邻里环境无序与青少年常见精神障碍。
Neighborhood physical disorder and common mental disorders in adolescence.
机构信息
Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Institute for Studies in Collective Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Int Arch Occup Environ Health. 2021 May;94(4):631-638. doi: 10.1007/s00420-020-01611-9. Epub 2020 Nov 25.
OBJECTIVE
The aim of this study is to estimate the association between observed indicators of neighborhood physical disorder and common mental disorders in adolescents.
METHODS
The study population included 2506 adolescents from three Brazilian state capitals (Rio de Janeiro, Porto Alegre, and Fortaleza) who participated in the Cardiovascular Risk Study in Adolescents (ERICA), a cross-sectional school-based study conducted in 2013-2014. Common mental disorders were assessed using the 12-item General Health Questionnaire. Measures of neighborhood physical disorder were based on the 2010 Brazilian census data and were derived using principal component analysis.
RESULTS
Although associations were found between some exposure components and CMD, there were no clear or consistent trends across exposure quartiles.
CONCLUSION
Overall, there was no evidence of an association between observed indicators of neighborhood physical disorder and common mental disorders. Future studies should explore alternative tools for measuring neighborhood physical disorder to minimize the likelihood of exposure misclassification.
目的
本研究旨在评估观察到的邻里物理无序指标与青少年常见精神障碍之间的关联。
方法
研究人群包括来自巴西三个首府（里约热内卢、阿雷格里港和福塔莱萨）的 2506 名青少年，他们参加了青少年心血管风险研究（ERICA），这是一项 2013-2014 年进行的基于学校的横断面研究。常见精神障碍使用 12 项一般健康问卷进行评估。邻里物理无序的测量基于 2010 年巴西人口普查数据，并使用主成分分析得出。
结果
尽管一些暴露成分与 CMD 之间存在关联，但在暴露四分位组之间没有明确或一致的趋势。
结论
总体而言，观察到的邻里物理无序指标与常见精神障碍之间没有关联的证据。未来的研究应探索测量邻里物理无序的替代工具，以最大程度地减少暴露错误分类的可能性。
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