Wellbeing Space and Society最新文献_第4页

Cultivating a productive sense of place: Heritage experience, wellbeing, and urban preservation in historic cities 培养富有成效的地方感：历史城市的遗产体验、福祉和城市保护

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-24 DOI: 10.1016/j.wss.2025.100318

Siow-Kian Tan , Phooi-Kwan Chong , Siow-Hooi Tan , Booi-Chen Tan

A strong sense of place plays an essential role in preserving heritage cities. To foster this sense among local communities, we must understand the heritage experience. However, locals do not always translate their sense of place into active preservation efforts. This study investigates the processes that cultivate a ‘productive’ sense of place. We conducted in-depth interviews and observations in Melaka and George Town, World Heritage Sites of Malaysia. Our research identified forty-eight concepts, categorized them into twenty-one sub-dimensions, and grouped these into nine overarching dimensions. We further identified three key themes—heritage place experience, sense of place, and wellbeing—and explored how they interact. A productive sense of place strengthens identity, fosters emotional attachment, and encourages a shared sense of responsibility for heritage conservation, thereby contributing to individual and collective wellbeing. This process enhances community resilience and cultural continuity. Based on these insights, we developed a model outlining how to generate a ‘productive’ sense of place. The elements of heritage place experience play a critical role in narrating the stories of a heritage city effectively. Local communities and authorities must collaborate strategically to plan and preserve heritage. This joint effort will protect the integrity of our cultural heritage and enrich the cultural landscape for future generations.

强烈的地方感在保护遗产城市中起着至关重要的作用。为了在当地社区中培养这种意识，我们必须了解遗产体验。然而，当地人并不总是把他们的地方意识转化为积极的保护努力。本研究探讨了培养“生产性”场所感的过程。我们在马来西亚的世界遗产马六甲和乔治城进行了深入的采访和观察。我们的研究确定了48个概念，将它们分为21个子维度，并将它们分为9个总体维度。我们进一步确定了三个关键主题——遗产场所体验、场所感和幸福感——并探索了它们之间的相互作用。富有成效的地方感加强了身份认同，培养了情感依恋，并鼓励了对遗产保护的共同责任感，从而促进了个人和集体的福祉。这一过程增强了社区的复原力和文化的连续性。基于这些见解，我们开发了一个模型，概述了如何产生“生产性”的场所感。遗产地体验元素在有效地叙述遗产城市的故事中起着至关重要的作用。地方社区和当局必须战略性地合作，规划和保护遗产。这一共同努力将保护我们文化遗产的完整性，为子孙后代丰富文化景观。

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引用次数: 0

Rural lives and perceived well-being in commercializing landscapes of northern Laos 老挝北部商业化景观中的农村生活和幸福感

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-23 DOI: 10.1016/j.wss.2025.100320

Wai Phyoe Maung , Yoth Vanhnasin , Sithong Thongmanivong , Andi Patiware Metaragakusuma , Alimata Sidibe , Grace Yee Wong

The government of Laos views agricultural commercialization as a key policy instrument for improving the livelihoods of farm households and contributing to rural development. Recent studies indicate that these commercialization processes are not solely state-driven but are often actively embraced by local communities. Here, we examine how contemporary farming practices in the commercialized landscapes of northern Laos influence farmers’ perceptions of well-being and fairness. Using a combination of participatory methods, an adapted well-being framework, and a multidimensional equity lens, we analyze rural life in northern Laos. The findings reveal that foreign agricultural investments have increased income and asset accumulation, particularly through rubber and sugarcane sales, but economic gains are distributed unevenly. Land-poor farmers are increasingly reliant on wage labor, contributing to growing social inequalities. The paper highlights how social pressures alongside government policies are driving the shift toward industrial agricultural practices and commercial plantations. Additionally, it touches upon the ‘capability approach’, emphasizing access to forests and land as key components of well-being. The central argument is that perceptions of fairness in agricultural commercialization are influenced by factors such as land rights recognition, equitable land distribution, and participation in decision-making processes.

老挝政府将农业商业化视为改善农户生计和促进农村发展的关键政策工具。最近的研究表明，这些商业化进程不仅是国家推动的，而且往往受到当地社区的积极欢迎。在这里，我们研究了老挝北部商业化景观中的当代农业实践如何影响农民对福祉和公平的看法。结合参与式方法、适应性福利框架和多维公平视角，我们分析了老挝北部的农村生活。研究结果表明，外国农业投资增加了收入和资产积累，特别是通过橡胶和甘蔗的销售，但经济收益分配不均。缺乏土地的农民越来越依赖雇佣劳动力，这加剧了社会不平等。这篇论文强调了社会压力和政府政策是如何推动向工业化农业实践和商业种植园的转变的。此外，它还涉及“能力方法”，强调获得森林和土地是福祉的关键组成部分。中心论点是，对农业商业化公平性的看法受到土地权利承认、公平土地分配和参与决策过程等因素的影响。

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引用次数: 0

Rising tide of stress: Global trends and structural predictors over 18 years 压力的上升趋势：18年来的全球趋势和结构预测

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-23 DOI: 10.1016/j.wss.2025.100319

Elisabetta Febe Canaletti , Phyllis Lun , Levi D. Stutzman , Meanne Chan , Felix Cheung

Background

Mounting evidence points to stress being a transdiagnostic contributing factor to health conditions. Given the health significance of stress, characterizing macro-level spatiotemporal trends and disparities of stress is necessary to understanding stress and its potential health burden across populations. The need to investigate structural factors contributing to stress is further underscored by the escalating instability worldwide over the past decade, which can trigger a stress response and lead to adverse health outcomes if left unaddressed.

Methods

This study used nationally representative surveys (N = 2461,226; 146 countries) in 2006–2023 and the Fragile State Index (N = 137 countries) to i) describe global stress trends varied by world regions and demographic groups, and ii) examine whether nation-level state fragility, a summative measure that aggregates 12 economic, social, and political indicators to assess a state’s risk of collapse or conflict, predicts steeper increases in stress over time.

Results

A state’s level of fragility may contribute to individuals’ perceived stress and in turn have profound consequences for population physical and mental health. The current study reveals an alarming increase in stress globally and calls for prioritizing structural approaches to reverse this trend. By doing so, we not only reduce stress but also its related disease burden.

背景：越来越多的证据表明，压力是影响健康状况的一个跨诊断因素。鉴于压力对健康的重要性，表征压力的宏观时空趋势和差异对于理解压力及其在人群中的潜在健康负担是必要的。过去十年来，世界各地的不稳定不断升级，如果不加以解决，可能引发应激反应，并导致不利的健康后果，这进一步强调了调查造成压力的结构性因素的必要性。方法本研究采用2006-2023年具有全国代表性的调查（N = 2461,226； 146个国家）和脆弱国家指数（N = 137个国家）来i)描述全球压力趋势随世界地区和人口群体的变化，ii)检验国家层面的国家脆弱性（汇总12个经济、社会和政治指标来评估一个国家崩溃或冲突的风险）是否预示着压力随时间的急剧增加。结果一个国家的脆弱程度可能会导致个体的感知压力，进而对人口的身心健康产生深远的影响。目前的研究揭示了全球压力的惊人增长，并呼吁优先采取结构性方法来扭转这一趋势。通过这样做，我们不仅减少了压力，而且减少了与之相关的疾病负担。

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引用次数: 0

Exploring associations between neighborhood amenities and mental health: Insights from parent reports of older youth in low-income households 探索社区设施与心理健康之间的关系：来自低收入家庭老年青年父母报告的见解

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-21 DOI: 10.1016/j.wss.2025.100317

Melissa L. Villodas , Ngozi V. Enelamah , Andrea Cole , Andrew Foell , Alexandria B. Forte , Chrisann Newransky , Camila Natalia Rodriguez , Mansoo Yu , Von E. Nebbitt , Margaret Lombe

Aims

This study investigates the relationship between the presence of neighborhood amenities and parent-reported intensity of depression and anxiety among youth aged 14–17 in low-income households, with a focus on racial and ethnic differences.

Method

Weighted logistic regression with interaction terms for amenities and race was conducted using data from the 2021 National Survey of Children’s Health, involving families with youth ages 14 to 17 and who earn 0–199 % of the federal poverty level (N = 3258). A series of stratified logistic regression models examined the relationship between neighborhood amenities and mental health by race.

Results

Interactions revealed that sidewalks were associated with a higher likelihood of anxiety for Black and Hispanic youth, but a lower likelihood of depression for multiracial youth. Parks were associated with a higher likelihood of depression among Hispanic youth. Recreation centers were associated with a higher likelihood of depression among multiracial youth. Community-based adverse childhood experiences (ACEs) were associated with higher depression and anxiety. Nearly all racial groups experienced lower odds of depression when the youths’ mothers’ mental health was positive. Finally, neighborhood support was associated with lower odds of anxiety for Black youth, while neighborhood detractors increased the odds of depression.

Conclusions

We highlight the need to promote equity and a shared concern for youth mental health shaped by environmental context. Future research should explore how diverse youth experience neighborhood amenities, emphasizing the role of cross-cultural dynamics in shaping mental health.

目的本研究探讨14-17岁低收入家庭青少年社区便利设施的存在与父母报告的抑郁和焦虑强度之间的关系，并重点关注种族和民族差异。方法使用2021年全国儿童健康调查的数据进行加权逻辑回归，其中包括14至17岁青少年的家庭，他们的收入为联邦贫困水平的0 - 199% （N = 3258）。一系列分层逻辑回归模型考察了社区便利设施与种族心理健康之间的关系。结果相互作用显示，人行道与黑人和西班牙裔青年焦虑的可能性较高有关，而多种族青年抑郁的可能性较低。公园与西班牙裔年轻人患抑郁症的可能性较高有关。娱乐中心与多种族青年患抑郁症的可能性较高有关。以社区为基础的不良童年经历（ace）与较高的抑郁和焦虑有关。当年轻母亲的心理健康状况良好时，几乎所有种族的孩子患抑郁症的几率都较低。最后，邻里支持与黑人青年较低的焦虑几率有关，而邻里诋毁则增加了黑人青年抑郁的几率。结论：我们强调有必要促进公平和共同关注受环境影响的青少年心理健康。未来的研究应该探索不同的青少年如何体验社区设施，强调跨文化动态在塑造心理健康方面的作用。

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引用次数: 0

Between solitude and safety: A qualitative scoping review of overdose risk and the built environment 在孤独和安全之间：过量风险和建筑环境的定性范围审查

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-20 DOI: 10.1016/j.wss.2025.100316

Rachel Deshpande , Meya Jurkus , Valorie A. Crooks , Benjamin Nii Badu Lartey , Geoff Bardwell

Given the ongoing overdose crisis, it is imperative to investigate how physical environments facilitate or protect against overdose in order to inform place-based interventions that seek to reduce risk. This scoping review synthesizes qualitative literature on the built environment and overdose to provide indepth perspectives and experiences of decision-making and drug use navigation. Studies published between January 1980 and October 2024 that describe built environment factors related to fatal and non-fatal overdose were included. The review followed the JBI Manual for Evidence Synthesis scoping review methodology, including the standardized checklist for reporting on scoping reviews(PRISMAScR). Forty articles were included. Results were divided into four overarching categories: indoor and outdoor locations that shape drug use behaviour and overdose; intersections of built environments and other social/structural factors impacting risk navigation, including privacy, sociability, and comfortability; and targeted interventions for the built environment that are intended to reduce overdose, including technologies and service availability. Key findings from this scoping review focus on how the built environment influences the consumption practices and experiences of people who use drugs when navigating harm reduction practices and the integrity of their drug-taking experience. Tensions exist between privacy and comfortability, and experiences of sociability and safety. Balancing surveillance versus monitoring is essential to consider when implementing built environment interventions that support individual autonomy. This research is important for understanding the built environment factors that facilitate or reduce the risk of overdose and is integral for informing policy and place-based interventions.

鉴于持续的过量危机，必须调查物理环境如何促进或防止过量，以便为寻求降低风险的基于地点的干预措施提供信息。本综述综合了关于建筑环境和药物过量的定性文献，为决策和药物使用导航提供了深入的观点和经验。1980年1月至2024年10月期间发表的研究描述了与致命和非致命过量有关的建筑环境因素。审查遵循JBI证据综合范围审查方法手册，包括范围审查报告的标准化清单（PRISMAScR）。共收录了40篇文章。结果分为四大类：影响药物使用行为和过量的室内和室外场所；建筑环境和其他影响风险导航的社会/结构因素的交叉点，包括隐私、社交性和舒适度；针对建筑环境的有针对性的干预措施旨在减少过量，包括技术和服务的可用性。这一范围审查的主要发现集中在建筑环境如何影响吸毒者在进行减少危害实践时的消费行为和体验，以及他们吸毒经历的完整性。隐私与舒适、社交体验与安全之间存在紧张关系。在实施支持个体自主性的建筑环境干预措施时，必须考虑平衡监视与监控。这项研究对于理解促进或减少过量风险的建筑环境因素非常重要，并且对于政策和基于地方的干预措施是不可或缺的。

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引用次数: 0

Strengthening community ties in South Africa: tackling food insecurity and structural challenges through community-led initiatives 加强南非的社区联系：通过社区主导的举措解决粮食不安全和结构性挑战

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-17 DOI: 10.1016/j.wss.2025.100315

Lucy Khofi , Eileen Moyer , Andries Bezuidenhout , Lenore Manderson

In this article, we examine how precarious access to food and other essential resources, shaped by structural violence, poverty, and inequalities, is mitigated through community ties and community-based action. Communities in South Africa face chronic socioeconomic challenges, including high unemployment and inadequate access to resources such as food, water, energy, and shelter. We highlight how governmental neglect and exclusionary policies exacerbate these hardships, creating entrenched cycles of deprivation. Drawing on ethnographic research, including two case studies from Lorentzville (Gauteng province) and Mqanduli (Eastern Cape province), we explore community-based initiatives that demonstrate how residents leverage social networks to share resources, address immediate needs, and sustain livelihoods. Our findings show that while these grassroots efforts provide critical support, they remain constrained by broader structural conditions that perpetuate food insecurity and economic marginalization. Ethnographic evidence illustrates how the spatial and social organization of these communities influences the effectiveness of informal support mechanisms. This article contributes to scholarship on well-being and space by illustrating how localized strategies of resource-sharing shape survival within contexts of chronic deprivation.

在本文中，我们研究了如何通过社区联系和社区行动来缓解由结构性暴力、贫困和不平等造成的粮食和其他基本资源的不稳定获取。南非社区面临着长期的社会经济挑战，包括高失业率和获取食物、水、能源和住房等资源的渠道不足。我们强调政府的忽视和排他性政策如何加剧了这些困难，造成了根深蒂固的剥夺循环。根据人种学研究，包括来自豪登省Lorentzville和东开普省Mqanduli的两个案例研究，我们探讨了以社区为基础的倡议，这些倡议展示了居民如何利用社会网络共享资源、解决当前需求和维持生计。我们的研究结果表明，尽管这些基层努力提供了至关重要的支持，但它们仍然受到更广泛的结构性条件的制约，这些条件使粮食不安全和经济边缘化长期存在。人种学证据说明了这些社区的空间和社会组织如何影响非正式支持机制的有效性。本文通过说明资源共享的本地化策略如何在长期剥夺的背景下塑造生存，为福祉和空间的学术研究做出了贡献。

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引用次数: 0

Exploring the awareness of changes in outdoor mobility and the influence of the neighbourhood environment among people living with dementia in British Columbia, Canada 探索加拿大不列颠哥伦比亚省痴呆症患者对户外活动变化的认识和社区环境的影响

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-13 DOI: 10.1016/j.wss.2025.100314

Kishore Seetharaman , Habib Chaudhury , Lillian Hung , Atiya Mahmood , Alison Phinney , Richard Ward

Fostering an inclusive neighbourhood environment is a critical part of the social responsibility to support people living with dementia to participate in community activities and maintain autonomy, identity, health, and wellbeing. Dementia scholars and advocates have emphasized the need to understand how people living with dementia interact with and adapt to the neighbourhood environment. This understanding will inform dementia-inclusive policy and practice to create enabling physical and social environments. The present study explores the experiential knowledge of people living with dementia gained through their awareness of age and disease-related changes, perceptions of the neighbourhood environment, and adaptive processes to maintain outdoor walking. Sequential semi-structured sit-down and video-documented go-along interviews were conducted with 14 people living with mild to moderate dementia in Metro Vancouver, British Columbia. Thematic analysis produced two themes: 1) Awareness of needing to adapt to changing abilities to walk in the neighbourhood, and 2) Heightened awareness of risk factors and influence of neighbourhood environment on outdoor mobility adaptations. Recognizing people’s awareness and adaptive responses, and cultivating relational understandings of the agency and capacities of people living with dementia are integral to creating inclusive neighbourhood environments that enhance the capabilities for participation in the community.

促进包容性社区环境是支持痴呆症患者参与社区活动并保持自主性、身份、健康和福祉的社会责任的重要组成部分。痴呆症学者和倡导者强调有必要了解痴呆症患者如何与社区环境互动和适应。这一认识将为包容痴呆症的政策和实践提供信息，以创造有利的物质和社会环境。本研究探讨了痴呆症患者的经验知识，通过他们对年龄和疾病相关变化的认识，对邻里环境的感知以及保持户外行走的适应过程获得。对不列颠哥伦比亚省大温哥华地区的14名轻度至中度痴呆症患者进行了连续的半结构化坐下来和视频记录的访谈。专题分析得出两个主题：1)意识到需要适应在社区中行走能力的变化；2)提高对风险因素和社区环境对户外移动适应的影响的认识。认识到人们的意识和适应性反应，培养对痴呆症患者的能动性和能力的相互理解，对于创造包容性社区环境、增强参与社区的能力是不可或缺的。

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引用次数: 0

The association between well-being and belonging differs across census-defined neighbourhoods for Ontario youth 福祉和归属感之间的关系在安大略省青年人口普查定义的社区中有所不同

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-13 DOI: 10.1016/j.wss.2025.100313

Imogen M. Sloss , Jasmine Zhang , Alison Pearson , Dillon T. Browne

The goal of the current study was to explore the association between belonging and well-being in children and youth. Close attention was paid to the role of neighbourhoods, where associations were permitted to operate differentially across youths’ local environment, in addition to individual and interpersonal factors that may account for this effect modification. Data came from a regional survey in Southern Ontario designed to monitor well-being in young people (n = 1842; aged 9-18 years). Youth provided their forward sortation area (FSA), permitting linkage with 2021 census-defined socioeconomic status (SES) and immigration levels. Two-level multilevel models revealed statistically significant variance in well-being at neighbourhood (11.1%) and individual (88.9%) levels (plus error). A random slope was observed for belonging, suggesting that the belonging/well-being association varied across neighbourhoods. Greater well-being was observed in youth born outside of Canada, and when youth reported higher family or friend support, and neighbourhood safety and resources. Effect modification (moderation) on the belonging/well-being association was observed for gender, family support, country of birth, and neighbourhood safety. Findings affirm theoretical models suggesting that well-being in young people emerges in a complex multilevel ecology. There is an ongoing need for public health programs that are sensitive to local geographic differences, while considering the role of belonging within the proximal and distal social contexts of young people.

本研究的目的是探讨归属感与儿童和青少年幸福感之间的关系。密切关注社区的作用，允许协会在青少年的当地环境中以不同的方式运作，除了个人和人际因素可能解释这种影响的变化。数据来自南安大略省的一项区域调查，该调查旨在监测年轻人的健康状况（n = 1842，年龄在9-18岁之间）。青年提供了他们的未来分类区域（FSA），允许与2021年人口普查定义的社会经济地位（SES）和移民水平联系起来。两级多水平模型显示，在社区（11.1%）和个人（88.9%）水平上，幸福感在统计上存在显著差异（加上误差）。归属感呈随机斜率，表明归属感/幸福感在不同社区之间存在差异。在加拿大以外出生的年轻人更幸福，当他们报告更多的家庭或朋友的支持，社区安全和资源。观察到性别、家庭支持、出生国家和邻里安全对归属感/幸福感关联的影响修正（调节）。研究结果证实了理论模型，表明年轻人的幸福感是在一个复杂的多层次生态中出现的。目前需要对地方地理差异敏感的公共卫生方案，同时考虑年轻人在近端和远端社会环境中的归属作用。

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引用次数: 0

Relationship between subjective wellbeing, personality traits, and lifestyle migration: A web-based survey analysis in Japan 主观幸福感、人格特质与生活方式迁移的关系：一项基于网络的日本调查分析

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-11 DOI: 10.1016/j.wss.2025.100312

Kento Katsuragawa , Ryo Saito , Anna Suzuki , Makiko Takao

Lifestyle migration refers to voluntary urban-rural relocation in pursuit of self-realization and a better quality of life. Although its popularity has grown particularly in aging societies and amid the expansion of remote work, empirical evidence on its relationship with subjective wellbeing (SWB) remains limited. This study examines associations among actual lifestyle migration, SWB, and personality traits in Japan, a context paralleling European trends but features strong policy support for regional relocation. A web-based survey of 905 adults in Japan (230 lifestyle migrants and 675 urban residents [non-migrants]) assessed SWB using three indicators (Cantril’s Ladder [CL], Satisfaction With Life Scale [SWLS], Interdependent Happiness Scale [IHS]) and personality using the Japanese Ten-Item Personality Inventory (TIPI-J). Lifestyle migrants scored higher in openness and conscientiousness and lower in neuroticism, whereas no significant differences were observed for extraversion or agreeableness. Between-group differences in SWB were limited: the migration status was not significantly associated with CL or IHS and showed a small positive association with the 10 % level for SWLS after adjustment for covariates. Within the lifestyle migrants, openness was negatively associated with CL, agreeableness was positively associated with IHS and marginally with SWLS, and neuroticism was negatively associated with SWLS. Self-rated health was positively associated with all outcomes. Overall, the findings partly support the existence of a distinct migrant profile but indicate only modest adjusted SWB advantages after migration. The negative association between openness and CL may reflect friction between novelty seeking and adaptation to local norms. Receptive communities may help mitigate this friction and enhance wellbeing.

生活方式迁移是指为了追求自我实现和更好的生活质量而自愿进行的城乡迁移。尽管它在老龄化社会和远程工作的扩大中越来越受欢迎，但其与主观幸福感（SWB）关系的实证证据仍然有限。本研究考察了日本实际生活方式移民、SWB和个性特征之间的关系，日本的背景与欧洲的趋势相似，但对区域迁移有强有力的政策支持。一项针对905名日本成年人（230名生活方式移民和675名城市居民[非移民]）的网络调查使用三个指标（坎特里尔阶梯量表[CL]、生活满意度量表[SWLS]、相互依赖幸福量表[IHS]）和日本十项人格量表（TIPI-J）来评估幸福感。生活方式移民在开放性和严谨性方面得分较高，在神经质方面得分较低，而在外向性和宜人性方面没有观察到显著差异。SWB的组间差异是有限的：迁移状态与CL或IHS没有显著相关，并且在调整协变量后与SWLS的10%水平显示出小的正相关。在生活方式移民中，开放性与CL呈负相关，亲和性与IHS呈正相关，与SWLS呈微弱相关，神经质与SWLS呈负相关。自评健康与所有结果呈正相关。总体而言，研究结果在一定程度上支持了明显的移民特征的存在，但表明移民后调整后的SWB优势并不大。开放性与语言学习之间的负相关关系可能反映了求新与适应当地规范之间的摩擦。接纳型社区可能有助于缓解这种摩擦，提高幸福感。

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引用次数: 0

Is it the place or the people in the places? Exploration of why young people in deprived coastal communities of England have worse mental health than their peers inland 是这个地方还是这个地方的人？探索为什么英格兰贫困沿海社区的年轻人比内陆同龄人的心理健康状况更差

IF 2.2 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-10-03 DOI: 10.1016/j.wss.2025.100307

Emily T Murray , Avril Keating , Cara Booker , Claire Cameron , Sam Whewall , Stephen Jivraj

Previous research has shown that English adolescents who lived in the most deprived coastal neighbourhoods had worse mental health up to 11 years later than if they had lived in equivalent inland neighbourhoods. We used the same twelve waves (2009–2022) of Understanding Society, to examine whether this association was explained by the places the study members lived (31 objectively measured built, social, economic and educational indicators linked via residential lower-super output areas) or their collective individual socio-demographics when they were adolescents (aged 10–15yrs). Coastal youth (n = 764) were exposed to worse average levels of sixteen environmental measures and better average levels for five environmental measures, than their peers inland (n = 4157). The concentration of area deprivation was also greater for coastal youth compared with their inland peers. When longitudinal models were fitted between environmental measures and SF-12 mental functioning scores (MCS) during adulthood (age 16+), only local crime and higher education participation were independently associated with MCS [Top 20 % vs Bottom 20 % (95 % Confidence interval): -1.20 (-2.38, -0.03) and Middle 20 % vs Worse 20 %: 1.07 (0.09, 2.05)] after adjustment for socio-demographics. As well, the amplified effect of area deprivation on MCS in coastal, compared to inland, areas was reduced the most by adjustment for individual socio-demographics [interaction term coastal*Top20 % deprived area: -5.1 (-8.1, -2.2) to -4.3 (-7.0, -1.6)], rather than the two environmental measures [further reduced to -3.9 (-6.7,-1.1)]. Results from this paper suggest policies to improve young adult’s mental health in England should target the socioeconomic circumstances of households in the most deprived coastal areas.

先前的研究表明，生活在最贫困的沿海社区的英国青少年的心理健康状况比生活在同等内陆社区的青少年要差11年。我们使用了《理解社会》中相同的12波（2009-2022）来检验这种关联是否可以用研究成员居住的地方（31个客观测量的建筑、社会、经济和教育指标，通过住宅低产出区域联系起来）或他们在青少年时期（10 - 15岁）的集体个人社会人口统计学来解释。沿海青年（n = 764）比内陆同龄人（n = 4157）暴露于16项环境措施的平均水平较差，而5项环境措施的平均水平较好。与内陆同龄人相比，沿海年轻人的区域剥夺集中度也更高。当在环境措施和成年期（16岁以上）SF-12心理功能评分（MCS）之间拟合纵向模型时，只有当地犯罪和高等教育参与与MCS独立相关[前20% vs后20%（95%置信区间）：-1.20（-2.38,-0.03）和中20% vs后20%:1.07(0.09,2.05)]。此外，与内陆地区相比，沿海地区的面积剥夺对MCS的放大效应，通过调整个体社会人口统计学[相互作用项沿海*前20%贫困地区：-5.1（-8.1,-2.2）至-4.3(-7.0,-1.6)]而不是两种环境措施[进一步降低至-3.9(-6.7,-1.1)]而最大程度地降低了。本文的研究结果表明，改善英国年轻人心理健康的政策应该针对最贫困沿海地区家庭的社会经济状况。

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引用次数: 0