Thinking inside the bubble: evidence for a new contextual unit in urban mental health
Thinking inside the bubble: evidence for a new contextual unit in urban mental health
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泡沫内部的思考：城市心理健康新情境单元的证据
DOI：
10.1136/jech.2004.030353
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发表时间：
2005
影响因子：
6.3
通讯作者：
M. Cargo
中科院分区：
文献类型：
--
作者：
R. Whitley;M. Prince;M. Cargo
目的：以往的定量研究表明，住房、城市环境和心理健康之间存在联系。然而，方法和设计问题使得很难理清居住特定和更广泛的城市环境对个人心理健康的相对影响。本研究旨在探讨居住环境、城市环境和心理健康之间的联系，以建立一个新的概念框架，从而进一步了解居住环境和城市环境对心理健康的影响。设计和参与者：对32名内城居民进行定性访谈和焦点小组调查。参与者按性别和心理健康状况分层，从更广泛的定量调查中随机招募。几乎相同数量的男性和女性以及有或没有精神健康问题的人参加了调查，从而可以比较经验。对数据进行归纳分析，以产生关于居住和城市环境对心理健康影响的适当理论框架。环境：位于伦敦西北部，人口约6200人的内城区。大多数人住在公共住房里。主要结果：研究的主要发现是，在住宅单位和邻里单位之间，发现了另一个有意义的背景分析单位的证据，即“住宅泡沫”，通过它可以调节对心理健康的影响。住宅泡沫描述了围绕住宅的有限区域的三维空间，包括紧邻的邻居（上面，下面和相邻）和与住宅接壤的共享公共空间。泡沫中的积极事件和过程对心理健康有有益的影响，而消极的事件和过程往往有破坏性的影响。这些似乎对已有心理健康问题的人产生了不成比例的影响。结论：“住宅泡沫”的概念可能是一个有意义的城市心理健康分析的新语境单元。这可能对干预和测量发展有重要的影响。
Objective: Previous quantitative research has suggested that there is a link between housing, the urban environment, and mental health. However, methodological and design issues make it difficult to disentangle the relative influence of dwelling specific and wider urban environmental influences on individual mental health. The aim of this study was to explore the link between the dwelling, the immediate urban environment, and mental health to generate a new conceptual framework by which understanding of dwelling and urban environmental influences on mental health can be advanced. Design and participants: Qualitative interviews and focus groups were conducted with 32 inner city residents. Participants, stratified by sex and mental health status, were randomly recruited from a wider quantitative survey. An almost equal number of men and women as well as people with or without mental health problems participated, allowing for comparison of experience. Data were analysed inductively to generate an appropriate theoretical framework regarding dwelling and urban environmental influences on mental health. Setting: An inner city neighbourhood of about 6200 people in north west London. Most of that population live in public housing. Main results: The principal study finding is that between the dwelling unit and the neighbourhood unit, evidence was found for another meaningful contextual unit of analysis, the “residential bubble” through which effects on mental health can be mediated. The residential bubble describes a limited area of three dimensional space that surrounds a dwelling, encompassing immediate neighbours (above, below, and adjacent) and shared public space bordering the dwelling. Positive events and processes within the bubble had a beneficial influence on mental health whereas negative ones tended to have a damaging influence. These seemed to disproportionately have an impact on people with pre-existing mental health problems. Conclusion: The concept of the “residential bubble” may be a meaningful new contextual unit of analysis in urban mental health. This may have important implications with regards to interventions and measurement development.