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心理健康的架构:确定有助于实现积极心理健康成果的公寓楼设计要求组合。

The architecture of mental health: identifying the combination of apartment building design requirements for positive mental health outcomes.

作者信息

Hooper Paula, Kleeman Alexandra, Edwards Nicole, Bolleter Julian, Foster Sarah

机构信息

Australian Urban Design Research Centre (AUDRC), School of Design, The University of Western Australia, Australia.

Centre for Urban Research, School of Global, Urban and Social Studies, RMIT University, Australia.

出版信息

Lancet Reg Health West Pac. 2023 Jun 22;37:100807. doi: 10.1016/j.lanwpc.2023.100807. eCollection 2023 Aug.

DOI:10.1016/j.lanwpc.2023.100807
PMID:37415596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10320597/
Abstract

BACKGROUND

Housing quality is a crucial determinant of mental health. While the construction of high-rise buildings is a popular policy strategy for accommodating population growth in cities, there is considerable debate about the health consequences of living in poorly designed apartments. Drawing on three Australian state government apartment design policies introduced to improve apartment design quality, this study aimed to identify the combination of design requirements that were optimally supportive of positive mental health.

METHODS

K-means cluster analyses identified groups of buildings ( 172) that were homogenous in their implementation of a mix of  = 80 measured design requirements. Positive mental health was measured using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). Linear mixed-effects models controlling for demographic characteristics, self-selection factors and clustering of participants within buildings compared residents in the different clusters.

FINDINGS

Residents in the characterised by having a greater implementation of  29 design requirements across nine design elements, had significantly higher (+1.96 points) WEMWBS scores compared with residents in the

INTERPRETATION

This study is the first to empirically identify a mix of policy-specific architecture design requirements that are associated with positive mental health in apartment residents. These findings provide vital empirical evidence to inform national and international apartment and high-rise housing policies, and design instruments and practices to protect people's health in apartment dwellings.

FUNDING

The High Life project is funded by a Healthway Research Intervention Project grant (#31986) and an Australian Research Council (ARC), Discovery Early Career Researcher Award (DECRA) (DE160100140). NE is supported by an Australian Research Council (ARC) Linkage Project (LP190100558). SF is supported by an Australian Research Council (ARC) Future Fellowship (FT210100899).

摘要

背景

住房质量是心理健康的关键决定因素。虽然建造高层建筑是城市应对人口增长的常用政策策略,但对于居住在设计不佳的公寓中对健康的影响存在大量争议。本研究借鉴澳大利亚三个州政府为提高公寓设计质量而出台的公寓设计政策,旨在确定最有利于积极心理健康的设计要求组合。

方法

K均值聚类分析确定了在实施80项可测量设计要求组合方面具有同质性的建筑组(172个)。使用沃里克 - 爱丁堡心理健康量表(WEMWBS)测量积极心理健康状况。控制人口特征、自我选择因素以及建筑物内参与者聚类情况的线性混合效应模型对不同聚类中的居民进行了比较。

结果

在九个设计元素中实施29项设计要求程度更高的聚类中的居民,与其他聚类中的居民相比,WEMWBS得分显著更高(高1.96分)。

解读

本研究首次通过实证确定了一系列与公寓居民积极心理健康相关的特定政策建筑设计要求组合。这些发现为国家和国际公寓及高层住宅政策以及保护公寓居民健康的设计工具和实践提供了至关重要的实证依据。

资金来源

“高品质生活”项目由健康之路研究干预项目资助(#31986)以及澳大利亚研究理事会(ARC)发现早期职业研究员奖(DECRA)(DE160100140)资助。NE由澳大利亚研究理事会(ARC)合作项目(LP190100558)资助。SF由澳大利亚研究理事会(ARC)未来奖学金(FT210100899)资助。

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本文引用的文献

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SSM Popul Health. 2022 Nov 24;20:101301. doi: 10.1016/j.ssmph.2022.101301. eCollection 2022 Dec.
2
Measuring the high life: A method for assessing apartment design policy implementation.衡量高品质生活:一种评估公寓设计政策实施情况的方法。
MethodsX. 2022 Aug 4;9:101810. doi: 10.1016/j.mex.2022.101810. eCollection 2022.
3
What next? Expanding our view of city planning and global health, and implementing and monitoring evidence-informed policy.下一步是什么?拓展我们对城市规划和全球健康的视野,并实施和监测基于证据的政策。
Lancet Glob Health. 2022 Jun;10(6):e919-e926. doi: 10.1016/S2214-109X(22)00066-3.
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BMJ Open. 2019 Aug 2;9(8):e029220. doi: 10.1136/bmjopen-2019-029220.
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