Neighborhoods and health: where are we and were do we go from here?
Neighborhoods and health: where are we and were do we go from here?
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DOI：
10.1016/j.respe.2006.12.003
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发表时间：
2007-02-01
影响因子：
0.9
通讯作者：
Roux, A.-V. Diez
中科院分区：
文献类型：
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作者：
Roux, A.-V. Diez
近年来，人们对邻里健康影响的兴趣激增。大多数现有的工作都依赖于二手数据分析，并使用行政区域和汇总人口普查数据来表征社区。关于这些研究报告的关联是否反映了因果过程，仍然存在重要的问题。本文回顾了现有工作的主要局限性，并讨论了未来发展的领域，包括：（1）区域或生态属性的定义和测量;（2）空间尺度的考虑;（3）累积暴露和滞后效应;（4）观测，准实验和实验证据的互补性。正如通常的情况下，复杂的研究问题，共识的存在和邻里健康影响的大小将出现从多个学科的工作，往往与不同的方法，每一个有其优势和局限性。跨学科以及卫生研究人员、社区、城市规划者和政策专家之间的伙伴关系将是关键。(c)2007年，Elsevier Masson SAS。All rights reserved.
in recent years there has been an explosion of interest in neighborhood health effects. Most existing work has relied on secondary data analyses and has used administrative areas and aggregate census data to characterize neighborhoods. Important questions remain regarding whether the associations reported by these studies reflect causal processes. This paper reviews the major limitations of existing work and discusses areas for future development including: (1) definition and measurement of area or ecologic attributes; (2) consideration of spatial scale; (3) cumulative exposures and lagged effects; (4) the complementary nature of observational, quasi-experimental, and experimental evidence. As is usually the case with complex research questions, consensus regarding the presence and magnitude of neighborhood health effects will emerge from the work of multiple disciplines, often with diverse methodological approaches, each with its strengths and its limitations. Partnership across disciplines, as well as among health researchers, communities, urban planners, and policy experts will be key. (c) 2007 Elsevier Masson SAS. All rights reserved.