Associations among neighborhood poverty, perceived neighborhood environment, and depressed mood are mediated by physical activity, perceived individual control, and loneliness.
Associations among neighborhood poverty, perceived neighborhood environment, and depressed mood are mediated by physical activity, perceived individual control, and loneliness.
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邻里贫困、感知的邻里环境和抑郁情绪之间的关联是由体力活动、感知的个人控制和孤独感介导的。
DOI：
10.1016/j.healthplace.2019.102278
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发表时间：
2020-03
期刊：
影响因子：
4.8
通讯作者：
Muessig, Kathryn E.
中科院分区：
文献类型：
--
作者：
Kowitt, Sarah D.;Aiello, Allison E.;Callahan, Leigh F.;Fisher, Edwin B.;Gottfredson, Nisha C.;Jordan, Joanne M.;Muessig, Kathryn E.
很少有研究记录个体水平变量调节社区对健康影响的途径。这项研究使用结构方程模型来检查邻里特征是否与抑郁症状相关，如果是，是什么因素介导了这些关系。横截面数据来自北卡罗来纳州大部分农村老年人的样本（n=1,558）。中介分析表明，邻里特征和抑郁症状之间的关联是由孤独感（标准化间接效应=-0.19，p<0.001）、体力活动（标准化间接效应=-0.01，p=0.003）和感知个体控制（标准化间接效应=-0.07，p=0.02）介导的，其中孤独感是最强的中介因素。在形成性和过程评估中监测此类个体调解员可能会提高基于社区的干预措施和政策的准确性。
Few studies have documented the pathways through which individual level variables mediate the effects of neighborhoods on health. This study used structural equation modeling to examine if neighborhood characteristics are associated with depressive symptoms, and if so, what factors mediated these relationships. Cross-sectional data came from a sample of mostly rural, older adults in North Carolina (n=1,558). Mediation analysis indicated that associations among neighborhood characteristics and depressive symptoms were mediated by loneliness (standardized indirect effect=−0.19, p<0.001), physical activity (standardized indirect effect= −0.01, p=0.003), and perceived individual control (standardized indirect effect=−0.07, p=0.02) with loneliness emerging as the strongest mediator. Monitoring such individual mediators in formative and process evaluations may increase the precision of neighborhood-based interventions and policies.
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