Department of Urban Planning, School of Architecture and Civil Engineering, Xiamen University, Xiamen, China.
Faculty of Architecture, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Front Public Health. 2022 Mar 14;10:850923. doi: 10.3389/fpubh.2022.850923. eCollection 2022.
The impacts of perceived neighborhood environment on adults' health and life satisfaction have drawn increasing academic attention. However, previous studies usually examine multi-dimensional (physical, mental, and perceived) health and life satisfaction separately, and few studies dealt with them simultaneously. Moreover, limited research revealed the mechanisms behind the effects of perceived neighborhood environment on health and life satisfaction, as well as how such effects are moderated by socio-demographics. Therefore, employing the 2016 China Family Panel Study Dataset and using structural equation modeling, this study delves into the complicated relationships among perceived neighborhood environment, health behavior, health outcomes (i.e., body mass index, self-rated health status, and depression), and life satisfaction. Notably, it considers mediation and moderation simultaneously. It finds: (1) Better perceived neighborhood environment significantly promotes physical activity and reduces sedentary behavior, smoking, and drinking; (2) Health behavior fully mediates the effects of perceived neighborhood environment on health; (3) Perceived neighborhood environment significantly affects life satisfaction both directly and indirectly (through health behavior and health outcomes); (4) Socio-demographics moderate the above relationships. This study disentangles the complicated impacts of perceived neighborhood environment on adults' multi-dimensional health and life satisfaction, thus providing policy makers and practitioners with nuanced knowledge for intervention.
感知邻里环境对成年人健康和生活满意度的影响引起了越来越多的学术关注。然而，以前的研究通常分别研究多维（身体、心理和感知）健康和生活满意度，很少有研究同时处理它们。此外，有限的研究揭示了感知邻里环境对健康和生活满意度影响的背后机制，以及这种影响如何受到社会人口统计学因素的调节。因此，本研究利用 2016 年中国家庭追踪调查数据集，采用结构方程模型，深入探讨了感知邻里环境、健康行为、健康结果（即体重指数、自评健康状况和抑郁）和生活满意度之间的复杂关系。值得注意的是，该研究同时考虑了中介和调节作用。研究结果表明：（1）更好的感知邻里环境显著促进了身体活动，减少了久坐行为、吸烟和饮酒；（2）健康行为完全中介了感知邻里环境对健康的影响；（3）感知邻里环境直接和间接地（通过健康行为和健康结果）显著影响生活满意度；（4）社会人口统计学因素调节了上述关系。本研究揭示了感知邻里环境对成年人多维健康和生活满意度的复杂影响，为政策制定者和实践者提供了干预的细致知识。
