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社区健康社会决定因素的双路径心理社会模型:“共同事业”项目的结果

A dual-path psychosocial model of social determinants of health in the community: Results from the Cause Commune program.

作者信息

Lampropoulos Dimitrios, Spini Dario, Li Yang, Anex Emmanuelle

机构信息

Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland.

Swiss National Centre of Competence in Research LIVES, Lausanne, Switzerland.

出版信息

J Community Psychol. 2023 Apr;51(3):962-977. doi: 10.1002/jcop.22952. Epub 2022 Oct 13.

DOI:10.1002/jcop.22952
PMID:36226873
Abstract

We tested a dual-path psychosocial framework of social vulnerability that considers the impact of socioeconomic resources and cognitive social capital on health, and whether they were mediated by an enabling psychosocial path (collective efficacy) and a disabling path (loneliness). A total of 1401 people (53.6% female, M  = 48.7, SD = 18.1) from a community in Switzerland participated in the study. Structural equation models showed that psychosocial factors were related to both social determinants and health outcomes and partially mediated their interrelation. Our model showed an adequate fit to the data (χ  = 1,377.56, df = 341, p = 0.000, comparative fit index = 0.93, root mean square error of approximation = 0.05, standardized root mean-squared residual = 0.05). The findings highlight the role of psychosocial-relational factors in the processes of social vulnerability and would be of interest to researchers working on social vulnerability in the community.

摘要

我们测试了一个社会脆弱性的双路径心理社会框架,该框架考虑社会经济资源和认知社会资本对健康的影响,以及它们是否通过一条促进性心理社会路径(集体效能)和一条抑制性路径(孤独感)来介导。来自瑞士一个社区的1401人(53.6%为女性,平均年龄M = 48.7,标准差SD = 18.1)参与了该研究。结构方程模型表明,心理社会因素与社会决定因素和健康结果均相关,并部分介导了它们之间的相互关系。我们的模型对数据拟合良好(卡方值χ = 1377.56,自由度df = 341,p = 0.000,比较拟合指数 = 0.93,近似误差均方根 = 0.05,标准化残差均方根 = 0.05)。研究结果突出了心理社会关系因素在社会脆弱性过程中的作用,对于从事社区社会脆弱性研究的人员来说具有参考价值。

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