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Urban regeneration policies and mental health in a context of economic crisis in Andalusia (Spain).
Journal of Housing and the Built Environment ( IF 2.033 ) Pub Date : 2020-08-19 , DOI: 10.1007/s10901-020-09774-0
Ángel R Zapata Moya 1 , Clemente J Navarro Yáñez 2
Affiliation  

Literature suggests that urban regeneration policies might contribute towards improving mental health of residents, but to date there is a lack of empirical research on how these policies and downward social mobility can interact and influence health outcomes. The current study aims to explicitly test whether regeneration policies implemented in deprived Andalusian urban places (southern Spain) moderate the use of anxiolytics and/or antidepressants, taking into consideration families’ downward social mobility during the recent period of economic crisis in Spain. We designed a post intervention survey to retrospectively compare the evolution of psychotropic drug consumption in target and comparison areas. We observe a general increase in the use of anxiolytics and/or antidepressants from 2008 to 2015, specifically for people in whose families the economic crisis had the greatest impact (odds ratio = 2.18; p value < 0.001). However, better evolution is observed among residents of the target areas compared with residents of similar urban areas where this kind of polices have been not in force (odds ratio = 0.50; p value < 0.05). Therefore, urban regeneration policies might act as moderators of the risk of mental health, particularly when people are subject to the loss of individual/family resources in urban vulnerable contexts.



中文翻译:

安达卢西亚(西班牙)经济危机背景下的城市更新政策和心理健康。

文献表明,城市更新政策可能有助于改善居民的心理健康,但迄今为止,缺乏关于这些政策和向下社会流动如何相互作用和影响健康结果的实证研究。目前的研究旨在明确测试在贫困的安达卢西亚城市地区(西班牙南部)实施的再生政策是否会缓和抗焦虑药和/或抗抑郁药的使用,同时考虑到西班牙近期经济危机期间家庭的向下社会流动性。我们设计了一项干预后调查,以回顾性比较目标和比较地区精神药物消费的演变。从 2008 年到 2015 年,我们观察到抗焦虑药和/或抗抑郁药的使用普遍增加,p值 < 0.001)。然而,与未实施此类政策的类似城市地区的居民相比,目标地区居民的进化更好(优势比 = 0.50;p值 < 0.05)。因此,城市更新政策可能起到调节心理健康风险的作用,特别是当人们在城市脆弱环境中遭受个人/家庭资源的损失时。

更新日期:2020-08-20
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