社会维度的社区健康影响机制研究——以广州典型社区为例

Research on Community Health and Its Influence Mechanism: A Case Study of Communities in Guangzhou

叶原源
广东职业技术学院 讲师,博士

刘玉亭(通信作者)
华南理工大学建筑学院 亚热带建筑科学国家重点实验 教授,博士生导师

摘要: 健康中国战略导向下,社区作为深耕人居健康的基层单元备受关注。已有研究多集中在物质、社会因素对居民身心健康的影响,在健康人居的主体内涵、要素选择、分析框架系统性等方面尚有不足。基于“人文”与 “结构”的交叉理论分析视角,相应地聚焦于个体与社区两个层面,通过广州15个社区案例和3 302份问卷数据,运用多层线性模型,系统分析和探究社区健康的影响机制。研究发现:社区健康的影响机制中 “个体化”作用路径显著,印证了人的主观能动性在社区系统中的重要意义。同时存在显著的层级差异和多样化作用路径:物质空间属性、治理属性主要在个体层面对社区健康有显著的正向影响,而社会属性、经济属性则更多地体现了社区层面的“结构化”的作用路径。

Abstract: Taking Healthy China as the strategic guidance, the community as the basic unit of human health has been concerned. Correlative studies mainly discuss the impact of material and social factors on residents' physical and mental health, but the influence factors are still considered incompletely and the analysis framework needs to be more systematic. This paper focuses on the "individual" and "community" levels, and uses the multi-layer linear model to analyze and explore the influence mechanism of community health, which is based on the "humanity" and "structure" perspectives, and the survey data of 3 302 questionnaires from 15 communities in Guangzhou. The results indicate that there are significant differences between the two levels in the influence mechanism of community health, as well as diversified action paths. On the whole, "individuation" has a more significant effect path, which confirms the significance of human subjective initiative in the community system. The material space attributes and governance attributes mainly reflect the significant positive influence on community health at the "individual" level, while the social attributes and economic attributes reflect more on the "structured" path at the "community" level.

关键词:社区健康;多维属性;多层线性模型;影响机制

Keyword: community health; multidimensional attributes; hierarchical linear model; influence mechanism

中图分类号:TU984

文献标识码: A

资金资助

佛山市哲学社科项目 佛山推动人民生活更加美好的路径——基于儿童 友好的社区健康环境营建研究 2023-GJ165

HE S, LIN G. Producing and consuming China's new urban space: state, market and society[J]. Urban Studies, 2015, 52(15): 2757-2773.
WEI E, WANG B, CHEN T, et al. Community development in urban Guangzhou since 1980: a social sustainability perspective[J]. International Review for Spatial Planning and Sustainable Development, 2016, 4(4): 58-68.
赵雪雁,王伟军,万文玉. 中国居民健康水平的区域差异:2003-2013[J]. 地理学报,2017,72(4):685-698.
ZHAO Xueyan, WANG Weijun, WAN Wenyu.Regional inequalities of residents' health level in
China: 2003-2013[J]. Acta Geographica Sinica, 2017,72(4): 685-698.
WHO. Preventing disease through healthy environments: towards an estimate of the environmental burden of disease[M]. Geneva: World Health Organization, 2006.
谢劲,全明辉,谢恩礼. 健康中国背景下健康导向型人居环境规划研究——以杭州市为例[J]. 城市
规划,2020,44(9):48-54.
XIE Jin, QUAN Minghui, XIE Enli. Research on health-oriented human settlements planning in the context of Healthy China: a case study of Hangzhou[J]. City Planning Review, 2020, 44(9): 48-54.
KWAN M. Geographies of health[J]. Annals of the Association of American Geographers, 2012, 102(5): 891-892.
GILES-CORTI B, VERNEZ-MOUDON A, REIS R, et al. City planning and population health: a global challenge[J]. Lancet, 2016, 388: 2912-2924.
STEPTOE A, FELDMAN P J. Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health[J]. Annals of Behavioral Medicine, 2001, 23(3): 177-185.
GUITE H F, CLARK C, ACKRILL G. The impact of the physical and urban environment on mental wellbeing[J]. Public Health, 2006, 23(3): 1117-1126.
ELLIOTT M. The stress process in neighborhood context[J]. Health & Place, 2000, 6(4): 287-299.
朱竑,李如铁,苏斌原. 微观视角下的移民地方感及其影响因素:以广州市城中村移民为例[J]. 地理
学报,2016,71(4):637-648.
ZHU Hong, LI Rutie, SU Binyuan. The migrants' sense of place and its influencing factors on a microcosmic
perspective: a case study of the migrants in the urban
villages in Guangzhou[J]. Acta Geographica Sinica,
2016, 71(4): 637-648.
LIU Y, DIJST M, FABER J, et al. Healthy urban living:
residential environment and health of older adults in
Shanghai[J]. Health & Place, 2017, 47: 80-89.
孙斌栋,阎宏,张婷麟. 社区建成环境对健康的影
响:基于居民个体超重的实证研究[J]. 地理学报,
2016,71(10):1721-1730.
SUN Bindong, YAN Hong, ZHANG Tinglin. Impact
of community built environment on residents' health:
a case study on individual overweight[J]. Acta
Geographica Sinica, 2016, 71(10): 1721-1730.
LIU H, LI F, LI J, et al. The relationships between urban
parks, residents' physical activity, and mental health
benefits: a case study from Beijing, China[J]. Journal of
Environmental Management, 2017, 190: 223-230.
WEN M, FAN J, JIN L, et al. Neighborhood effects
on health among migrants and natives in Shanghai,
China[J]. Health & Place, 2010, 16(3): 452-460.
周素红,何嘉明. 郊区化背景下居民健身活动时空
约束对心理健康影响:以广州为例[J]. 地理科学进
展,2017,36(10):1229-1238.
ZHOU Suhong, HE Jiaming. Effects of spatialtemporal constraints of suburban residents on fitness
activities to mental health in the context of rapid
suburbanization: a case study in Guangzhou, China[J].
Progress in Geography, 2017, 36(10): 1229-1238.
DONG H, QIN B. Exploring the link between
neighborhood environment and mental wellbeing: a
case study in Beijing, China[J]. Landscape and Urban
Planning, 2017, 164: 71-80.
吴蓉,潘卓林,刘晔,等. 城市街景绿地对居民心理
健康的影响——以广州为例[J]. 地理研究,2021,
40(8):2272-2291.
WU Rong, PAN Zhuolin, LIU Ye, et al. The effect of
streetscape greenery on residents' mental health: a case
study of Guangzhou[J]. Geographical Research, 2021,
40(8): 2272-2291.
袁媛,陈玉洁,刘晔,等. 广州社区绿化环境对居民自评健康的邻里影响[J]. 地理学报,2021,76(8):
1965-1975.
YUAN Yuan, CHEN Yujie, LIU Ye, et al. The
neighborhood effect of residential greenery on residents' self-rated health: a case study of Guangzhou,
China[J]. Acta Geographica Sinica, 2021, 76(8): 1965-1975.
程晗蓓,李志刚. 邻里变迁影响城市居民健康的
国际研究进展与启示[J]. 国际城市规划,2022,
37(5):98-106.
CHENG Hanbei, LI Zhigang. A review of
international literature on the impacts of
neighborhood changes upon residents' health[J].
Urban Planning International, 2022, 37(5): 98-106.
顾丽娟,ROSENBERG M,曾菊新. 社会经济及
环境因子对不同收入群体自评健康的影响[J]. 地
理研究,2017,36(7):1257-1270.
GU Lijuan, ROSENBERG M, ZENG Juxin. The
impacts of socioeconomic and environmental factors
on self-rated health status among different income
groups in China[J]. Geographical Research, 2017,
36(7): 1257-1270.
杨婕,陶印华,柴彦威. 邻里建成环境与社区整合
对居民身心健康的影响——交通性体力活动的调
节效应[J]. 城市发展研究,2019,26(9):17-25.
YANG Jie, TAO Yinhua, CHAI Yanwei.
Neighborhood built environment, community
cohesion and public health: the moderating effect
of transport-related physical activity[J]. Urban
Development Studies, 2019, 26(9): 17-25.
邱婴芝,陈宏胜,李志刚,等. 基于邻里效应视角的
城市居民心理健康影响因素研究——以广州市为
例[J]. 地理科学进展,2019,38(2):283-295.
QIU Yingzhi, CHEN Hongsheng, LI Zhigang, et al.
Exploring neighborhood environmental effects on
mental health: a case study in Guangzhou, China[J].
Progress in Geography, 2019, 38(2): 283-295.
张舒怡,林赛南,李志刚,等. 邻里环境感知对中
国城市居民自评健康影响研究——以武汉市为
例[J]. 人文地理,2019,34(2):32-40.
ZHANG Shuyi, LIN Sainan, LI Zhigang, et al. Influence
of neighborhood environmental perception on selfrated health of residents in cities of China: a case study
of Wuhan[J]. Human Geography, 2019, 34(2): 32-40.
孙文尧,王兰,赵钢,等. 健康社区规划理念与实
践初探——以成都市中和旧城更新规划为例[J].
上海城市规划,2017(3):44-49.
SUN Wenyao, WANG Lan, ZHAO Gang, et
al. Concept and practice innovation of healthy
community planning: a case study of urban
regeneration of Zhonghe Old Town in Chengdu[J].
Shanghai Urban Planning Review, 2017(3): 44-49.
谢波,王潇,伍蕾. 基于自然实验的城市绿色空间
对居民心理健康的影响研究——以武汉东湖绿道
为例[J]. 地理科学进展,2021,40(7):1141-1153.
XIE Bo, WANG Xiao, WU Lei. Exploring the effect
of urban green space on residents' mental health using
a quasi-natural experiment: taking Wuhan East LakeGreenway as an example[J]. Progress in Geography,
2021, 40(7): 1141-1153.
WEBSTER C. The nature of neighborhood[J]. Urban
Studies, 2003, 40(13): 2591-2612.
叶原源,刘玉亭. 城市社区的邻里性本质及其影
响机制研究——以广州15个社区为例[J]. 地理研
究,2022,41(7):1963-1980.
YE Yuanyuan, LIU Yuting. Research on the
neighboring and its influence mechanisms: a
case study of 15 communities in Guangzhou[J].
Geographical Research, 2022, 41(7): 1963-1980.
叶原源,刘玉亭. “移动社区金融”与现代城市邻
里的激活路径思考[J]. 城市发展研究,2017,24
(6):81-89.
YE Yuanyuan, LIU Yuting. The "mobile banking for
community" and activation paths for neighborhood in
modern cities[J]. Urban Development Studies, 2017,
24(6): 81-89.
TUAN Y-F. Geography, phenomenology, and the
study of human nature[J]. Canadian Geographer,
1971, 15(3): 181-192.
于涛方. 结构主义地理学——当代西方人文地理
学的一个重要流派[J]. 人文地理,2000(1): 66-69.
YU Taofang. Structurallism Geography: an important
school in western human geography[J]. Human
Geography, 2000(1): 66-69.
周尚意,杨鸿雁,孔翔. 地方性形成机制的结构主
义与人文主义分析——以798和M50两个艺术区
在城市地方性塑造中的作用为例[J]. 地理研究,
2011,30(9):1566-1576.
ZHOU Shangyi, YANG Hongyan, KONG Xiang.
The structuralistic and humanistic mechanism of
placeness: a case study of 798 and M50 art districts[J].
Geographical Research, 2011, 30(9): 1566-1576.
乔纳森•默多克,李祎. 后结构主义和关联的空间
[J]. 国际城市规划,2010,25(5):8-18.
MURDOCH J, LI Wei. Post-structuralism and
relational space[J]. Urban Planning International,
2010, 25(5): 8-18.
STEENBURGEN M R, BRADFORD S J. Modeling
multilevel data structures[J]. American Journal of
Political Science, 2002, 46(1): 218-237.
何深静,左姣姣,朱寿佳,等. 中国大城市贫困研
究的多种测度与多层模型分析[J]. 人文地理,
2014,29(6):74-80,87.
HE Shenjing, ZUO Jiaojiao, ZHU Shoujia, et al.
Understanding urban poverty in large Chinese cities
using multiple measurements and hierarchical regression
models[J]. Human Geography, 2014, 29(6): 74-80, 87.
温福星. 多层次研究中组织变项聚合的探究[C]//
第十二届全国心理学学术大会论文摘要集. 北
京:中国心理学会,2009:389.
WEN Fuxing. The aggregation of organizational
variables in multi-level research[C]//Collection of
ab-stracts of the 12th National Psychology Academic
Congress. Beijing: Chinese Psychological Association,
2009: 389.

微信扫一扫
关注“上海城市规划”
公众号