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[通过系统社会观察法测量的邻里物理和社会属性指标]

[Indicators of physical and social neighborhood attributes measured by the Systematic Social Observation method].

作者信息

Costa Dário Alves da Silva, Mingoti Sueli Aparecida, Andrade Amanda Cristina de Souza, Xavier César Coelho, Proietti Fernando Augusto, Caiaffa Waleska Teixeira

机构信息

Observatório de Saúde Urbana de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

出版信息

Cad Saude Publica. 2017 Aug 21;33(8):e00026316. doi: 10.1590/0102-311X00026316.

Abstract

Place of residence is heavily shaped by social position, indicating that neighborhood characteristics can be important contributing factors to health iniquities. The objectives were to construct indicators of the physical and social environment in an urban context based on variables obtained with the Systematic Social Observation method (SSO) and to analyze them according to the Health Vulnerability Index (HVI). The instrument was developed to determine the characteristics of the physical and social neighborhood in two health districts in Belo Horizonte, Minas Gerais State, Brazil. Data were collected from April to June 2011. To develop the simple indicators, ratios were calculated for the number of observed items per residence in each segment. Composite indicators were built using principal components analysis via covariance matrix. The final sample consisted of 1,295 street segments nested in 147 neighborhoods. Indicators referring to street conditions and transit items, mobility, appearance, housing and property, physical disorder, safety/security, and services showed a dose-response behavior in relation to HVI (p < 0.05). Indicators pertaining to place to practice physical activity and leisure did not show significant differences. The indicators displayed coherent behavior towards different HVI strata and proved adequate within each respective domain and subdomain.

摘要

居住地点很大程度上受社会地位影响,这表明邻里特征可能是导致健康不平等的重要因素。研究目的是基于通过系统社会观察法(SSO)获得的变量,构建城市环境中物理和社会环境的指标,并根据健康脆弱性指数(HVI)对其进行分析。该工具旨在确定巴西米纳斯吉拉斯州贝洛奥里藏特市两个健康区的物理和社会邻里特征。数据于2011年4月至6月收集。为了制定简单指标,计算了每个区域内每个住所观察到的项目数量的比率。通过协方差矩阵使用主成分分析构建综合指标。最终样本包括嵌套在147个社区中的1295个街道段。与街道状况、交通项目、流动性、外观、住房和财产、物理紊乱、安全保障以及服务相关的指标在与HVI的关系中呈现剂量反应行为(p < 0.05)。与进行体育活动和休闲的场所相关的指标未显示出显著差异。这些指标在不同的HVI阶层中表现出连贯的行为,并且在各自的领域和子领域内都证明是合适的。

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