IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Katherine P Theall, Jasmine Wallace, Amber Tucker, Kimberly Wu, Brigham Walker, Jeanette Gustat, Michelle Kondo, Christopher Morrison, Casius Pealer, Charles C Branas, Lisa Richardson
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引用次数: 0

摘要

改变建筑环境条件以影响健康心态和健康公平可能是一个很有前景的公共卫生干预目标。本研究是一项集群随机对照试验,旨在检验整治空置和废弃房产对健康心态相关因素(包括幸福感、健康相互关联性、社会资本标记、邻里关系混乱和担忧)以及直接和间接暴力经历的影响,并检验种族和收入隔离对结果的调节作用。从 2019 年到 2023 年,对来自 194 个随机分配的地理集群的 405 名参与者进行了五次调查。与未进行处理的集群相比,在空地和废弃房屋均得到处理的集群中,参与者的社区感显著增强(83%,95% CI = 71% 至 96%,p = 0.01)。在只处理空置地块的随机分组中,参与者的邻里混乱感(- 55%,95% CI = - 79 到 - 5,p = 0.06)和对社区暴力的担忧(- 56%,95% CI = - 58 到 - 12,p = 0.06)均有所下降。种族和收入空间两极分化也有调节作用,在房屋和地块都得到治理的较贫困地区,社区感的变化最大,而在只有地块得到治理的较贫困地区,邻里忧虑和混乱的变化最大。对空置和废弃房产进行补救可能是改变某些但并非所有健康观念的一种方法,其效果可能取决于补救的类型以及更大的邻里条件,如种族隔离。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building a Culture of Health Through the Built Environment: Impact of a Cluster Randomized Trial Remediating Vacant and Abandoned Property on Health Mindsets.

Changing built environment conditions to impact health mindsets and health equity may be a promising target for public health interventions. The present study was a cluster randomized controlled trial to test the impact of remediating vacant and abandoned properties on factors related to health mindset-including well-being, health interconnectedness, social capital markers, neighborhood disorder, and worry-as well as direct and indirect violence experiences and the moderating role of racial and income segregation on outcomes. A residential cohort of 405 participants from 194 randomly assigned geographic clusters was surveyed over five waves from 2019 to 2023. Compared to clusters with no treatment, participants in clusters where both vacant lots and abandoned homes were treated experienced significant increases in sense of community (83%, 95% CI = 71 to 96%, p = 0.01). Among participants in randomization clusters where only vacant lots were treated, there were declines in perceived neighborhood disorder (- 55%, 95% CI = - 79 to - 5, p = 0.06) and worry about community violence (- 56%, 95% CI = - 58 to - 12, p = 0.06). There was also a moderating effect of racial and income spatial polarization, with the greatest changes in sense of community observed among more deprived areas with both homes and lots treated, and the largest changes in neighborhood worry and disorder were seen in more deprived areas with only lots treated. Remediation of vacant and abandoned properties may be one approach to change some but not all mindsets around health, and the effects may depend on the type of remediation as well as larger neighborhood conditions such as segregation.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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