Mobilizing community health assets through intersectoral collaboration for social connection: Associations with social support and well-being in a nationwide population-based study in Catalonia

dc.contributor
[Galvez-Hernandez P] Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada. Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. ICES Post-doctoral Trainee, Primary Care & Health Systems Research Program, University of Toronto, Toronto, Canada. [Shankardass K] Department of Health Sciences, Wilfrid Laurier University, Waterloo, Canada. MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Canada. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. [Puts M, Tourangeau A] Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada. [Gonzalez-de Paz L] Recerca transversal en atenció primària, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. Consorci d’Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain. Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Universitat de Barcelona (UB), Barcelona, Spain. [Gonzalez-Viana A] Agència de Salut Pública de Catalunya (ASPCAT), Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. Atenció Primària Orientada a la Comunitat (APOC), Societat Catalana de Medicina Familiar i Comunitària (CAMFiC), Barcelona, Spain. [Muntaner C] Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Grup de Recerca en Desigualtats en Salut, Ecologia – Employment Conditions Network (GREDS – EMCONET), Department Ciencies Politiques & BSM-Barcelona School of Management, Universitat Pompeu Fabra Barcelona, Spain, The Johns Hopkins University, USA
dc.contributor
Departament de Salut
dc.contributor.author
Galvez-Hernandez, Pablo
dc.contributor.author
Shankardass, Ketan
dc.contributor.author
Puts, Martine
dc.contributor.author
Tourangeau, Ann
dc.contributor.author
González de Paz, Luis
dc.contributor.author
Gonzalez-Viana, Angelina
dc.contributor.author
Muntaner, Carles
dc.date.accessioned
2025-10-24T10:57:09Z
dc.date.available
2025-10-24T10:57:09Z
dc.date.issued
2025-05-14T07:34:49Z
dc.date.issued
2025-05-14T07:34:49Z
dc.date.issued
2025-03-26
dc.identifier
Galvez-Hernandez P, Shankardass K, Puts M, Tourangeau A, Gonzalez-de Paz L, Gonzalez-Viana A, et al. Mobilizing community health assets through intersectoral collaboration for social connection: Associations with social support and well-being in a nationwide population-based study in Catalonia. PLoS One. 2025 Mar 26;20(3):e0320317.
dc.identifier
1932-6203
dc.identifier
http://hdl.handle.net/11351/13080
dc.identifier
10.1371/journal.pone.0320317
dc.identifier
40138367
dc.identifier.uri
http://hdl.handle.net/11351/13080
dc.description.abstract
Col·laboració intersectorial; Àmbit social; Associacionisme
dc.description.abstract
Colaboración intersectorial; Ámbito social; Asociacionismo
dc.description.abstract
Intersectoral collaboration; Social connection; Associationism
dc.description.abstract
Limited social connection among older adults poses a global public health challenge, reducing sources of support and affecting health and well-being. National public health strategies that leverage local intersectoral collaboration between key sectors such as primary and social care, community organizations, and society, have been advocated, yet their impact remains underexplored. This study examines the regional variability in the uptake of a public health strategy in Catalonia that mobilizes community health assets, such as social clubs and leisure activities, through intersectoral collaboration and its associations with social support and mental well-being in older adults. We conducted a population-based cross-sectional study using the Catalan Health Survey (2017-2021) with 6011 adults aged ≥ 60 years across 31 Health Sectors. Survey data were linked with area-level uptake metrics, generated using data analytic techniques. Individuals were categorized into three uptake groups based on the number and territorial distribution of asset-based initiatives within their area of residence. Multilevel regressions tested associations with social support (OSSS-3) and mental well-being (SWEMWBS), controlling for individual, contextual, and temporal factors. Participants' average age was 74.1 years ±  10.0 with 53.3% women. From 2017 to 2021, 2312 asset-based initiatives were registered across Health Sectors, ranging from 0 to 342 per sector. Residing in sectors with the highest uptake of initiatives (>15 initiatives per 10,000 population) was associated with higher social support (β = .34, p < .01) and mental well-being scores (β =  1.11, p < .01). Residing in areas with greater health assets mobilized through intersectoral collaboration was associated with higher social support and well-being among older adults. This study represents one of the first national evaluations of an intersectoral strategy aimed at mitigating the mental health impacts of limited social networks. Future public health strategies should prioritize equitable access for inclusive benefits.
dc.format
application/pdf
dc.language
eng
dc.publisher
Public Library of Science
dc.relation
PloS ONE;20(3);20(3)
dc.relation
https://www.doi.org/10.1371/journal.pone.0320317
dc.rights
Attribution-NonCommercial 4.0 International
dc.rights
https://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Associacions, institucions, etc.
dc.subject
Pacients - Cooperació
dc.subject
Cooperativisme sanitari
dc.subject
Salut pública - Planificació - Catalunya
dc.subject
PUBLIC HEALTH::Health Policy, Planning and Management::Public Health Policy::Health Policy, Planning and Management::Public Health Policy::Health Equity::Coverage Equity::Strategies for Universal Health Coverage::Health Policy, Planning and Management::Intersectoral Collaboration
dc.subject
ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Social Sciences::Sociology::Sociological Factors::Social Environment::Social Support
dc.subject
Catalonia
dc.subject
SALUD PÚBLICA::Políticas, Planificación y Administración en salud::políticas de salud pública::Políticas, Planificación y Administración en salud::políticas de salud pública::equidad en salud::equidad en la cobertura::estrategias para cobertura universal de salud::Políticas, Planificación y Administración en salud::colaboración intersectorial
dc.subject
ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::ciencias sociales::sociología::factores sociológicos::ambiente social::apoyo social
dc.subject
Cataluña
dc.title
Mobilizing community health assets through intersectoral collaboration for social connection: Associations with social support and well-being in a nationwide population-based study in Catalonia
dc.type
info:eu-repo/semantics/article


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)