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Low-Density Zoning and Health Disparities in Metro Areas. 都市地区的低密度分区和健康差异。
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-11 DOI: 10.1177/00221465251391834
Kate W Strully,Tse-Chuan Yang,Chunxu Fang,Han Liu
This study examines associations between low-density zoning and individual health outcomes across 44 large U.S. metro areas. Zoning laws that restrict housing density to low levels can restrict affordable housing, contribute to urban sprawl, and increase segregation. Density zoning is one of the oldest and most common forms of residential zoning in the United States, and conceptual models posit that low-density zoning should be associated with wider health disparities. However, empirical associations between density zoning and health have been largely undocumented. Using data from the National Longitudinal Land Use Survey and Behavioral Risk Factor Surveillance Selected Metropolitan/Micropolitan Area Risk Trends data (N = 87,752), we find that metro areas with a higher proportion of jurisdictions with restrictive low-density zoning have wider race, ethnic, and income disparities in poor self-assessed health. However, we also find suggestive evidence that race disparities in obesity may be narrower in metro areas with more low-density zoning.
这项研究调查了美国44个大城市的低密度分区与个人健康状况之间的关系。将住房密度限制在低水平的分区法可能会限制经济适用房,助长城市蔓延,并增加隔离。密度分区是美国最古老和最常见的住宅分区形式之一,概念模型认为低密度分区应该与更大的健康差距有关。然而,密度分区与健康之间的经验联系在很大程度上没有记录。利用国家纵向土地利用调查和行为风险因素监测选择的大都市/小城市地区风险趋势数据(N = 87,752)的数据,我们发现,具有限制性低密度分区的司法管辖区比例较高的大都市地区在自我评估健康状况不佳方面存在更大的种族、民族和收入差距。然而,我们也发现了暗示性的证据,即在低密度分区较多的大都市地区,肥胖的种族差异可能会缩小。
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引用次数: 0
Maternal Depression across Early Childhood: Similarities and Differences across Three Liberal Democracies. 幼儿期母亲抑郁:三个自由民主国家的异同。
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-10 DOI: 10.1177/00221465251395988
Shannon Cavanagh,Asya Saydam
Women who parent report higher rates of depression than others. Research frames this around postpartum depression, yet many continue to report symptoms well beyond the postpartum period. Using data from three nationally representative birth cohort studies (N = 31,514), we investigate how women's depressive symptoms unfold across children's early life. We compare trajectories across countries that provide limited but different family supports that might matter to mothers' health. Finally, we consider whether maternal characteristics moderate these differences. Using within and between growth curve modeling, we found country-level differences over time, with higher baseline but sharper declines among mothers in the United Kingdom and modest declines among mothers in Australia. Mothers in the United States started out lower but demonstrated no "recovery" over time. Depressive symptoms declined more sharply for advantaged mothers in countries with more generous supports but changed little for mothers in the United States regardless of their advantage.
为人父母的女性患抑郁症的比例高于其他女性。研究围绕产后抑郁症进行,但许多人继续报告的症状远远超出了产后时期。使用来自三个具有全国代表性的出生队列研究(N = 31,514)的数据,我们调查了女性抑郁症状在儿童早期生活中的表现。我们比较了各国提供有限但不同的家庭支持的轨迹,这些支持可能对母亲的健康很重要。最后,我们考虑母性特征是否调节了这些差异。使用内部和之间的增长曲线模型,我们发现随着时间的推移,国家层面的差异,英国母亲的基线较高,但下降幅度较大,澳大利亚母亲的下降幅度较小。美国的母亲们开始时的生育率较低,但随着时间的推移并没有“恢复”。在经济条件优越的国家,母亲的抑郁症状下降得更快,而在美国,尽管母亲的经济条件优越,但她们的抑郁症状几乎没有变化。
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引用次数: 0
Editorial Acknowledgment of Reviewers 审稿人编辑致谢
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-02 DOI: 10.1177/00221465251391245
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引用次数: 0
Internalized Sexism and Well-Being in the United States. 美国的内化性别歧视与幸福感。
IF 3.6 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-01 Epub Date: 2025-01-30 DOI: 10.1177/00221465241305586
Matthew A Andersson, Anastasia N McSwain

Although structural sexism in state-level institutions is harmful to women's and men's health, less is known about how micro-level structural sexism relates to well-being. Using the 2017 and 2021 Gallup Values and Beliefs of the American Public surveys (N = 1,501 in 2017; N = 1,248 in 2021), we investigate diverse approaches to internalized sexism. Although we find no significant associations with self-rated health, gender traditionalism is linked to greater depressive and anxiety symptoms for women and men, providing the first population evidence for its universal harm in the United States. Although benevolent sexism shows no associations with mental well-being, hostile sexism is linked to greater symptoms among men. A diminished sense of mastery consistently accounts for these relationships, showing promise as a potential mechanism. These findings are suppressed by political conservatism and religious involvement, both of which lead to reporting greater-rather than diminished-well-being.

虽然国家一级机构中的结构性性别歧视有害于妇女和男子的健康,但人们对微观层面的结构性性别歧视与福祉的关系知之甚少。使用2017年和2021年盖洛普美国公众价值观和信念调查(N = 1,501 2017;N = 1,248(2021年),我们研究了内化性别歧视的不同方法。虽然我们没有发现性别传统主义与自我评估的健康状况有显著关联,但它与女性和男性更严重的抑郁和焦虑症状有关,这为其在美国的普遍危害提供了第一个人口证据。虽然善意的性别歧视与心理健康无关,但敌意的性别歧视与男性更严重的症状有关。掌控感的减弱一直在解释这些关系,表明承诺是一种潜在的机制。这些发现被政治保守主义和宗教参与所抑制,这两者都会导致报告的幸福感增加而不是减少。
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引用次数: 0
Living with(out) Citizenship: The Impact of Naturalization on Mortality Risk among U.S. Immigrants. 持有(非)公民身份:入籍对美国移民死亡风险的影响。
IF 3.6 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-01 Epub Date: 2025-01-31 DOI: 10.1177/00221465241310347
Thoa V Khuu, Jennifer Van Hook, Kendal L Lowrey

In recent decades, naturalization rates among U.S. immigrants have surged as many seek citizenship to regain lost rights and protections. However, the impact of naturalization on immigrants' life outcomes, such as health, remains underexplored in academic research. Challenges arising from selection processes complicate the interpretation of any observed health disparities between naturalized citizens and noncitizens. To address this gap, we link restricted-use data from the 2000 U.S. census to individual Social Security records on citizenship change and death, enabling a 20-year observation of naturalization and mortality. Results from discrete-time hazard analysis of mortality risk reveals a significant protective health effect from naturalization, which increases in magnitude among long-term naturalized citizens. The effect is particularly strong across older ages and among groups with lower education, refugee entry status, Hispanic origin, and health limitations. These findings suggest that naturalization represents an important but stratifying source of institutional support for socially vulnerable immigrants.

近几十年来,美国移民的入籍率大幅上升,因为许多人寻求公民身份,以重新获得失去的权利和保护。然而,在学术研究中,入籍对移民生活结果(如健康)的影响仍未得到充分探讨。选择过程中产生的挑战使对入籍公民和非公民之间观察到的任何健康差异的解释复杂化。为了解决这一差距,我们将2000年美国人口普查中限制使用的数据与个人社会保障中关于公民身份变更和死亡的记录联系起来,从而对入籍和死亡率进行了20年的观察。死亡风险的离散时间危害分析结果显示,入籍对健康有显著的保护作用,在长期入籍公民中,这种作用的幅度增加。这种影响在年龄较大、受教育程度较低、难民入境身份、西班牙裔和健康状况有限的群体中尤为明显。这些发现表明,入籍代表了对社会弱势移民的制度性支持的一个重要但分层的来源。
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引用次数: 0
Cultural Authority and (Non) Compliance with Public Health Directives: The Effect of Legitimacy and Values on Behavior during the COVID-19 Pandemic. 文化权威与(不)遵守公共卫生指令:在 COVID-19 大流行期间,合法性和价值观对行为的影响。
IF 3.6 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-12-01 Epub Date: 2025-01-27 DOI: 10.1177/00221465241312696
Kate Hawks

During the COVID-19 pandemic in the United States, the success of public health authorities' strategies to curb the spread of the virus hinged on individuals' voluntary compliance with their directives. This study considers how two components of the cultural authority of public health influenced compliance with health guidelines during the pandemic: (1) individuals' views of public health officials as legitimate and (2) the shared value of health. I also examine the influence of other basic values, alongside health, on pandemic behavior. Data come from an original survey of 1,356 U.S. adults collected online in spring 2022. Findings reveal the pivotal role of perceived legitimacy of public health authorities in motivating compliance, even when considering perceived threat of the virus, political orientation, and other contextual factors. Results provide insight into why people complied with health guidelines by indicating how variation in individuals' value priorities influenced behavior.

在美国新冠肺炎疫情期间,公共卫生当局的防疫战略能否取得成功,关键在于个人是否自愿遵守指示。本研究考虑了公共卫生文化权威的两个组成部分如何在大流行期间影响对卫生指导方针的遵守:(1)个人对公共卫生官员的看法是合法的;(2)健康的共同价值。除了健康之外,我还研究了其他基本价值观对流行病行为的影响。数据来自于2022年春季在网上收集的对1356名美国成年人的原始调查。研究结果表明,即使考虑到病毒的威胁、政治倾向和其他背景因素,公共卫生当局的合法性在促使遵守规定方面也发挥着关键作用。研究结果表明,个人价值优先级的变化如何影响行为,从而深入了解人们遵守健康指南的原因。
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引用次数: 0
The Hormone Medicated Self: Women’s Perceptions of Synthetic Hormones and Authenticity across the Life Course 激素治疗的自我:女性在整个生命过程中对合成激素和真实性的感知
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-11-30 DOI: 10.1177/00221465251391832
Golda Kaplan
Although some people feel that medication reveals a more authentic version of themselves, others question whether medication alters their true personality and behavior. Interrogating these effects occurs at all ages, yet knowing and defining oneself also represents a milestone toward becoming an adult. How do individuals conceptualize the relationship between medication and authenticity at different life stages? I examine perceptions of hormonal contraception and menopausal hormone therapies to answer this question. In interviews with 60 cisgender women across the United States, I find that younger women conceptualized hormonal contraception in emerging adulthood as a threat to knowing and being their authentic self. Meanwhile, women in midlife largely understood hormones used during perimenopause and menopause to recover authenticity. I argue that life stage interacts with how women perceive the effects of synthetic hormones. These findings emphasize the importance of the pursuit of authenticity for patterns of medication use more broadly.
虽然有些人觉得药物能揭示出更真实的自己,但也有人质疑药物是否会改变他们真实的个性和行为。质疑这些影响发生在所有年龄段,然而了解和定义自己也代表着成为成年人的一个里程碑。在不同的人生阶段,个体如何概念化药物与真实性之间的关系?为了回答这个问题,我考察了人们对激素避孕和更年期激素疗法的看法。在对美国60名顺性女性的采访中,我发现年轻女性在成年初期将激素避孕视为对了解和做真实自我的威胁。与此同时,中年女性在很大程度上了解围绝经期和绝经期使用的激素,以恢复真实性。我认为,人生阶段与女性如何感知合成激素的作用相互作用。这些发现强调了更广泛地追求药物使用模式真实性的重要性。
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引用次数: 0
Policy Brief: Living with(out) Citizenship 政策简介:拥有(或不拥有)公民身份
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-11-28 DOI: 10.1177/00221465251391250
Thoa V. Khuu, Jennifer Van Hook, Kendal L. Lowrey
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引用次数: 0
Seeing Discrimination: How Different Definitions of Discrimination Relate to Health in U.S. Adults 看到歧视:歧视的不同定义如何与美国成年人的健康相关
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-11-24 DOI: 10.1177/00221465251386416
Lauren Valentino, Evangeline Warren
Research demonstrates that perceived discrimination negatively impacts health. Yet there is conflicting evidence about how an individual’s definition of discrimination—separate from their experience of discrimination—shapes health disparities. Using a nationally representative survey experiment in which participants (N = 2,000) are asked to evaluate nine different scenarios of potential discrimination, we find that how a person labels these discrimination scenarios is significantly related to their self-rated health, even after controlling for sociodemographic factors. U.S. adults who are more likely to label the event as discrimination in cases where it is intentional have comparatively worse self-rated health, whereas those who are more likely to label discrimination in cases where it affects more powerful groups (White people, men, and the wealthy) have comparatively better self-rated health—even though they are not experiencing the discrimination themselves. We argue that these findings have important implications for how health researchers measure discrimination’s health effects.
研究表明,感知到的歧视会对健康产生负面影响。然而,关于个人对歧视的定义——与他们的歧视经历分开——是如何形成健康差异的,有相互矛盾的证据。在一项具有全国代表性的调查实验中,参与者(N = 2000)被要求评估9种不同的潜在歧视情景,我们发现,即使在控制了社会人口因素之后,一个人如何标记这些歧视情景与他们的自评健康显著相关。美国成年人更有可能在故意的情况下给歧视贴上歧视的标签,他们的自评健康状况相对较差,而那些更有可能在歧视影响更强大的群体(白人、男性和富人)的情况下给歧视贴上歧视的标签的人,他们的自评健康状况相对较好——即使他们自己没有经历过歧视。我们认为,这些发现对健康研究人员如何衡量歧视对健康的影响具有重要意义。
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引用次数: 0
The Management of Social Standing: Characterizing the Influence of HIV Stigma on HIV Talk and Testing Behavior in Philippine Key Populations Using a Grounded Theory Approach 社会地位的管理:表征艾滋病污名对艾滋病谈话和检测行为的影响在菲律宾关键人群使用接地理论方法
IF 5 1区 医学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2025-11-20 DOI: 10.1177/00221465251388639
Gideon Livingstone P. Bendicion, Augil Marie Q. Robles, Moniq Muyargas, Timoteo Balensoy, Bea Izabeaux T. Mendoza, Kiara Angela A. Sarmiento, ML Demaisip Farinas, Aron Harold G. Pamoso, Angelique Pearl Virtue P. Villasanta, Just Lynn D. Panaligan, Joseph Eleut G. Violago, Ver Reyes, Jonathan Fontilla
We characterize the way human immunodeficiency virus (HIV) stigma hinders HIV conversations and testing. Using grounded theory principles, we analyzed in-depth interviews of the experiences of select Philippine key populations (groups with high HIV burden) and their families: 19 men who have sex with men (KPM), 16 transgender women (KPW), and 16 parents of KPM/W. Results show how KPM/W protect the state of being respected by others (management of social standing), a task they engage in by strategically modulating behavior in different life domains, including when considering HIV conversations and testing. Our results specify the management of social standing as an object being threatened by stigma and as a process making KPM/W behavior susceptible to the influence of HIV stigma, even for KPM/W who may not possess the mark of positive serostatus. This raises questions about the theorizing of stigma, which traditionally has focused on the susceptibility of marked but not unmarked individuals.
我们描述了人类免疫缺陷病毒(HIV)耻辱阻碍HIV对话和测试的方式。运用扎根的理论原则,我们分析了菲律宾重点人群(高艾滋病毒负担群体)及其家庭的深度访谈经验:19名男男性行为者(KPM), 16名变性女性(KPW)和16名KPM/W的父母。结果显示了KPM/W如何保护被他人尊重的状态(社会地位管理),他们通过战略性地调节不同生活领域的行为来参与这项任务,包括在考虑艾滋病毒对话和检测时。我们的研究结果表明,社会地位的管理是一个受到耻辱感威胁的对象,也是一个使KPM/W行为容易受到艾滋病毒耻辱感影响的过程,即使对于那些可能没有血清状态阳性标记的KPM/W来说也是如此。这就提出了关于污名化理论的问题,传统上污名化理论关注的是有标记而非无标记个体的易感性。
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引用次数: 0
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Journal of Health and Social Behavior
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