Understanding the systems dynamics of neighborhood socioeconomic inequities in health in European cities
A Causal Loop Diagram
Bibliographic Data
| ID | 7990176 |
|---|---|
| Authors | Vernon Cail (0009-0008-9143-4248, Erasmus MC), M A Beenackers (0000-0002-7981-3391, Erasmus MC), Fleur ter Ellen (Erasmus MC), Mariël Droomers (0000-0002-0867-8559), Martin Dijst (0000-0002-7666-3455, Luxembourg Institute of Socio-Economic Research), Joost Oude Groeniger (0000-0002-0691-1679, Erasmus MC), Frank J Van Lenthe (0000-0001-6402-7075, Erasmus MC) |
| Year | 2025 |
| Volume | 97 |
| Pages | 103595-103595 |
| Publication date | 2025-12-10 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Place (JOURNAL) |
| Journal identifiers | ISSN: 1353-8292 • E-ISSN: 1873-2054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthplace.2025.103595 |
| PMID | 41380403 |
| OpenAlex | W4417187251 |
| Language | EN |
| References cited | 36 |
Urban neighborhood inequities in health remain a persistent public health issue, despite many efforts to promote health equity. Given the complex nature of these inequities, a complex systems science approach is essential to identify and understand their underlying causes. In this study, a causal loop diagram (CLD) was developed to visualize the underlying mechanisms contributing to urban neighborhood inequities in self-assessed health. The CLD was based on the results from a scoping literature review and the input from an interdisciplinary group of researchers. Three overarching themes were identified: 1) Uneven power dynamic in decision-making, 2) Socioeconomic sorting through environmental factors, 3) Mutual reinforcement of social cohesion and the physical environment. The interplay of these themes demonstrates that addressing neighborhood inequities in health requires an integrated approach that is inclusive in the decision-making processes and empowers communities.
Causal loop diagram · Cohesion (chemistry) · Health equity · Inequality · Public health · Social determinants of health · Social inequality · Socioeconomic status · Community Health and Development · Health disparities and outcomes · Urban Transport and Accessibility
Neighbourhood deprivation and health
Urban Health
Causal thinking and complex system approaches in epidemiology
Is Segregation Bad for Your Health?
The need for a complex systems model of evidence for public health
Urban renewal, gentrification and health equity
Shaping cities for health
Neighborhoods and health
Underlying relationships between public urban green spaces and social cohesion
The relationship between self-rated health and objective health status
How could differences in ‘control over destiny’ lead to socio-economic inequalities in health? A synthesis of theories and pathways in the living environment
Urban densification in the Netherlands and its impact on mental health
Complexity and Dynamism from an Urban Health Perspective
Integrated Approaches to Address the Social Determinants of Health for Reducing Health Inequity
Complex Systems Thinking and Current Impasses in Health Disparities Research
The age of extremes
Health in cities
What is self-rated health and why does it predict mortality? Towards a unified conceptual model
Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach
Collective Threat, Trust, and the Sense of Personal Control
| Citation velocity | historical |
|---|---|
| Highly cited | No |