Coulombe Simon, Meunier Sophie, Cloutier Lyne, Auger Nathalie, Roy Bernard, Tremblay Gilles, de Montigny Francine, Gaboury Isabelle, Bernard François-Olivier, Lavoie Brigitte, Dion Harold, Houle Janie
1 Université du Québec à Montréal, Montreal, Quebec, Canada.
2 Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
Am J Mens Health. 2017 Nov;11(6):1680-1691. doi: 10.1177/1557988315625774. Epub 2016 Jan 11.
Despite the importance of healthy settings for health promotion, little is known about how neighborhood characteristics affect men's health. The present study aims to explore the associations between perceptions of home and workplace neighborhoods with diverse health outcomes, and to examine mediating mechanisms. A sample of 669 men members of labor unions in Quebec, Canada, completed a questionnaire assessing social and physical aspects of their work and home neighborhoods (the Health-Promoting Neighborhood Questionnaire) as well as subjective and objective health outcomes (perceived health, positive mental health, body mass index) and potential mediators (health behaviors, self-efficacy). Structural equation modeling (path analysis) revealed that the Health-Promoting Neighborhood Questionnaire was associated with all three health outcomes, either directly or indirectly through health behaviors and self-efficacy. Both home and workplace neighborhoods were associated with men's health, home neighborhood being more strongly associated. The findings suggest that physical and social aspects of neighborhood might contribute to men's health. The study highlights positive environmental levers for urban planners, policy makers, and health professionals to promote men's health.
尽管健康环境对促进健康至关重要,但对于邻里特征如何影响男性健康却知之甚少。本研究旨在探讨对家庭和工作场所邻里的认知与多种健康结果之间的关联,并检验中介机制。加拿大魁北克省669名工会男性成员的样本完成了一份问卷,该问卷评估了他们工作和家庭邻里的社会和物理方面(促进健康邻里问卷)以及主观和客观健康结果(感知健康、积极心理健康、体重指数)和潜在中介因素(健康行为、自我效能感)。结构方程建模(路径分析)显示,促进健康邻里问卷与所有三种健康结果相关,要么直接相关,要么通过健康行为和自我效能感间接相关。家庭和工作场所邻里都与男性健康相关,家庭邻里的关联更强。研究结果表明,邻里的物理和社会方面可能有助于男性健康。该研究为城市规划者、政策制定者和健康专业人员促进男性健康突出了积极的环境杠杆作用。