Department of Internal Medicine, College of Medicine, The Ohio State University, 1590 North High Street, Suite 525, Columbus, OH, 43201, USA.
Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, the State University of New Jersey, Piscataway, NJ, USA; Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Health Place. 2021 Jan;67:102498. doi: 10.1016/j.healthplace.2020.102498. Epub 2020 Dec 28.
We investigated relationships between independently observed, visual cues of residential environments and subsequent participant-reported stress within a population-based cohort of Black breast cancer survivors (n = 476). Greater visual cues of engagement - presence of team sports, yard decorations, outdoor seating - (compared to less engagement) was marginally associated with lower perceived stress in univariate models, but attenuated towards null with adjustment for socio-demographic, behavioral, and health-related covariates. Similarly, physical disorder and perceived stress were not associated in adjusted models. Relationships between observed built environment characteristics and perceived stress might be influenced by socioeconomic and health behavior factors, which longitudinal studies should investigate.
我们在一个基于人群的黑人乳腺癌幸存者队列中（n=476）调查了居住环境的独立观察到的视觉线索与随后的参与者报告的压力之间的关系。在单变量模型中，与参与度较低（相比之下）相比，更多的视觉参与线索（团队运动、庭院装饰、户外座椅的存在）与感知压力降低呈边缘相关，但在调整社会人口统计学、行为和健康相关协变量后，这种关联减弱为零。同样，在调整后的模型中，物理障碍和感知压力之间没有关联。观察到的建筑环境特征与感知压力之间的关系可能受到社会经济和健康行为因素的影响，这应该是纵向研究的内容。
