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城市公共公园与成年女性心理健康:中介和调节因素。

Urban public parks and mental health in adult women: Mediating and moderating factors.

机构信息

Departamento de Estudios de Población, El Colegio de la Frontera Norte, Tijuana, Mexico.

出版信息

Int J Soc Psychiatry. 2018 Nov;64(7):637-646. doi: 10.1177/0020764018795198. Epub 2018 Aug 16.

DOI:10.1177/0020764018795198
PMID:30112960
Abstract

BACKGROUND

: The association of green spaces such as urban public parks and mental health might vary according to personal characteristics and characteristics of the park and be mediated by the use of the park.

AIMS

: We investigate the association between urban public park coverage and mental health in adult women, the moderation of this association by personal and park-related characteristics, and the mediation of the association by use of public space.

METHODS

: Combining data from a cross-sectional survey of the adult female population of Tijuana (Mexico) in 2014, and a study of public spaces in 2013, we analyzed the association between park coverage in buffers of 400 and 800 m from participants' homes and score in the Center for Epidemiologic Studies-Depression scale (CES-D). We tested for mediation by use of park and interaction of urban park coverage with personal and park characteristics.

RESULTS

: Urban public park coverage in the 400-m buffer had an inverse association with CES-D score that was moderated by age (significant only for younger participants), with no evidence of mediation. Park coverage in the 800-m buffer also had an inverse association with CES-D score, moderated by age and occupation (significant for younger participants and homemakers), and a mediated association was also observed. There was no interaction between park coverage and park characteristics in their association with CES-D score.

CONCLUSION

: Our results confirm the potential of public parks to improve mental health and suggest that this effect could be more important at some stages in the life course for women. The upper-middle-income, Latin American country setting adds to the current knowledge that is mostly based on high-income countries.

摘要

背景

城市公共公园等绿色空间与心理健康之间的关联可能因个人特征和公园特征而有所不同,并可通过公园的使用来调节。

目的

我们调查了城市公共公园覆盖率与成年女性心理健康之间的关系,以及个人和公园相关特征对这种关系的调节作用,以及公共空间使用对这种关系的中介作用。

方法

我们结合了 2014 年对提华纳(墨西哥)成年女性人口的横断面调查数据和 2013 年对公共空间的研究数据,分析了参与者家附近 400 和 800 米缓冲区的公园覆盖率与中心流行病学研究抑郁量表(CES-D)得分之间的关系。我们测试了使用公园和城市公园覆盖率与个人和公园特征的相互作用的中介作用。

结果

400 米缓冲区的城市公共公园覆盖率与 CES-D 评分呈负相关,这种相关性受到年龄的调节(仅对年轻参与者有意义),但没有证据表明存在中介作用。800 米缓冲区的公园覆盖率也与 CES-D 评分呈负相关,受年龄和职业的调节(对年轻参与者和家庭主妇有意义),并且观察到中介作用。公园覆盖率与公园特征之间没有相互作用,它们与 CES-D 评分的关联。

结论

我们的结果证实了公共公园改善心理健康的潜力,并表明这种效果在女性生命历程的某些阶段可能更为重要。中高收入、拉丁美洲国家的背景增加了当前主要基于高收入国家的知识。

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