Wellbeing Space and Society最新文献_第9页

Perceptions matter: Physical neighborhood disadvantage and older adults’ emotional health 感知很重要：身体邻里劣势和老年人的情绪健康

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-24 DOI: 10.1016/j.wss.2025.100266

Cleothia Frazier

For adults aged 65 and older, the neighborhood environment can be a haven for successful aging or a source of chronic stress, especially if the neighborhood is perceived as disadvantaged. Consequently, neighborhood stressors can negatively affect older adults’ emotional health and wellbeing, particularly with regards to anxiety and anger. Utilizing the stress process model this study examines whether perceptions of neighborhood disadvantage affect older adults’ emotional health (i.e., anxiety and anger). In addition, this study tests whether mastery is a viable psychosocial resource that helps moderate and/or mediate the effects of perceived neighborhood disadvantage. Finally, drawing from intersectionality and socialization theories, I also investigate whether these relationships vary by race-gender group status. Data for this study are from the Health and Retirement Study (HRS; N = 7106). Structural equation modeling (i.e., path analysis) was utilized to answer the research questions in the study. Results from the path analysis reveal that perceived neighborhood disadvantage is associated with increased anxiety and externalized anger (i.e., anger-out). Moreover, reduced mastery explains part of the effect of neighborhood disadvantage on anxiety and anger-out, respectively. There is also evidence of moderation by race-gender group status. The findings from this study demonstrate that older adults’ perceptions of physical neighborhood stressors matter in ways that can have a deleterious impact on their emotional health.

对于65岁及以上的成年人来说，社区环境可能是成功变老的避风港，也可能是慢性压力的来源，尤其是当社区被认为是弱势群体时。因此，邻里压力源会对老年人的情绪健康和幸福产生负面影响，特别是在焦虑和愤怒方面。利用压力过程模型，本研究探讨邻里不利的感知是否影响老年人的情绪健康（即焦虑和愤怒）。此外，本研究还测试了掌握是否是一种可行的社会心理资源，有助于缓和和/或调解感知到的邻里劣势的影响。最后，从交叉性和社会化理论出发，我还研究了这些关系是否因种族-性别群体地位而异。本研究的数据来自健康与退休研究(HRS；N = 7106)。利用结构方程建模（即通径分析）来回答研究中的研究问题。路径分析的结果显示，感知到的邻里劣势与焦虑和外化愤怒（即愤怒）的增加有关。此外，精通程度的降低可以部分解释邻里劣势对焦虑和愤怒情绪的影响。也有证据表明，种族-性别群体地位有所缓和。这项研究的结果表明，老年人对社区物理压力源的看法可能会对他们的情绪健康产生有害影响。

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引用次数: 0

Park quality and chronic disease: A city-level analysis 公园质量与慢性病：城市层面的分析

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-23 DOI: 10.1016/j.wss.2025.100265

Lauren S. Pongetti OTR/L , Fazlay S. Faruque PhD , Benjamin H. Walker PhD

Introduction

Chronic diseases are the leading cause of death and disability in the United States, with disproportionate burdens in urban areas. Urban parks and green spaces may play a protective role in chronic disease prevention, yet few studies have examined how city-wide park quality relates to chronic disease outcomes. This study investigates the relationship between ParkScore, a composite measure of park quality, and the prevalence of eight chronic diseases across 93 of the most populated U.S. cities from 2017 to 2019.

Methods

Using mixed-effects regression models with repeated measures nested within cities, we examined associations between ParkScore and age-adjusted prevalence of high blood pressure, cancer, coronary heart disease, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, obesity, and stroke.

Results

Results revealed significant inverse relationships between ParkScore and four chronic diseases: high blood pressure, cancer, coronary heart disease, and chronic obstructive pulmonary disease. No significant associations were found for diabetes, obesity, chronic kidney disease, or stroke. Additionally, sociodemographic variables including access to health insurance, income, education, race and ethnicity were significantly associated with disease prevalence.

Conclusion

These findings support growing evidence that park quality may be an important component of chronic disease prevention in urban environments. Additionally, findings support the development and maintenance of quality parks as urban planning strategies aimed at improving public health. Further research is warranted to explore causal pathways, disparities in park access, and the role of parks in addressing complex, multi-factorial chronic diseases.

在美国，慢性病是导致死亡和残疾的主要原因，在城市地区负担过重。城市公园和绿地可能在慢性疾病预防中发挥保护作用，但很少有研究调查城市公园质量与慢性疾病结局的关系。这项研究调查了ParkScore（公园质量的综合衡量标准）与2017年至2019年美国93个人口最多的城市中8种慢性病的患病率之间的关系。方法采用城市内重复测量的混合效应回归模型，研究ParkScore与高血压、癌症、冠心病、慢性阻塞性肺疾病、糖尿病、慢性肾病、肥胖和中风的年龄调整患病率之间的关系。结果ParkScore与高血压、癌症、冠心病和慢性阻塞性肺疾病呈显著负相关。与糖尿病、肥胖、慢性肾病或中风没有明显的关联。此外，包括获得医疗保险、收入、教育、种族和族裔在内的社会人口变量与疾病流行程度显著相关。结论这些发现支持了越来越多的证据，即公园质量可能是城市环境中慢性病预防的重要组成部分。此外，研究结果支持开发和维护高质量公园，作为旨在改善公共卫生的城市规划战略。需要进一步的研究来探索因果途径、公园通道的差异以及公园在解决复杂的、多因素的慢性疾病中的作用。

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引用次数: 0

‘We don’t ask for a luxury life, just basic things’: the experiences of mothers with babies in the UK asylum system “我们不要求奢侈的生活，只要求基本的东西”：带着孩子的母亲在英国庇护体系中的经历

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-23 DOI: 10.1016/j.wss.2025.100264

Sophie Lovell-Kennedy , Laura M. Grieve , Sarah Shemery , Vongayi Mufara , Tamima Lerkins , Benedicta Umanhonlen , Serveh Tamami , Fatma Abdilahi , Amanda Purdie , Helen L. Ball

UK asylum accommodation has repeatedly been indicted as failing to meet the needs of pregnant individuals, those caring for babies, and all children. Charity-sector staff supporting new mothers in the asylum system expressed concern that ill-equipped and unsuitable accommodation, overt racism and a hostile environment all increased risk to safety for mothers and babies. Concerned particularly by a series of infant deaths in families in UK asylum accommodation, we sought to understand living conditions of mothers and babies seeking asylum in Glasgow. We explored mothers’ lived experience of UK dispersal accommodation, identifying how this may compromise safety and endanger babies. Working collaboratively with Glasgow-based birth-companion charity, Amma, we trained a participatory research team who have lived experience of the UK asylum system. Combining interviews with four mothers, focus group discussion with 12 mothers, and experiences of five participatory researchers, the team explored how dispersal accommodation affected infant care and mothers’ and infants’ safety and well-being. Thematic analysis of interview and focus group transcripts generated three themes discussed by mothers: fear, fear-mongering and unsafe situations; frustration, stress, hostility, and intimidation; and developing agency, asserting rights and being punished. We found that mothers with babies seeking asylum in Glasgow experience substandard accommodation that exposes infants and toddlers to multiple hazards. Hostility and indirect punishment from housing providers and their use of weaponised incompetence compounds this, denying mothers the opportunity to provide a safe living environment, negatively impacting infant safety, and increasing risk both directly and indirectly.

英国的庇护场所多次被指控未能满足孕妇、照顾婴儿的人以及所有儿童的需求。在庇护系统中支持新妈妈的慈善部门工作人员表示，他们担心设备落后和不合适的住宿，公开的种族主义和敌对的环境都会增加母亲和婴儿的安全风险。我们特别关注英国收容所里的一系列婴儿死亡事件，试图了解在格拉斯哥寻求庇护的母亲和婴儿的生活条件。我们探索了母亲在英国分散住宿的生活经验，确定这可能会危及安全并危及婴儿。我们与总部位于格拉斯哥的出生陪伴慈善机构Amma合作，培训了一个参与式研究团队，他们对英国的庇护制度有过亲身体验。通过对4位母亲的访谈，对12位母亲的焦点小组讨论，以及5位参与性研究人员的经验，该团队探讨了分散住宿如何影响婴儿护理以及母亲和婴儿的安全和福祉。对访谈和焦点小组记录的专题分析产生了母亲们讨论的三个主题：恐惧、制造恐惧和不安全情况；沮丧、压力、敌意和恐吓；和发展机构，维护权利和受到惩罚。我们发现，带着婴儿在格拉斯哥寻求庇护的母亲经历了不合标准的住宿，使婴儿和幼儿面临多种危险。住房供应商的敌意和间接惩罚，以及他们把无能当作武器的做法，使这种情况更加复杂，剥夺了母亲提供安全生活环境的机会，对婴儿的安全产生了负面影响，并直接和间接地增加了风险。

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引用次数: 0

Exploring the impact of community gardens and community kitchens on mental health: a scoping review 探索社区花园和社区厨房对心理健康的影响：范围审查

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-17 DOI: 10.1016/j.wss.2025.100263

Rade Zinaic , Tania Correa , Egbe Etowa , Raliat Owolabi , Yamini Bhatt , Josephine Pui-Hing Wong

Participants engaged in community gardens (CGs) processes experience many positive outcomes, from social networking to intimacy with nature. Yet there exists a gap in the literature on CGs between their co-creative and co-participative practices and the impact of such collaborative social practices on mental health, especially as it relates to structurally marginalized populations. To this end, our scoping review explores what is known about the relationship between CGs and mental health benefits. Arksey and O’Malley’s scoping review method was used and supplemented by Levac, Colquhoun, and O’Brien’s emphasis on research and policy practice implications. Twenty-two studies met the inclusion criteria and they were conducted in the United States, Canada, the United Kingdom, Australia, New Zealand, Spain, Portugal, Japan, and Singapore. Most of the studies used qualitative or mixed methods. The CGs in this review were situated in prisons, university campuses, a church, a shelter, urban rooftops, and urban and rural neighbourhoods. These CGs engaged diverse populations, including immigrants, refugees, newcomers, Indigenous peoples, women, seniors, students, youth, racialized peoples, and persons with disabilities and mental health issues. Our results reveal that the mental health of CG participants is inseparable from engagement processes like collaborative place-making labour that engender social connectedness, collaborative learning, empowerment, and a connection to nature. We gesture to the affinities between this co-creative and co-participative process and similar land and/or place-based practices with an eye to the potential for civic participation and/or awareness of human rights to advance mental health equity.

参与社区花园（cg）过程的参与者经历了许多积极的结果，从社交网络到与自然的亲密关系。然而，在共同创造和共同参与实践与这种协作社会实践对心理健康的影响之间，特别是与结构边缘化人群相关的文献中存在差距。为此，我们的范围综述探讨了已知的cg与心理健康益处之间的关系。Arksey和O 'Malley的范围审查方法被Levac、Colquhoun和O 'Brien强调研究和政策实践意义的方法所使用和补充。22项研究符合纳入标准，分别在美国、加拿大、英国、澳大利亚、新西兰、西班牙、葡萄牙、日本和新加坡进行。大多数研究采用定性或混合方法。本综述中的CGs位于监狱、大学校园、教堂、庇护所、城市屋顶以及城市和农村社区。这些协商小组涉及各种人口，包括移民、难民、新移民、土著人民、妇女、老年人、学生、青年、种族化的人民以及残疾人和有精神健康问题的人。我们的研究结果表明，CG参与者的心理健康与参与过程密不可分，比如协作式的场所制作劳动，从而产生社会联系、协作学习、赋权和与自然的联系。我们指出这种共同创造和共同参与的进程与类似的基于土地和/或地方的做法之间的联系，着眼于公民参与和/或人权意识的潜力，以促进精神健康公平。

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引用次数: 0

Loneliness and social infrastructure in rural America: A cross-sectional analysis of existing relationships 美国农村的孤独与社会基础设施：现有关系的横断面分析

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-08 DOI: 10.1016/j.wss.2025.100262

Danielle Rhubart, Yiping Li

Loneliness can have deleterious effects on mental, physical and behavioral health. Growing research suggests the important role of social infrastructure in preventing and addressing loneliness. However, much of this work focuses on urban-based case studies, narrow definitions of social infrastructure, and crude measures of use. In addition, research in this area has not taken into account confounding factors that may be explaining this relationship. In this paper, we use a cross-sectional survey of a demographically representative sample (N = 1129) of working-age adults in rural America to examine if a relationship exists between loneliness and multiple types of social infrastructure utilization among rural working-age adults. We also determine if contact with family and friends (i.e. being less socially isolated) explains this relationship. We find that spending >10 min talking with others in coffee shops, diners, and cafes, salons and barbershops, and religious and spiritual organizations in an average week was associated with a significantly lower odds of screening positive for loneliness compared to those who do not go to these places, even after controlling for level of contact with family and friends and other sociodemographic covariates. This relationship was not present for those who use fast food outlets, fitness or recreation places, or libraries, civic organizations and community centers. Implications for future research and for community-level interventions to prevent loneliness are discussed.

孤独会对心理、生理和行为健康产生有害影响。越来越多的研究表明，社会基础设施在预防和解决孤独问题方面发挥着重要作用。然而，这些研究大多侧重于城市案例研究、社会基础设施的狭义定义以及粗略的使用衡量标准。此外，该领域的研究还没有考虑到可能解释这种关系的混杂因素。在本文中，我们对美国农村地区具有人口代表性的工作年龄成年人样本（N = 1129）进行了横截面调查，以研究农村地区工作年龄成年人的孤独感与多种社会基础设施使用之间是否存在关系。我们还确定了与家人和朋友的接触（即较少与社会隔绝）是否可以解释这种关系。我们发现，即使在控制了与家人和朋友的接触程度以及其他社会人口协变量之后，平均每周在咖啡店、餐厅和咖啡馆、沙龙和理发店以及宗教和精神组织与他人交谈 10 分钟，与那些不去这些地方的人相比，孤独感呈阳性的几率也会显著降低。使用快餐店、健身或娱乐场所、图书馆、民间组织和社区中心的人则不存在这种关系。本文讨论了未来研究和社区一级预防孤独干预措施的意义。

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引用次数: 0

Inclusive streetscapes: Embedding disabled people's lived experience into street accessibility 包容性街道景观：将残疾人的生活经验融入街道无障碍环境中

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-04-03 DOI: 10.1016/j.wss.2025.100261

Arun Ulahannan, Stewart Birrell, Paul Herriotts

Disabled people face significant barriers in participating in society, reporting higher anxiety, limited access to education and lower employment prospects compared to non-disabled people. Central to these impacts is the failure of streetscape design to enable the independent movement of disabled people. However, to date, few studies have attempted to capture the lived experience of a disabled person using the streetscape. This empirical semi-structured interview study interviewed 26 people with lived experience of a disability (from around the UK) to define the streetscape barriers faced, the systemic reasons why these issues exist and propose a new path forward. After a standardised and rigorous thematic analysis; critical barriers in streetscape design were identified, the significant impacts on a disabled person were revealed and the reasons for the failure to address the issues were uncovered. This paper puts forward recommendations for streetscape design with direct relevance for local authorities, policy makers and designers in ensuring streetscapes become more accessible. The recommendations will be embedded into new cultures and poli of empowering disabled people in decision making. Future work must now assess the barriers raised in collaboration with disabled people, to prioritise actions and aim for an equitable streetscape for all.

与非残疾人相比，残疾人在参与社会生活方面面临着巨大的障碍，焦虑感更强，受教育的机会有限，就业前景较差。这些影响的核心是街景设计未能使残疾人独立行动。然而，迄今为止，很少有研究试图捕捉残疾人使用街景的生活体验。这项半结构式访谈的实证研究采访了 26 位（来自英国各地的）有残疾生活经历的人，以确定他们所面临的街景障碍、这些问题存在的系统性原因，并提出一条新的前进道路。经过标准化和严格的主题分析，确定了街景设计中的关键障碍，揭示了对残疾人的重大影响，并揭示了未能解决这些问题的原因。本文提出的街景设计建议与地方政府、政策制定者和设计师直接相关，以确保街景更加无障碍。这些建议将融入新的文化和政策中，使残疾人有能力参与决策。今后的工作必须与残疾人合作，评估所提出的障碍，确定行动的优先次序，为所有人打造公平的街景。

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引用次数: 0

Placemaking for tenant wellbeing: Exploring the decision-making of public and community housing providers in Aotearoa New Zealand 为租户福利而设计的场所：探索新西兰奥特罗阿公共和社区住房供应商的决策

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-03-30 DOI: 10.1016/j.wss.2025.100258

Karen Witten , Crystal Victoria Olin , Amber Logan , Elinor Chisholm , Edward Randal , Philippa Howden-Chapman , Lori Leigh

In addition to housing tenants, many public and community housing providers engage in placemaking to foster tenants’ connections to people and place. This paper reports on the placemaking practices of four community housing providers and two urban regeneration programmes in Aotearoa New Zealand. Twenty-four semi-structured interviews were conducted with provider staff – including those leading strategy, community development, tenancy management, planning and design efforts – to investigate the placemaking strategies adopted by providers and the values, priorities and investment tensions that underpin their decision-making. Common placemaking strategies included site selection to secure tenants’ locational access to community services and amenities, and designing shared ‘bump spaces’ into housing complexes to encourage neighbourly encounters between tenants. Efforts to foster a sense of community through increased stability and diversity of households were hindered by a predominance of single-person units in older housing developments, and by funding and regulatory constraints. Māori, the Indigenous people of Aotearoa New Zealand, comprise approximately half of all public housing tenants and many have deep intergenerational connections to place. Where providers were engaging with Māori, early steps had been taken to incorporate cultural landscapes and values into placemaking initiatives; such practices were more evident in urban regeneration than community housing provider developments, enabled by longer-term planning horizons, broader development mandates and partnerships with iwi (Māori tribes) and local government. Nonetheless, placemaking aspirations of all providers were tethered to resource constraints and investment trade-offs, with any social infrastructure provision weighed up against the value of providing one more home instead.

除了为租户提供住房外，许多公共和社区住房供应商还参与了场所建设，以促进租户与人和地方的联系。本文报告了新西兰奥特罗阿四个社区住房供应商和两个城市更新项目的场所制作实践。对供应商工作人员进行了24次半结构化访谈，包括领导战略、社区发展、租赁管理、规划和设计工作，以调查供应商采用的场所制定策略以及支持其决策的价值观、优先事项和投资紧张关系。常见的空间规划策略包括选择场地，以确保租户能够使用社区服务和设施，并在住宅综合体中设计共享的“碰撞空间”，以鼓励租户之间的邻里接触。通过增加家庭的稳定性和多样性来培养社区意识的努力受到旧住房发展中单人单位占主导地位以及资金和监管方面的限制的阻碍。Māori是新西兰奥特罗阿的土著居民，约占所有公共住房租户的一半，其中许多人与地方有着深厚的代际联系。在与Māori合作的地方，已经采取了早期步骤，将文化景观和价值观纳入场所建设倡议；这种做法在城市更新中比社区住房供应商的发展更为明显，这得益于更长期的规划视野、更广泛的发展任务以及与iwi （Māori tribes）和地方政府的伙伴关系。尽管如此，所有供应商的场所建设愿望都受到资源限制和投资权衡的束缚，任何社会基础设施的提供都要与提供更多住房的价值进行权衡。

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引用次数: 0

Luminous threats: The health impacts of artificial nighttime light on metabolic and mental health: A scoping review 夜光威胁：人造夜间灯光对代谢和心理健康的影响：范围综述

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-03-27 DOI: 10.1016/j.wss.2025.100260

Daniel Jiménez , Laura Neira Arenas , Erwin Hernando Hernández Rincón , María José García Céspedes , Claudia Liliana Jaimes Peñuela

Introduction

Artificial light at night (ALAN) has been increasingly recognized as a potential disruptor of human health, affecting both metabolic and mental well-being. Growing evidence links ALAN exposure to conditions such as obesity, hypertension, type 2 diabetes mellitus (T2DM) and depression.

Objective

To conduct a scoping review of the available scientific literature up to September 2024, focusing on the impact of ALAN on metabolic and mental health outcomes. The review also aims to identify existing gaps in the research and provide recommendations for future studies and public health interventions.

Material and Methods

This review included studies from databases such as PubMed, Google Scholar, and Scopus. The inclusion criteria encompassed publications presenting empirical data and clinical trials in English and Spanish that assessed ALAN exposure and health outcomes.

Results

A total of 32 studies were reviewed, with a combined sample size exceeding 1.6 million participants. Study designs varied and included large-scale cohort studies, cross-sectional analyses, and randomized clinical trials. Associations between ALAN exposure and metabolic disorders (n = 14), hypertension (n = 6), T2DM (n = 5), and mental health disorders (n = 7) were identified. Findings consistently suggest that ALAN contributes to chronodisruption, impacting metabolic and psychological health.

Conclusions

ALAN is a significant environmental factor contributing to adverse health outcomes, particularly metabolic disorders and mental health disturbances. While findings suggest actionable interventions, further longitudinal studies are required to confirm causality and explore preventative strategies.

夜间人造光（ALAN）越来越被认为是人类健康的潜在破坏者，影响着新陈代谢和精神健康。越来越多的证据表明，ALAN暴露与肥胖、高血压、2型糖尿病和抑郁症等疾病有关。目的对截至2024年9月的现有科学文献进行范围综述，重点研究ALAN对代谢和心理健康结果的影响。该审查还旨在确定研究中存在的差距，并为未来的研究和公共卫生干预措施提供建议。材料和方法本综述包括来自PubMed、谷歌Scholar和Scopus等数据库的研究。纳入标准包括以英语和西班牙语发表的评估ALAN暴露和健康结果的经验数据和临床试验的出版物。结果共回顾了32项研究，总样本量超过160万。研究设计多种多样，包括大规模队列研究、横断面分析和随机临床试验。发现ALAN暴露与代谢障碍（n = 14）、高血压（n = 6）、T2DM （n = 5）和精神健康障碍（n = 7）之间存在关联。研究结果一致表明，ALAN有助于时间紊乱，影响代谢和心理健康。结论salan是导致不良健康结局的重要环境因素，尤其是代谢障碍和精神健康障碍。虽然研究结果提出了可行的干预措施，但需要进一步的纵向研究来确认因果关系并探索预防策略。

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引用次数: 0

In neighbors we trust: A global perspective on how neighborhood trust shapes wellbeing 在我们信任的邻居中：邻居信任如何塑造幸福的全球视角

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-03-24 DOI: 10.1016/j.wss.2025.100259

Rababe Saadaoui , Deirdre Pfeiffer , Eric A. Morris

Research shows that neighborhood social connectedness is important for wellbeing. However, these findings are mostly drawn from the Global North. We use the World Values Survey to examine the drivers of neighborhood social connectedness, and how connectedness shapes wellbeing, in a broader global context. Using multilevel modeling, we find that the drivers of trust in neighbors are consistent globally and that the links between trust in neighbors and wellbeing also hold across a variety of settings. This supports the generalizability of the socio-ecological model of wellbeing and suggests that interventions designed to foster neighborhood trust are broadly desirable.

研究表明，邻里社会联系对幸福感很重要。然而，这些发现大多来自全球北方。我们使用世界价值观调查来研究社区社会联系的驱动因素，以及在更广泛的全球背景下，连通性如何影响幸福感。通过多层次建模，我们发现邻里信任的驱动因素在全球范围内是一致的，邻里信任与幸福感之间的联系也存在于各种环境中。这支持了福利的社会生态模型的普遍性，并表明旨在促进邻里信任的干预措施是广泛可取的。

引用次数: 0

Context matters: Geographic and age differences explain high heterogeneity in social isolation 背景问题：地理和年龄差异解释了社会孤立的高度异质性

IF 2.4 Q2 GEOGRAPHY

Wellbeing Space and Society

Pub Date : 2025-03-22 DOI: 10.1016/j.wss.2025.100257

Fyzeen Ahmad , Adhvaith Sridhar , Steve Hoover , Carrie Henning-Smith

Many studies have examined social and health-related factors associated with social isolation. However, the degree to which contextual factors and social determinants such as geography, age, and race compare against health-related factors in explaining heterogeneity in population-level social isolation is not well understood. To address this gap, we analyzed data from the largest-known dataset on social isolation (n = 73,737) from adults in central Minnesota. Linear mixed effect modeling showed that ZIP code and age significantly explain variance in isolation levels among respondents, even after controlling for individual-level factors like health. Regions with lower median incomes or higher population densities were associated with increased levels of isolation. Disparities in levels of social isolation by race and sexual orientation were also present. We conclude that social contexts may modulate the way individuals interact with others and thus modulate the prevalence of social isolation. Therefore, interventions supporting social connections must be inclusive, intersectional, and malleable to the unique communities they are built for.

许多研究都探讨了与社会隔离相关的社会和健康因素。然而，在解释人口层面社会隔离的异质性时，环境因素和社会决定因素（如地理、年龄和种族）与健康相关因素的比较程度还不是很清楚。为了填补这一空白，我们分析了明尼苏达州中部已知最大的社会隔离数据集（n = 73737）中的数据。线性混合效应模型显示，即使在控制了健康等个人层面的因素后，邮政编码和年龄仍能显著解释受访者之间的隔离水平差异。收入中位数较低或人口密度较高的地区与孤立程度增加有关。种族和性取向在社会隔离水平上也存在差异。我们的结论是，社会环境可能会调节个人与他人互动的方式，从而调节社会隔离的发生率。因此，支持社会联系的干预措施必须具有包容性、交叉性，并能适应其所针对的独特社区。

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引用次数: 0