Research Article
Neighbourhoods and health: A review of the New
Zealand literature
Anna Stevenson,
1
Jamie Pearce,
2
Tony Blakely,
3
Vivienne Ivory
3
and
Karen Witten
4
1
Community and Public Health, Canterbury District Health Board, Christchurch,
New Zealand;
2
Institute of Geography, School of GeoSciences, University of
Edinburgh, Edinburgh, UK;
3
Health Inequalities Research Programme,
University of Otago, Wellington, New Zealand;
4
Centre for Social and
Health Outcomes Research and Evaluation, Massey University, Auckland,
New Zealand
Abstract: Over the past two decades, there has been a resurgence of interest into
place-based influences on health. Researchers have identified that various character-
istics of neighbourhoods exert an influence on the health outcomes and behaviours of
local residents. Understanding the processes linking places to health provides con-
siderable potential for a range of policy interventions. We review the New Zealand-
based neighbourhoods and health research. Consideration is given to the types of
neighbourhood characteristics, as well the range of health outcomes that have been
studied. Finally, we suggest some priorities for further research into the mechanisms
underpinning neighbourhood influences on health in New Zealand.
Key words: health, health inequality, neighbourhood, New Zealand.
It has long been recognised that the places in
which people live, work and play have direct
and indirect impacts on individual-level and
population-level health outcomes. These ‘place
effects’ occur independently of individual-level
demographic attributes, such as age, sex and
ethnicity, but are mediated by behaviours,
social position, health-care access and other
physiological parameters that allow neighbour-
hood contexts to influence individual health
and well-being outcomes (Kawachi & Berkman
2003). In very broad terms, three types of neigh-
bourhood characteristics might be important
for residents’ health: physical (e.g. air pollu-
tion), socio-cultural (e.g. social cohesion) and
community resource access (e.g. recreational
facilities).
Policy interventions at the area level have a
long history.They also vary widely by type and
scale.To illustrate this variation, the restoration
of a waterway constitutes an intervention alter-
ing a physical aspect of place; the socio-cultural
environment may change with the introduction
of a neighbourhood watch programme; and a
new medical centre may increase health service
access and use. The geographical scale of
Note about the authors: Anna Stevenson is a public health physician who works with Christchurch City
Council and the Canterbury District Health Board on urban design issues; Jamie Pearce is a reader in Human
Geography at the University of Edinburgh, UK, and co-director of the GeoHealth Laboratory, Department of
Geography, University of Canterbury; Tony Blakely is research professor of Public Health at the Wellington
School of Medicine and Health Sciences, University of Otago and the director of the Health Inequalities
Research Programme (HIRP); Vivienne Ivory is a research fellow on the HIRP, Wellington School of Medicine
and Health Sciences, University of Otago; Karen Witten is associate professor at the Centre for Social and
Health Outcomes Research and Evaluation (SHORE), Massey University, Auckland.
E-mail: jamie.pearce@ed.ac.uk; jamie.pearce@canterbury.ac.nz
New Zealand Geographer (2009) 65, 211–221
© 2009 The Authors
Journal compilation © 2009 The New Zealand Geographical Society
doi: 10.1111/j.1745-7939.2009.01164.x