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抑郁症状、社会支持和不信任方面的邻里效应:使用重复测量的纵向分析。

Neighborhood effects in depressive symptoms, social support, and mistrust: Longitudinal analysis with repeated measurements.

机构信息

Institute of Behavioral Sciences, University of Helsinki, Finland.

Institute of Behavioral Sciences, University of Helsinki, Finland.

出版信息

Soc Sci Med. 2015 Jul;136-137:10-6. doi: 10.1016/j.socscimed.2015.04.034. Epub 2015 May 1.

Abstract

While many associations between neighborhood characteristics and individual well-being have been reported, there is a lack of longitudinal studies that could provide evidence for or against causal interpretations of neighborhood effects. This study examined whether neighborhood urbanicity and socioeconomic status were associated with within-individual variation in depression, mistrust and social support when individuals were living in different neighborhoods with different levels of urbanicity and socioeconomic status. Participants were from the Young Finns prospective cohort study (N = 3074) with five repeated measurement times in 1992, 1997, 2001, 2007, and 2011. Neighborhood urbanicity and socioeconomic status were measured at the level of municipalities and zip-code areas. Within-individual variation over time was examined with multilevel regression, which adjusted the models for all stable individual differences that might confound associations between neighborhood characteristics and individual well-being. Social support from friends was higher in urban areas and in areas with higher socioeconomic status, whereas social support from the family was higher in rural areas. These associations were observed also in the within-individual analyses, and they were partly accounted for by employment and socioeconomic status of the participants. There were no associations between neighborhood characteristics and depression or mistrust. These findings suggest that people receive less support from their families and more support from their friends when living in urban compared to rural regions of Finland. These differences are partly explained by people's changing socioeconomic and employment statuses.

摘要

虽然已经报道了许多邻里特征与个体幸福感之间的关联,但缺乏能够为邻里效应的因果解释提供证据或反驳的纵向研究。本研究考察了当个体生活在具有不同城市化水平和社会经济地位的不同邻里环境中时,邻里的城市化和社会经济地位是否与个体抑郁、不信任和社会支持的个体内变化有关。参与者来自于芬兰青年队列研究(Young Finns prospective cohort study),在 1992 年、1997 年、2001 年、2007 年和 2011 年进行了五次重复测量。邻里的城市化和社会经济地位是在市和邮政编码区域的层面上进行测量的。使用多层回归来检查个体内随时间的变化,该回归模型调整了所有可能混淆邻里特征与个体幸福感之间关联的个体稳定差异。与农村地区相比,城市地区和社会经济地位较高的地区,个体从朋友那里获得的社会支持更高,而个体从家庭获得的社会支持更高。这些关联在个体内分析中也观察到了,部分原因是参与者的就业和社会经济地位。邻里特征与抑郁或不信任之间没有关联。这些发现表明,与生活在芬兰农村地区相比,人们在城市地区从家庭获得的支持较少,而从朋友那里获得的支持较多。这些差异部分是由于人们的社会经济和就业地位的变化。

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