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青少年时期的邻里关系对成年后的健康有何影响?瑞典北部基于生命历程模型的交叉分类多层次分析。

What role does adolescent neighborhood play for adult health? A cross-classified multilevel analysis of life course models in Northern Sweden.

机构信息

Dept of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå SE-901 87, Sweden.

Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg D-69120, Germany.

出版信息

Health Place. 2017 Jul;46:137-144. doi: 10.1016/j.healthplace.2017.04.013. Epub 2017 May 17.

Abstract

This study examined whether, and by which life course models, adolescent neighborhood environment relate to health in mid-adulthood. Data came from the Northern Swedish Cohort (n=1001), surveyed at age 16, 21, 30 and 42 years including functional somatic symptoms at age 42, and individual disadvantage neighborhood disadvantage at all four ages. Results from cross-classified multilevel models showed that 12.7% of age 42 health variance was explained by an interaction of age 16 and age 42 neighborhood of residence. Our study thus suggests that health variation by neighborhood in mid-adulthood may partly depend on neighborhood of residence in adolescence.

摘要

本研究旨在探讨青少年时期的邻里环境是否以及通过何种生命历程模式与成年中期的健康相关。数据来自于北瑞典队列(n=1001),在 16 岁、21 岁、30 岁和 42 岁时进行了调查,包括 42 岁时的功能性躯体症状和四个年龄段的个体劣势和邻里劣势。交叉分类多层次模型的结果表明,42 岁时的健康差异有 12.7%可以用 16 岁和 42 岁居住的邻里环境的交互作用来解释。因此,我们的研究表明,成年中期邻里环境对健康的影响差异可能部分取决于青少年时期的邻里环境。

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