使用地理瞬间评估来探索空间环境对艾滋病毒感染者的福祉的影响
Rayna E Gasik1, Ethan A Smith2, Simone J Skeen2,3
1Department of Social, Behavioral, and Population Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA. rgasik@tulane.edu.
AIDS and behavior
|October 28, 2024
概括
社区安全和环境因素对艾滋病毒感染者 (PWH) 的心理健康和应对策略产生重大影响. 每天接触暴力和城市污染与PWH中增加的压力和负面情绪有关.
科学领域:
- 公共卫生 公共卫生
- 环境心理学 环境心理学
- 艾滋病毒研究 艾滋病毒研究
背景情况:
- 艾滋病毒感染者 (PWH) 之间的健康差异由基于地点的社会经济和种族不平等加剧.
- 了解PWH与环境有关的日常生活经验对于有针对性的干预至关重要.
研究的目的:
- 在新奥尔良的PWH中探索心理社会结果和社区空间措施之间的相互作用.
- 通过使用地理生态瞬间评估 (GEMA) 调查情绪,应对和直接的物理环境之间的实时关联.
主要方法:
- 利用基于智能手机的日常日记和14天的地理空间跟踪,使用69个PWH.
- 与半英里缓冲区内的空间措施 (例如,暴力犯罪,酒店,空地) 相关的日记衍生的结果 (例如,感到安全,压力).
- 应用多层次模型来评估个人内部的日均暴力暴露和情绪/应对措施之间的关联.
主要成果:
- 暴力犯罪,酒店和空地与安全感相反相关,与获得毒品的感知容易度相对正相关.
- 空地与压力增加和积极情绪下降有关.
- 较高的每日累积暴力暴露与反的增加,信任的减少以及PWH中较低的积极/消极情绪比率有关.
结论:
- 这项研究强调了心理健康,应对机制和PWH的空间因素之间的复杂相互作用.
- 未来对PWH的研究和干预必须考虑空间因素对心理健康和与护理的参与的影响.
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