Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Am J Community Psychol. 2017 Sep;60(1-2):267-278. doi: 10.1002/ajcp.12160.
Living in disorganized neighborhoods characterized by high levels of poverty, crime, violence, and deteriorating buildings has been associated with increased alcohol consumption and mental health problems. Data drawn from the Seattle Social Development Project (N = 790), a theory-driven longitudinal study originating in Seattle, WA, were used to estimate trajectories of Alcohol Use Disorder (AUD) symptoms from age 21 to 39. Time-varying measures of neighborhood disorganization, psychological distress, and sociodemographic factors were associated with deviations from average AUD symptoms at each wave. Results indicated that, on average, AUD symptoms decreased as individuals got older. Living in more disorganized neighborhoods and experiencing psychological distress was associated with increased AUD symptoms after accounting for average reductions from AUD symptoms over time and time-varying measures of relevant sociodemographic factors. Results of mediation analysis suggested that psychological distress is a mechanism by which disorganized neighborhoods increased risk of AUD from age 21 to 39.
生活在贫困、犯罪、暴力和建筑物恶化程度高的混乱社区与饮酒量增加和心理健康问题有关。本研究的数据来自西雅图社会发展项目（N=790），这是一项起源于华盛顿州西雅图的理论驱动的纵向研究，用于估计从 21 岁到 39 岁期间酒精使用障碍（AUD）症状的轨迹。随时间变化的邻里混乱程度、心理困扰和社会人口因素的衡量标准与每个波次的平均 AUD 症状偏差有关。结果表明，平均而言，随着年龄的增长，AUD 症状会减少。在考虑到随着时间的推移 AUD 症状的平均减少和相关社会人口因素的时变衡量标准后，生活在更加混乱的社区和经历心理困扰与 AUD 症状的增加有关。中介分析的结果表明，心理困扰是邻里混乱程度增加 21 至 39 岁 AUD 风险的一种机制。
