1016/j.socscimed.2021.113779
Prom-Wormley, E. C. (2021). Developing community-based health education strategies with family history: Assessing the association between community resident family history and interest in health education. Social Science and Medicine, 271(Query date: 2025-02-03 20:20:46). https://doi.org/10.1016/j.socscimed.2019.02.011
Röding, D. (2021). Long-Term Effects of Integrated Strategies of Community Health Promotion on Diabetes Mellitus Mortality: A Natural Policy Experiment Based on Aggregated Longitudinal Secondary Data. Journal of Urban Health, 98(6), 791–800. https://doi.org/10.1007/s11524-021-00590-7
Si, S. (2023). Technology, entrepreneurship, innovation and social change in digital economics. Technovation, 119(Query date: 2025-02-03 20:20:13). https://doi.org/10.1016/j.technovation.2022.102484
Sibley, M. H. (2022). Stakeholder-Generated Implementation Strategies to Promote Evidence-Based ADHD Treatment in Community Mental Health. Administration and Policy in Mental Health and Mental Health Services Research, 49(1), 44–58. https://doi.org/10.1007/s10488-021-01143-5
Tengepare, F. X. (2024). Improving maternal and child nutrition services in community based health planning and services zones in the jirapa municipality of northern ghana-challenges and strategies: The perspective of community health officers. BMC Nutrition, 10(1). https://doi.org/10.1186/s40795-024-00848-8
Veiga, N. J. (2023). Oral Health Strategies: Surveying the Present to Plan the Future of Community-Based Learning. Healthcare (Switzerland), 11(19). https://doi.org/10.3390/healthcare11192646
Wali, S. (2023). Heart Health Begins With Community: Community-Based Research Exploring Innovative Strategies to Support First Nations Heart Health. CJC Open, 5(9), 661–670. https://doi.org/10.1016/j.cjco.2023.06.006
Webb, L. (2023). Psychosocial health in adolescent unmarried motherhood in rural Uganda: Implications for community-based collaborative mental health education, and empowerment strategies in the prevention of depression and suicide. Transcultural Psychiatry, 60(3), 537–551. https://doi.org/10.1177/13634615221147361
Williams, A. (2022). Enhancing the Adoption of Evidence-Based Health Marketing and Promotion Strategies in Local Communities: Building a Communication Dissemination and Support System for the National Diabetes Prevention Program. Health Promotion Practice, 23(6), 920–923. https://doi.org/10.1177/15248399211013817
Williams, N. J. (2024). Randomized Trial of an Organizational Implementation Strategy to Improve Measurement-Based Care Fidelity and Youth Outcomes in Community Mental Health. Journal of the American Academy of Child and Adolescent Psychiatry, 63(10), 991–1004. https://doi.org/10.1016/j.jaac.2023.11.010
Yilmaz, M. A. (2020). Simultaneous quantitative screening of 53 phytochemicals in 33 species of medicinal and aromatic plants: A detailed, robust and comprehensive LC–MS/MS method validation. Industrial Crops and Products, 149(Query date: 2024-12-01 09:57:11). https://doi.org/10.1016/j.indcrop.2020.112347
Zhou, X. (2025). Effects of soil management strategies based on different principles on soil microbial communities and the outcomes for plant health. Biological Control, 201(Query date: 2025-02-03 20:20:46). https://doi.org/10.1016/j.biocontrol.2025.105708
Authors
Copyright (c) 2024 Sulistyo Andarmoyo, Olivia Davis, Jessica Green
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
