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面向精神健康研究的动态城市环境暴露评估。

Toward dynamic urban environmental exposure assessments in mental health research.

机构信息

Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Heidelberglaan 2, 3584 CS Utrecht, The Netherlands.

出版信息

Environ Res. 2018 Feb;161:129-135. doi: 10.1016/j.envres.2017.11.006. Epub 2017 Nov 12.

Abstract

It is increasingly recognized that mental disorders are affected by both personal characteristics and environmental exposures. The built, natural, and social environments can either contribute to or buffer against metal disorders. Environmental exposure assessments related to mental health typically rely on neighborhoods within which people currently live. In this article, I call into question such neighborhood-based exposure assessments at one point in time, because human life unfolds over space and across time. To circumvent inappropriate exposure assessments and to better grasp the etiologies of mental disease, I argue that people are exposed to multiple health-supporting and harmful exposures not only during their daily lives, but also over the course of their lives. This article aims to lay a theoretical foundation elucidating the impact of dynamic environmental exposures on mental health outcomes. I examine, first, the possibilities and challenges for mental health research to integrate people's environmental exposures along their daily paths and, second, how exposures over people's residential history might affect mental health later in life. To push the borders of scientific inquiries, I stress that only such mobility-based approaches facilitate an exploration of exposure duration, exposure sequences, and exposure accumulation.

摘要

人们越来越认识到,精神障碍既受个人特征的影响,也受环境暴露的影响。建筑、自然和社会环境既可以促成也可以缓冲精神障碍。与心理健康相关的环境暴露评估通常依赖于人们目前居住的社区。在本文中,我在某一点上对这种基于社区的暴露评估提出了质疑,因为人类的生活是在空间和时间上展开的。为了避免不适当的暴露评估,并更好地了解精神疾病的病因,我认为,人们不仅在日常生活中,而且在一生中都会受到多种有益于健康和有害的暴露。本文旨在为阐明动态环境暴露对心理健康结果的影响奠定理论基础。我首先考察了将人们的环境暴露纳入其日常轨迹的精神健康研究的可能性和挑战,其次考察了人们居住历史中的暴露如何影响晚年的心理健康。为了推动科学研究的边界,我强调只有基于移动性的方法才能促进对暴露持续时间、暴露序列和暴露积累的探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a22/5773240/1848079b77b4/fx1.jpg

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