Warr Deborah J, Tacticos Theonie, Kelaher Margaret, Klein Harald
Centre for Health and Society, University of Melbourne, Melbourne, Australia.
Health Place. 2007 Sep;13(3):743-56. doi: 10.1016/j.healthplace.2006.12.001. Epub 2007 Feb 8.
While the spatial distribution of health and disease is largely associated with individual-level indicators, neighbourhood-level factors appear to exert some independent and mediating influence on health-related processes. This study, conducted in four socio-economically disadvantaged sites in Australia and part of a larger project, analysed residents' perceptions of neighbourhood factors that influence health. Responses identified four key categories of issues that varied across neighbourhood settings. Residents of high-rise towers were more likely than other residents to nominate proximal aspects of the neighbourhood as having a perceived negative influence on health. The findings support other research that suggests that local physical and social environments influence health via psychosocial processes.
虽然健康与疾病的空间分布在很大程度上与个体层面的指标相关,但社区层面的因素似乎对与健康相关的过程产生一些独立的中介影响。这项研究在澳大利亚四个社会经济条件不利的地区进行,是一个更大项目的一部分,分析了居民对影响健康的社区因素的看法。调查结果确定了在不同社区环境中各不相同的四类关键问题。高层塔楼的居民比其他居民更有可能认为社区的近距离方面对健康有负面影响。这些发现支持了其他研究,即当地的物理和社会环境通过心理社会过程影响健康。