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基于社区和个体的社区能力与健康行为的协变:对韩国首尔人群的多层次分析。

Covariation in community- and individual-based community capacity and health behavior: a multilevel analysis of populations in Seoul, South Korea.

作者信息

Jung Minsoo

机构信息

Center for Community-Based Research, Dana-Farber/Harvard Cancer Center, Boston, Massachusetts 02115, USA. minsoo_

出版信息

Health Care Manag (Frederick). 2012 Oct-Dec;31(4):308-19. doi: 10.1097/HCM.0b013e31826fe2b1.

Abstract

Community capacity is defined as the degree to which the human, physical, and potential resources of a neighborhood are organized based on mutual solidarity among the residents. The aim of this study was to elucidate the relationship between community capacity and health behaviors in Seoul, South Korea. Multilevel models controlling for socioeconomic variables were used to measure the association between community capacity and health behaviors in 25 districts and 404 subdistricts (n = 14 228). Community capacity was determined to be significant at the more local community level, as it was a significant variable in the subdistrict analysis for explaining health behaviors such as smoking, drinking, and exercising. Community capacity exists not only at the individual level but also at the community level. High community capacity further enhanced the positive effects of individual capacity on health behavior and further weakened the negative effects.

摘要

社区能力被定义为一个社区的人力、物力和潜在资源基于居民之间的相互团结而得到组织的程度。本研究的目的是阐明韩国首尔的社区能力与健康行为之间的关系。使用控制社会经济变量的多层次模型来衡量25个区和404个小区(n = 14228)中社区能力与健康行为之间的关联。社区能力在更基层的社区层面被确定为显著因素,因为它在小区分析中是解释吸烟、饮酒和锻炼等健康行为的一个显著变量。社区能力不仅存在于个体层面,也存在于社区层面。高社区能力进一步增强了个体能力对健康行为的积极影响,并进一步削弱了负面影响。

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