Toward dynamic urban environmental exposure assessments in mental health research.
Toward dynamic urban environmental exposure assessments in mental health research.
复制标题
在心理健康研究中进行动态的城市环境暴露评估。
DOI：
10.1016/j.envres.2017.11.006
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发表时间：
2018-03
影响因子：
8.3
通讯作者：
Helbich M
中科院分区：
文献类型：
--
作者：
Helbich M
人们日益认识到，精神障碍受个人特征和环境暴露的影响。建筑，自然和社会环境可以促进或缓冲金属障碍。与心理健康相关的环境暴露评估通常依赖于人们目前居住的社区。在这篇文章中，我质疑这种基于社区的暴露评估在一个时间点，因为人类生活在空间和时间上展开。为了规避不适当的暴露评估，并更好地掌握精神疾病的病因，我认为，人们不仅在日常生活中，而且在他们的生活过程中暴露于多种健康支持和有害的暴露。本文旨在为阐明动态环境暴露对心理健康结果的影响奠定理论基础。我研究，第一，心理健康研究的可能性和挑战，整合人们的环境暴露沿着他们的日常路径，第二，如何暴露在人们的居住历史可能会影响心理健康以后的生活。为了推动科学调查的边界，我强调，只有这样的流动性为基础的方法，促进暴露持续时间，暴露序列和暴露积累的探索。环境影响人们的心理健康。环境暴露评估通常仅限于人们目前居住的社区。沿着人们日常生活的动态暴露可能引发精神障碍。暴露于人们的居住史可能会影响以后的心理健康。只有动态风险评估才能纳入风险的持续时间和顺序以及风险随时间的累积。
It is increasingly recognized that mental disorders are affected by both personal characteristics and environmental exposures. The built, natural, and social environments can either contribute to or buffer against metal disorders. Environmental exposure assessments related to mental health typically rely on neighborhoods within which people currently live. In this article, I call into question such neighborhood-based exposure assessments at one point in time, because human life unfolds over space and across time. To circumvent inappropriate exposure assessments and to better grasp the etiologies of mental disease, I argue that people are exposed to multiple health-supporting and harmful exposures not only during their daily lives, but also over the course of their lives. This article aims to lay a theoretical foundation elucidating the impact of dynamic environmental exposures on mental health outcomes. I examine, first, the possibilities and challenges for mental health research to integrate people's environmental exposures along their daily paths and, second, how exposures over people's residential history might affect mental health later in life. To push the borders of scientific inquiries, I stress that only such mobility-based approaches facilitate an exploration of exposure duration, exposure sequences, and exposure accumulation. The environmental context affects people's mental health. Environmental exposure assessments are frequently restricted to the neighborhoods in which people currently live. Dynamic exposures along people's daily paths may trigger mental disorders. Exposures over people's residential history might affect mental health later in life. Only dynamic exposure assessments enable the inclusion of the duration and sequence of exposures and risk accumulation over time.
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