Department of Psychosocial Health, University of Agder, Grimstad, Norway.
Addiction Unit, Sørlandet Hospital, Kristiansand, Norway.
Health Qual Life Outcomes. 2022 Sep 10;20(1):135. doi: 10.1186/s12955-022-02045-2.
There is an international public health interest in sustainable environments that promote human wellbeing. An individual's bond to places, understood as place attachment (PA), is an important factor for quality of life (QoL). The material environment, such as access to nature (AtN), access to amenities (AtA), or noise, and the social environment, such as social support or loneliness, has the potential to influence PA. The aim of the present study was to explore the relationship between these factors and QoL.
The study relied on data from 28,047 adults from 30 municipalities in Southern Norway obtained from the Norwegian Counties Public Health Surveys in 2019. Latent regression analyses were used to examine the relationship between the material and social environmental factors and QoL, mediated by PA.
We found a relationship between social and material environmental factors and PA. Higher AtN and AtA scores were related to an increase in PA, whereas higher perception of noise problems was related to decreased PA scores. When social environment factors were added to the model, they were even stronger predictors of PA and, in turn, QoL through mediated effects. We also found a strong positive association between PA and QoL (unstandardized β = 0.88, 95% CI = 0.87-0.90, p < 0.001). The whole model explained 83% of the variance in PA and 65% of the variance in QoL.
Taken together, the findings suggest the relevance of material and social environmental factors for PA and QoL. Therefore, research on public health and QoL should include place-sensitive variables.
可持续环境对促进人类福祉具有国际公共卫生意义。个体与场所的联系,即场所依恋(PA),是生活质量(QoL)的重要因素。物质环境,如接近自然(AtN)、接近便利设施(AtA)或噪音,以及社会环境,如社会支持或孤独,都有可能影响 PA。本研究旨在探讨这些因素与 QoL 之间的关系。
本研究依赖于 2019 年从挪威 30 个市的 28047 名成年人获得的来自挪威郡公共卫生调查的数据。潜在回归分析用于检验物质和社会环境因素与 PA 之间的关系,PA 是通过中介作用的。
我们发现社会和物质环境因素与 PA 之间存在关系。较高的 AtN 和 AtA 得分与 PA 增加有关,而较高的噪声问题感知与 PA 得分下降有关。当将社会环境因素纳入模型时,它们通过中介效应甚至成为 PA 和 QoL 的更强预测因素。我们还发现 PA 和 QoL 之间存在很强的正相关关系(未标准化β=0.88,95%CI=0.87-0.90,p<0.001)。整个模型解释了 PA 变异的 83%和 QoL 变异的 65%。
综上所述,研究结果表明物质和社会环境因素与 PA 和 QoL 相关。因此,公共卫生和 QoL 研究应包括位置敏感变量。