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活动空间和居住社区对参与预防保健活动的综合影响:以巴黎大都市区(法国)的宫颈癌筛查为例。

The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France).

机构信息

INSERM, U707, Research Team on the Social Determinants of Health and Healthcare, 75012 Paris, France.

出版信息

Health Place. 2010 Sep;16(5):838-52. doi: 10.1016/j.healthplace.2010.04.009. Epub 2010 Apr 24.

DOI:10.1016/j.healthplace.2010.04.009
PMID:20451439
Abstract

Estimates from multilevel regression of 1768 women living in the Paris metropolitan area showed that women who reported concentrating their daily activities in their perceived neighbourhood of residence had a statistically greater likelihood of not having undergone cervical screening during the previous 2 years. Furthermore, the characteristics of the administrative neighbourhood of residence (such as the practitioner density or the proportion of residents with a recent preventive consultation) had a statistically greater impact in terms of delayed cervical screening on women who concentrated the vast majority of their daily activities within their perceived neighbourhood of residence than among those who did not. The residential environment might promote or damage, to a greater extent, the health behaviour of people whose daily activities are concentrated within their perceived neighbourhood, since we can assume that their exposure to their neighbourhood characteristics is stronger. It could thus be useful to study more often the combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities.

摘要

对居住在巴黎大都市区的 1768 名女性进行多层次回归估计表明,报告将日常活动集中在其感知居住社区的女性在前 2 年内接受宫颈筛查的可能性统计学上更大。此外,居住行政社区的特征(如医生密度或最近进行预防咨询的居民比例)对绝大多数日常活动集中在感知居住社区内的女性的宫颈筛查延迟具有更大的统计学影响,而对那些没有集中在感知居住社区内的女性的影响则较小。居住环境可能会在更大程度上促进或损害那些日常活动集中在感知社区内的人的健康行为,因为我们可以假设他们接触邻里特征的程度更强。因此,研究活动空间和居住社区对参与预防性保健活动的综合影响可能会很有用。

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