■研究社会,地理,健康的文化决定因素因文化措施不足而受挫。这项研究的目的是改善社区文化的测量,定义为社区内人们之间的共同态度和行为模式,将其与他人区分开来,并检查文化的维度,独立于社会经济和人口因素,以及他们与健康的关系。
■使用了具有相关分析的调查研究设计。
■包括社区文化调查(CCS-R)在内的调查包,人口统计学,健康,从2016年至2018年,通过在美国(US)进行便利抽样并在泰国进行抽样,对其他个人水平的措施进行了管理。美国县级变量是从邮政编码获得的。
■来自美国49个州(n=1592)和泰国(n=338)的1930名参与者完成了所有CCS-R项目,从中得出12个分量表:社会支持和连通性,对自我和他人的责任,家庭纽带和职责,社会困境,城市多样性,不连续性,教会参与,外部资源寻求,本地拥有的业务活跃,权力的尊重,下一代焦点,和自力更生。邻里文化子量表得分因地域而异,而不是因参与者的人口统计学而异。所有子量表预测一个或多个健康指标,在调整参与者年龄和县级社会经济变量后,其中一些关系是显著的。在调整了参与者的年龄和县级社会经济变量后,按种族/民族划分的子量表上的大多数显着差异不再显着。在这些调整之后,美国的大多数农村/城市和地区文化差异仍然存在。基于相关分析,社会支持和连通性以及对自我和他人的责任感是参与者整体健康和生活质量的最佳预测指标,对自我和他人的责任是CDC衡量社会脆弱性的最佳预测指标(相反)。
■邻里文化是可衡量的,多维,与种族/民族不同,即使在控制了年龄和社会经济因素之后,也与健康有关。CCS-R有助于推进研究和实践,解决个体之间的复杂互动,他们的邻里社区,和健康结果。
UNASSIGNED: Research on links between social, geographic, and cultural determinants of health has been thwarted by inadequate measures of culture. The purpose of this study was to improve the measurement of community culture, defined as shared patterns of attitudes and behaviors among people within a
neighborhood that distinguish it from others, and to examine dimensions of culture, independent of socioeconomic and demographic factors, and their relationships with health.
UNASSIGNED: A survey research design with correlational analyses was used.
UNASSIGNED: A survey packet including the Community Culture Survey - Revised (CCS-R), demographic, health, and other individual-level measures was administered through convenience sampling across the United States (US) and to a sample in Thailand from 2016 to 2018. US county-level variables were obtained from zip codes.
UNASSIGNED: 1930 participants from 49 US states (n = 1592) and Thailand (n = 338) completed all CCS-R items, from which 12 subscales were derived: Social Support & Connectedness, Responsibility for Self & Others, Family Ties & Duties, Social Distress, Urban Diversity, Discontinuity, Church-Engaged, External Resource-Seeking, Locally Owned Business-Active, Power Deference, Next Generation Focus, and Self-Reliance.
Neighborhood culture subscale scores varied more by geography than by participant\'s demographics. All subscales predicted one or more health indicator, and some of these relationships were significant after adjusting for participant age and county-level socioeconomic variables. Most of the significant differences on subscales by race/ethnicity were no longer significant after adjusting for participant\'s age and county-level socioeconomic variables. Most rural/urban and regional differences in culture within the US persisted after these adjustments. Based on correlational analyses, Social Support & Connectedness and Responsibility for Self & Others were the best predictors of participants\' overall health and quality of life, and Responsibility for Self & Others was the best predictor (inversely) of the CDC\'s measures of social vulnerability.
UNASSIGNED: Neighborhood culture is measurable, multi-dimensional, distinct from race/ethnicity, and related to health even after controlling for age and socioeconomic factors. The CCS-R is useful for advancing research and practice addressing the complex interactions between individuals, their
neighborhood communities, and health outcomes.