ArticleHealth expectations : an international journal of public participation in health care and health policy2026
Understanding Inequalities Shaping Engagement With Cultural and Green Assets to Improve Mental Health for Underserved Communities: A Qualitative Study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
introductionUnderserved communities including ethnic minorities, refugees and migrants, experience higher mental health needs than the general population, yet engage less with cultural and green community assets (CGCAs) that could support wellbeing. While access barriers are known, less is understood about the cultural meanings and processes underpinning inequalities shaping engagement. This study examined the cultural drivers and mechanisms of these inequalities and how they might be addressed to improve mental health.
methodsA multi-site qualitative study in England with community voice champions (CVCs) recruited through five underserved community organisations. A lived experience storytelling methodology with thematic analysis was used, informed by a theoretical model of cultural processes and causal pathways to inequality. Twelve workshops were held, following which CVCs collected community stories.
resultsTwenty-seven CVCs participated and collected 147 stories. Symbolic, place-based and material inequalities emerged across three themes: cultural influences on mental health; unknown spaces and unfriendly environments; and creating spaces of safety and belonging. Even when CGCAs were available and known, racial stigmatisation and cultural dissonance reinforced exclusion. Community-led initiatives, facilitation and peer support helped make CGCAs safer and more welcoming.
conclusionsEngagement with CGCAs is not only about access, but a negotiated process shaped by intertwined inequalities. Nevertheless, these inequalities are not fixed. Community-led activities grounded in trust and collective action can transform exclusionary environments into inclusive ones to support mental health. PATIENT OR PUBLIC CONTRIBUTION: Community organisation leads contributed to study design, participant recruitment and support, data interpretation, and are co-authors. CVCs participated in workshops, collected and interpreted data, and validated findings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.