Social inequalities in health are one of the main challenges in public health. Minimising those inequalities in health which are considered unfair and avoidable or remediable has been recognised as a priority for public health interventions. Various studies have demonstrated that physical activity, which is an important determinant of health, is less prevalent among socially disadvantaged population groups. Moreover, there is evidence suggesting that population-based prevention strategies only reach socially advantaged groups and thus may contribute to an increase in health inequalities. These so-called “intervention-generated inequalities” (IGIs) may arise at several points of intervention implementation. For this reason, considering social inequalities during development and implementation of interventions aiming to increase physical activity as well as evaluating the equity impact of these interventions is essential. This requires advancement of innovative methods.
The aims of this subproject are (1.) to synthesise the evidence on methods to design, implement, and evaluate physical activity interventions in the elderly population which adequately address vulnerable and socially disadvantaged groups and do not increase health inequalities, (2.) to provide advice for the other subprojects of the AEQUIPA-network on strategies and methods of social inequalities-sensitive planning and implementation of interventions as well as (3.) to develop innovative methods to equity impact assessments of the interventions implemented by the AEQUIPA-subprojects.
The evidence on methods of social inequalities-sensitive planning, implementation and evaluation of physical activity interventions in the elderly will be synthesised by analyses of published studies and expert interviews. Results of the evidence synthesis will be used to provide methodical advice for the subprojects of the AEQUIPA-network. For this purpose, workshops will be performed regularly, with the participation of external experts from the field. Methods for equity impact assessments of interventions as well as for assessing effectiveness of complex interventions will be developed on the basis of existing approaches and frameworks. These methods will be applied to the evaluation of the interventions implemented by the subprojects of the AEQUIPA-network.
Prof. Dr. Gabriele Bolte, University of Bremen, Institute for Public Health and Nursing Research (IPP) (Head of project)
Gesa Lehne, M.A., University of Bremen, Institute for Public Health and Nursing Research (IPP)
Prof. Dr. Hajo Zeeb, Leibniz Institute for Prevention Research and Epidemiology – BIPS
Dr. Tilman Brand, Leibniz Institute for Prevention Research and Epidemiology – BIPS
Phone: +49 421 218-68826