The importance of sense of place for understanding health-related behaviours

Authors

DOI:

https://doi.org/10.55016/ccqc5p64

Keywords:

Sense of place, Health behaviours, Nicotine, Tobacco, Place-based approaches, Qualitative research

Abstract

It is widely acknowledged that place matters for health. Previous research has explored the ways in which the material and physical dimensions of place may shape the health-related behaviours of individuals. However, to date there has been much less focus on the importance of individuals’ ‘sense of place’ – the subjective and experiential aspects of place – in shaping health-related behaviours. This paper offers new insights into the importance of individuals’ sense of place in shaping attitudes towards, and consumption of, nicotine and tobacco products. Our qualitative study involved 42 interviews with residents and those working in a superdiverse UK neighbourhood, Handsworth, Birmingham. The study identified that attitudes towards, and consumption of, nicotine and tobacco products were variegated, and informed by issues such as neighbourhood identity and diversity, local infrastructures of nicotine and tobacco provision, the normalisation and regulation of nicotine and tobacco products and the extent to which place-based communities and social solidarity were evident or absent. Subsequently, the implications for place-based approaches to health are considered.

 

 

References

Andrews, G.J., Chen, S., & Myers, S. (2014) The “taking place” of health and wellbeing: Towards non-representational theory. Social Science & Medicine, 108, 210–222. https://doi.org/10.1016/j.socscimed.2014.02.037

Antin, T., Sanders, E., Peterkin, E., Lipperman-Kreda, S., Hunt, G., Brantley, S., & Annechino, R. (2026) Drivers of rural inequities in nicotine and tobacco use: A qualitative study of emerging and early established adults in California’s North State in the USA. Journal of Critical Public Health. Online First. https://doi.org/10.55016/0y1tg654

Barnett, R., Moon, G., Pearce, J., Thompson, L., & Twigg, L. (2017) Smoking geographies: Space, place and tobacco. Wiley Blackwell.

Bellazzecca, E., Teasdale, S., Biosca, O., & Skelton, D. A. (2022) The health impacts of place-based creative programmes on older adults’ health: A critical realist review. Health & Place, 76, 102839. https://doi.org/10.1016/j.healthplace.2022.102839

Bell, K., Salmon, A., Bowers, M., Bell, J., & McCullough, L. (2010) Smoking, stigma and tobacco ‘denormalization’: Further reflections on the use of stigma as a public health tool. A commentary on Social Science & Medicine's stigma, prejudice, discrimination and health special issue 67(3). Social Science & Medicine, 70, 795-799. https://doi.org/10.1016/j.socscimed.2009.09.060

Bernard, P., Charafeddine, R., Frohlich, K.L., Daniel, M., Kestens, Y., & Potvin, L. (2007) Health inequalities and place: A theoretical conception of neighbourhood. Social Science & Medicine, 65, 1839–1852. https://doi.org/10.1016/j.socscimed.2007.05.037

Birmingham City Council (2019) Birmingham health profile. Birmingham City Council. https://www.birmingham.gov.uk/downloads/file/11845/birmingham_health_profile_2019 (Accessed 12 July 2025)

Birmingham City Council (2024) Birmingham smokefree generation briefing paper. Birmingham City Council. https://birmingham.cmis.uk.com/Birmingham/Document.ashx (Accessed 12 July 2025)

Burgemeister, F. C., Crawford, S. B., Hackworth, N. J., Hokke, S., & Nicholson, J. M. (2021) Place-based approaches to improve health and development outcomes in young children: A scoping review. PLoS One, 16(12), p.e0261643. https://doi.org/10.1371/journal.pone.0261643

Braun, V., & Clarke, V. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/http://dx.doi.org/10.1191/1478088706qp063oa

Cummins, S., Curtis, S., Diez-Roux, A. V., & Macintyre, S. (2007) Understanding and representing “place” in health research: A relational approach. Social Science & Medicine, 65, 1825–1838. https://doi.org/10.1016/j.socscimed.2007.05.036

Dankwa-Mullan, I., & Pérez-Stable, E.J. (2016) Addressing health disparities is a place-based issue. American Journal of Public Health, 106(4), 637-639. https://doi.org/10.2105/AJPH.2016.303077

Davies, L., LeClair, K. L., Bagley, P., Blunt, H., Hinton, L., Ryan, S., & Ziebland, S. (2020) Face-to-face compared with online collected accounts of health and illness experiences: A scoping review. Qualitative Health Research, 30(13), 2092–2102. https://doi.org/10.1177/1049732320935835

de Wit, C. W. (2013) Interviewing for sense of place. Journal of Cultural Geography, 30(1), 120–144. https://doi.org/10.1080/08873631.2012.745979

Erfani, G. (2022) Reconceptualising sense of place: Towards a conceptual framework for investigating individual-community-place interrelationships. Journal of Planning Literature, 37(3), 452–466. https://doi.org/10.1177/08854122221081109

Glenn, N.M., Frohlich, K.L., & Vallée, J. (2020) Socio-spatial inequalities in smoking among young adults: What a ‘go-along’ study says about local smoking practices. Social Science & Medicine, 253, 112920. https://doi.org/10.1016/j.socscimed.2020.112920

Goodson, L., & Grzymala-Kazlowska, A. (2017) Researching migration in a superdiverse society: Challenges, methods, concerns and promises. Sociological Research Online, 22(1), 15-27. https://doi.org/10.5153/sro.4168

Goodson, L., & Phillimore, J. (Eds.) (2012) Community research for participation: From theory to method. Policy Press.

Lucherini, M. (2017) Diabetes and an inescapable (auto)ethnography. Area, 49(4), 429–435. https://doi.org/10.1111/area.12331

Macdonald, L., Olsen, J. R., Shortt, N. K., & Ellaway, A. (2018) Do ‘environmental bads’ such as alcohol, fast food, tobacco, and gambling outlets cluster and co-locate in more deprived areas in Glasgow City, Scotland? Health & Place, 51, 224–231. https://doi.org/10.1016/j.healthplace.2018.04.008

Massey, D. (1985) New directions in space. In D. Gregory & J. Urry (Eds.), Social relation and spatial structures (pp.9-19). Macmillan.

Macintyre, S., Ellaway, A., & Cummins, S. (2002) Place effects on health: How can we conceptualise, operationalise and measure them? Social Science & Medicine, 55, 125–139. https://doi.org/10.1016/S0277-9536(01)00214-3

McCartney, G. and Popay, J. (2025) Are place-based approaches to reducing health inequalities a highway to success or a policy dead-end? Journal of Critical Public Health, 2(2), 39-50. https://doi.org/10.55016/ojs/jcph.vi.79482

McGowan, V. J., Buckner, S., Mead, R., McGill, E., Ronzi, S., Beyer, F., & Bambra, C. (2021) Examining the effectiveness of place-based interventions to improve public health and reduce health inequalities: An umbrella review. BMC Public Health, 21, 1888. https://doi.org/10.1186/s12889-021-11852-z

Mead, E. L., Rimal, R. N., Ferrence, R., & Cohen, J. E. (2014) Understanding the sources of normative influence on behavior: The example of tobacco. Social Science & Medicine, 115, 139–143. https://doi.org/10.1016/j.socscimed.2014.05.030

Nelson, J., Ahn, J. J., & Corley, E. A. (2020) Sense of place: Trends from the literature. Journal of Urbanism, 13(2), 236–261. https://doi.org/10.1080/17549175.2020.1726799

Nickel, S., & von dem Knesebeck, O. (2020) Effectiveness of community-based health promotion interventions in urban areas: A systematic review. Journal of Community Health, 45(2), 419-434. https://doi.org/10.1007/s10900-019-00733-7

O’Dwyer, L. A., Baum, F., Kavanagh, A., & Macdougall, C. (2007) Do area-based interventions to reduce health inequalities work? A systematic review of evidence. Critical Public Health, 17(4), 317-335. https://doi.org/10.1080/09581590701729921

Office for National Statistics (ONS) (2018) Adult smoking habits in the UK 2017. ONS https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/bulletins/adultsmokinghabitsingreatbritain/2017#the-proportion-who-are-current-smokers-in-the-uk-its-constituent-countries-and-local-areas-2011-to-2017(Accessed 12 July 2025)

Patton, M. (2001) Qualitative research and evaluation methods (2nd Edition). Sage.

Pearce, J., Barnett, R., & Moon, G. (2012) Sociospatial inequalities in health-related behaviours: Pathways linking place and smoking. Progress in Human Geography, 36(1), 3–24. https://doi.org/10.1177/0309132511402710

Pemberton, S., & Phillimore, J. (2018) Migrant place-making in super- diverse neighbourhoods: Moving beyond ethno-national approaches. Urban Studies, 55(4), 733–750. https://doi.org/10.1177/0042098016656988

Phillimore, J. (2015) Delivering maternity services in an era of super-diversity: The challenges of novelty and newness. Ethnic and Racial Studies, 38(4), 568–582. https://doi.org/10.1080/01419870.2015.980288

Popay, J., Thomas, C., Williams, G., Bennett, S., Gatrell, A., & Bostock, L. (2003) A proper place to live: Health inequalities, agency and the normative dimensions of space. Social Science & Medicine, 57, 55–69. https://doi.org/https://doi.org/10.1016/S0277-9536(02)00299-X

Raco, M., & Kesten, J. (2018) The politicisation of diversity planning in a global city: Lessons from London. Urban Studies, 55(4), 891-916. https://doi.org/10.1177/004209801667

Schwalbe, M., Godwin, S., Holden, D., Schrock, D., Thompson, S., & Wolkomir, M. (2000) Generic processes in the reproduction of inequality: An interactionist analysis. Social Forces, 79(2), 419–452. https://doi.org/10.2307/2675505

Stead, M., MacAskill, S., MacKintosh, A. M., Reece, J., & Eadie, D. (2001) “It’s as if you’re locked in”: Qualitative explanations for area effects on smoking in disadvantaged communities. Health & Place, 7, 333–343. https://doi.org/10.1016/S1353-8292(01)00025-9

Tan, Q. H. (2013). Smoking spaces as enabling spaces of wellbeing. Health & Place, 24, 173–182. https://doi.org/10.1016/j.healthplace.2013.08.003

Thirlway, F. (2016) Everyday tactics in local moral worlds: E-cigarette practices in a working-class area of the UK. Social Science & Medicine, 170, 106–113. https://doi.org/10.1016/j.socscimed.2016.10.012

Vertovec, S. (2007) New complexities of cohesion in Britain: Super-diversity, transnationalism and civil integration. Commission on Integration and Cohesion, HMSO.

Vertovec, S. (2019) Talking around super-diversity. Ethnic and Racial Studies, 42(1), 125-139. https://doi.org/10.1080/01419870.2017.1406128

Williams, A., & Kitchen, P. (2012) Sense of place and health in Hamilton, Ontario: A case study. Social Indicators Research, 108(2), 257-276. https://doi.org/10.1007/s11205-012-0065-1

Williams, C. F., & Mikola, M. (2018) From multiculturalism to superdiversity? Narratives of health and wellbeing in an urban neighbourhood. Social Work & Policy Studies: Social Justice, Practice and Theory, 1(001). https://openjournals.library.sydney.edu.au/SWPS/article/view/11695

Wohl, A., & Blit Cohen, E. (2024) The dark side of community development and place attachment in a diverse neighborhood. Community Development, 56(3), 317-334. https://doi.org/10.1080/15575330.2024.2313534

Yousef, R., & Valánszki, I. (2023) Developing a conceptual framework for studying people-place relationship. 4D: Tájépítészeti és Kertművészeti Folyóirat, 69, 30–41. https://doi.org/10.36249/4d.69.4399

Zheng, C., Feng, Z., & Pearce, J. (2024) Place-based approaches to tobacco control in China. In C. Zheng, Z. Feng, & J. Pearce (Eds.), Understanding cancer prevention through geospatial science: Putting cancer in its place (pp. 177-201). Springer International Publishing.

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2026-06-15

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