联网社区分类 (C3):开发,验证和地理空间应用,以促进人口健康和公平
Meghan B Skiba1, Kimberly E Lind, Carlie M Felion
1Advanced Nursing Practice and Science Division, College of Nursing (Dr Skiba and Ms Felion), University of Arizona Cancer Center (Drs Skiba and Lind), Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health (Dr Lind), Department of Mining and Geological Engineering, College of Engineering (Mr Krupnik), and Department of Communication, College of Social and Behavioral Sciences (Dr Segrin), University of Arizona, Tucson, Arizona.
强大的社会基础设施改善了人口健康,并促进了健康公平. 联网社区分类 (C3) 工具测量了社区的社会联系,揭示了较低的联系与更高的慢性疾病和不健康行为的比例之间的联系.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 社区健康评估
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响人口健康结果和健康公平.
- 社会基础设施视角突出了社区的优势,可以优化健康行为和结果.
研究的目的:
- 开发,验证和应用联网社区分类 (C3) 作为保护性SDOH和结构因素的衡量标准.
- 评估C3与四角州和地区的健康行为和慢性疾病患病率的关联.
主要方法:
- 通过对五个领域的公共SDOH数据进行主要组件分析,开发了C3.
- 使用空间自关联方法识别了C3分数的区域聚类.
- 使用空间自回归模型分析了C3和健康结果之间的关联.
主要成果:
- C3表现出可靠性和有效性,更高的分数表明更大的社会联系.
- 较低的社区联系 (较低的C3分数) 与减少水果/蔬菜摄入量,减少体力活动,增加肥胖,吸烟,冠心病和糖尿病有关.
- 较高的C3分数与大量饮酒有积极联系.
结论:
- 拥有更强大的社会基础设施的社区表现出更好的人口健康.
- C3有效地捕捉了保护性社区属性,并可以指导干预措施,以促进社会联系和健康公平.
- C3工具对缺乏服务的地区的研究人员,从业人员和政策制定者来说是有价值的.
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