Promoting health equity: Role of perceived neighborhood built environment in rural community resilience to pandemics

IF 4.6 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

iScience Pub Date : 2025-05-06 DOI:10.1016/j.isci.2025.112594

Xiaowan Dong , Yuhui Xu , Huifang Zhai

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引用次数: 0

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has highlighted how socioeconomic disparities exacerbate rural health inequalities, demanding enhanced rural community resilience in socioeconomic dimensions. While cross-sectional nonpandemic evidence supports the impacts of the perceived neighborhood built environment (NBE) on these dimensions, whether the NBE influences these dimensions in a pandemic context and their potential two-way correlations remain unclear. Herein, we use a cross-lagged analysis of Chinese longitudinal data to investigate the associations between the perceived NBE and these dimensions during the COVID-19 pandemic. Our results indicate that rural communities with better prepandemic NBE perceptions generally exhibit greater socioeconomic resilience during the pandemic. However, in more disadvantaged western rural communities, the perceived NBE and community-level economic resilience are negatively correlated. Prepandemic individual-level socioeconomic resilience positively affects during-pandemic NBE perceptions, suggesting a reciprocal relationship. Our findings underscore the socioeconomic role of the perceived NBE in promoting the pandemic resilience and health equity of rural communities.

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促进卫生公平：感知邻里建成环境在农村社区抵御流行病能力中的作用

2019年冠状病毒病（COVID-19）大流行凸显了社会经济差距如何加剧农村卫生不平等，要求加强农村社区在社会经济方面的抵御能力。虽然横断面非大流行证据支持感知邻里建筑环境（NBE）对这些维度的影响，但在大流行背景下，NBE是否会影响这些维度及其潜在的双向相关性仍不清楚。在此，我们使用中国纵向数据的交叉滞后分析来研究COVID-19大流行期间感知的NBE与这些维度之间的关联。我们的研究结果表明，在大流行期间，具有更好的流行病前NBE认知的农村社区通常表现出更大的社会经济复原力。然而，在较为弱势的西部农村社区，感知到的NBE与社区层面的经济弹性呈负相关。大流行前个人层面的社会经济复原力对大流行期间的NBE认知产生积极影响，表明存在互惠关系。我们的研究结果强调了NBE在促进农村社区大流行抵御力和卫生公平方面的社会经济作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

iScience Multidisciplinary-Multidisciplinary

CiteScore

7.20

自引率

1.70%

发文量

1972

审稿时长

6 weeks

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