JECH：居住社区越穷，对健康危害越大

2015-05-18 MedSci MedSci原创

对于居无定所常常搬家的流动人口，在社会关系层面，居住的社区可能是影响身体健康的一大方面，贫穷的社区或许会对健康不利，但是不同的住宅区域周围有着不同的社区环境，因此对于社区的差异性则很大，而目前关于社区差异性因素对健康的影响的研究还很少。近期Jokela M等人进行了一项研究，探究同一个人在贫穷社区居住时身体健康状况是否会比在一个不那么穷的社区居住时更差。研究成果发表在近期《Journal of e

对于居无定所常常搬家的流动人口，在社会关系层面，居住的社区可能是影响身体健康的一大方面，贫穷的社区或许会对健康不利，但是不同的住宅区域周围有着不同的社区环境，因此对于社区的差异性则很大，而目前关于社区差异性因素对健康的影响的研究还很少。近期Jokela M等人进行了一项研究，探究同一个人在贫穷社区居住时身体健康状况是否会比在一个不那么穷的社区居住时更差。研究成果发表在近期《Journal of epidemiology and community health》上。

参与者来自英国家庭小组调查研究队列，在1991-2009共计18年间每年收集参与者的住宅位置和他们自我报告健康结果。通过低层输出地区地理上贫穷指数评估其居住社区贫穷情况与健康状态的关系。通过多层次回归区分个体内差异和个体间差异。

研究结果显示，居住在贫穷社区的人其自我报告的健康状况情况更差、精神压力更大、功能性健康障碍更多、以及健康问题数量上也更多。关于社区差异与健康关系的研究上发现，先前得到的联系仅仅与不同个体间差异有关，而不是个体内的相关变量。相比之下，对于这些流动人口，当其居住在不那么穷的社区时，健康状况也不会那么糟糕。不过研究者也提出该项研究因为个体间变量的限制以后社区贫穷程度测量的精确度限制导致该研究的局限性。

居住在贫穷社区的人会导致其身体健康状态变差，但是研究结果也显示该危险因素对成年人几乎没有产生影响。另外该研究结果提示的社区健康差异可能反应了更根本的社会不平等情况，也是流动人口在不同社区间居住的能力和健康的决定因素。

原始出处：

Jokela M: Does neighbourhood deprivation cause poor health? Within-individual analysis of movers in a prospective cohort study. Journal of epidemiology and community health 2015.

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2016-04-18 h.y200607_23674418

#健康危害#

29 0
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2015-10-06 段段

国家在大力发展社区卫生服务中心

131 0
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2015-06-09 Spotlights

研究不错～

107 0
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2015-05-30 lovejing

经济收入对健康的影响关系研究

87 0
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2015-05-21 ktorresjie

贫困人群的健康公平性如何保障

143 0
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2015-05-21 900311song

居住在不那么平穷社区的人应该更有能力有好的医疗资源吧

139 0
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2015-05-20 12498e67m28暂无昵称

#社区#

19 0
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2015-05-19 Dr.LV

宣传不够啊

78 0

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