{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T20:33:25Z","timestamp":1792960405188,"version":"4.5.0"},"reference-count":64,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Underserved 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi\u2010site 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010seven CVCs participated and collected 147 stories. Symbolic, place\u2010based 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\u2010led initiatives, facilitation and peer support helped make CGCAs safer and more welcoming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Engagement with CGCAs is not only about access, but a negotiated process shaped by intertwined inequalities. Nevertheless, these inequalities are not fixed. Community\u2010led activities grounded in trust and collective action can transform exclusionary environments into inclusive ones to support mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Community organisation leads contributed to study design, participant recruitment and support, data interpretation, and are co\u2010authors. CVCs participated in workshops, collected and interpreted data, and validated findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70912","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:49:43Z","timestamp":1791460183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Inequalities Shaping Engagement With Cultural and Green Assets to Improve Mental Health for Underserved Communities: A Qualitative Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3751-6003","authenticated-orcid":false,"given":"Francesca","family":"Taylor","sequence":"first","affiliation":[{"name":"School of Nursing, Allied and Public Health Kingston University Kingston upon Thames London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1140-8445","authenticated-orcid":false,"given":"Tushna","family":"Vandrevala","sequence":"additional","affiliation":[{"name":"School of Nursing, Allied and Public Health Kingston University Kingston upon Thames London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Zschomler","sequence":"additional","affiliation":[{"name":"University of the Arts London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2297-2110","authenticated-orcid":false,"given":"Meg","family":"Jensen","sequence":"additional","affiliation":[{"name":"School of Creative and Cultural Industries Kingston University Kingston upon Thames London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ima","family":"Miah","sequence":"additional","affiliation":[{"name":"Asian Resource Centre of Croydon Croydon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4426-7713","authenticated-orcid":false,"given":"Catherine","family":"Dawkins","sequence":"additional","affiliation":[{"name":"Connect: North Korea New Malden Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5287-0426","authenticated-orcid":false,"given":"Eneida","family":"Capaldi","sequence":"additional","affiliation":[{"name":"Kingston Voluntary Action Kingston upon Thames London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9055-1581","authenticated-orcid":false,"given":"Anna","family":"Bosher","sequence":"additional","affiliation":[{"name":"The Reach Foundation Feltham Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Bloom","sequence":"additional","affiliation":[{"name":"Refugee Action Kingston Kingston upon Thames London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Chatzichristodoulou","sequence":"additional","affiliation":[{"name":"University of the Arts London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Guidance on Mental Health Policy and Strategic Action Plans","author":"World Health Organization","year":"2025"},{"key":"e_1_2_10_3_1","volume-title":"A New Benchmark for Mental Health Systems: Tackling the Social and Economic Costs of Mental Ill\u2010Health","author":"Organisation for Economic Cooperation and Development","year":"2021"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796023000756"},{"key":"e_1_2_10_5_1","volume-title":"World Mental Health Today: Latest Data","author":"World Health Organization","year":"2025"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-020-00420-4"},{"key":"e_1_2_10_7_1","volume-title":"OECD Health Working Papers, 180","author":"Lopes F. 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