Oklahoma State University, 445 Willard Hall, Stillwater, OK, 74078, USA.
University of Arizona, Tucson, AZ, USA.
Community Ment Health J. 2023 Aug;59(6):1083-1096. doi: 10.1007/s10597-023-01088-z. Epub 2023 Jan 25.
Scholars suggest that marginalized people in non-urban areas experience higher distress levels and fewer psychosocial resources than in urban areas. Researchers have yet to test whether precise proximity to urban centers is associated with mental health for marginalized populations. We recruited 1733 people who reported living in 45 different countries. Participants entered their home locations and completed measures of anxiety, depression, social support, and resilience. Regression and thematic analyses were used to determine what role distance from legislative and urban centers may play in mental health when marginalized people were disaggregated. Greater distance from legislative center predicted higher anxiety and resilience. Greater distance from urban center also predicted more resilience. Thematic analyses yielded five categories (e.g., safety, connection) that further illustrated the impact of geographic location on health. Implications for community mental health are discussed including the need to better understand and further expand resilience in rural areas.
学者们认为，非城市地区的边缘人群比城市地区经历更高的痛苦水平和更少的心理社会资源。研究人员尚未测试接近城市中心的确切位置是否与边缘人群的心理健康有关。我们招募了 1733 名报告居住在 45 个不同国家的人。参与者输入他们的家庭住址，并完成焦虑、抑郁、社会支持和适应力的测量。回归和主题分析用于确定当边缘化人群被细分时，远离立法和城市中心的距离可能在心理健康中扮演什么角色。距离立法中心越远，焦虑和适应力越高。距离城市中心越远，适应力也越高。主题分析产生了五个类别（例如，安全、联系），进一步说明了地理位置对健康的影响。讨论了对社区心理健康的影响，包括需要更好地理解和进一步扩大农村地区的适应力。
