期刊：
BMC PUBLIC HEALTH,2023年23(1):1352 ISSN：1471-2458
通讯作者：
Hu, YM;Hu, Z
作者机构：
[Gong, Rengui] Anhui Univ Technol, Sch Publ Management & Law, Maanshan, Peoples R China.;[Hu, Yangming; Hu, YM; Xia, Dongping] Hunan Agr Univ, Coll Publ Adm & law, Changsha, Peoples R China.;[Hu, Zan; Hu, Z] Univ South China, Affiliated Changsha Cent Hosp, Hengyang Med Sch, Changsha, Peoples R China.
通讯机构：
[Hu, Z ] U;[Hu, YM ] H;Hunan Agr Univ, Coll Publ Adm & law, Changsha, Peoples R China.;Univ South China, Affiliated Changsha Cent Hosp, Hengyang Med Sch, Changsha, Peoples R China.
关键词：
China community;Mental health;Neighborhood mental health;Older adults
摘要：
BACKGROUND: In this article, we use cross-sectional data obtained from the 2018 China Health and Aging Tracking Survey (CHARLS) to examine the impact of neighborhood mental health at the community level on the mental health of older adults aged 60years and older. METHODS: NMH is the average mental health of older adults in the same community, excluding the older adults themselves. The explained variable mental health in this paper was measured using the simple CES-D depression scale. The mediating variables were social connectedness, social participation and social inclusion, and the instrumental variables were physical exercise and amusement. regression analysis was conducted using OLS regression models, two-stage least squares (IV-2SLS) instrumental variables to address the two-way causality of NMH and MH, and KHB decomposition was used to investigate the effect mechanism. RESULTS: Baseline regressions showed that the neighborhood mental health effect positively influenced the mental health of older adults (Coef. = 0.356, 95% CI 0.315,0.397). The neighborhood mental health effect estimated by IV-2SLS (Coef. = 0.251, 95% CI 0.096,0.405) was higher than the OLS regression, indicating endogeneity. The mediated effects of KHB showed total (Coef. = 0.356, 95% CI 0.314,0.398), direct (Coef. = 0.281, 95% CI 0.232,0.330), and indirect effects (Coef. = 0.075, 95% CI 0.049,0.101). While the total effect was 1.266 times higher than the direct effect, 21.03% of the total effect came from mediating variables. CONCLUSIONS: First, the neighborhood mental health effect has a positive impact on the mental health of older adults, but there are heterogeneous differences based on gender, age, and place of residence. Second, the results of the IV-2SLS estimation showed that the effect of the neighborhood mental health effect was underestimated if endogenous problems were not controlled for. Third, the effect of neighborhood mental health on older adults' mental health was tested to be stable. Moreover, social connectedness, social participation, and social interaction are important mediating mechanisms for the effect of neighborhood mental health on older adults' mental health. This study provides new perspectives and ideas for an in-depth understanding of the mental health of older adults in the context of social transformation in China.
作者机构：
[Ou, Minghao; Yi, Jialin; Guo, Jie; Guo, J; Yi, Dan] Nanjing Agr Univ, Coll Land Management, Nanjing 210095, Peoples R China.;[Tang, Yifeng] Hunan Agr Univ, Coll Publ Adm & Law, Changsha 410125, Peoples R China.;[Ou, Minghao; Guo, Jie; Guo, J] State & Local Joint Engn Res Ctr Rural Land Resour, Nanjing 210095, Peoples R China.;[Ou, Minghao; Guo, Jie; Guo, J] China Resources Environm & Dev Acad, Nanjing 210095, Peoples R China.;[Cheng, Xianbo] South Cent Minzu Univ, Coll Publ Adm, Wuhan 430074, Peoples R China.
通讯机构：
[Guo, J ] N;Nanjing Agr Univ, Coll Land Management, Nanjing 210095, Peoples R China.;State & Local Joint Engn Res Ctr Rural Land Resour, Nanjing 210095, Peoples R China.;China Resources Environm & Dev Acad, Nanjing 210095, Peoples R China.
摘要：
To understand and respond to the common ecological and environmental challenges faced by human beings, this study investigated the relationship between territorial spatial development (TSD), eco-environmental responses, and territorial spatial planning (TSP) from the perspective of human-environment interactions and explores a feasible way to modulate these human-environment interactions by taking China's TSP practice as an illustrative case. The research results show that (1) the interplay between territorial development, resource utilization, and environmental feedback forms the crux of human-environment interactions. Notably, eco-environment responses, one of which is the spread of germs, coupled with human development and utilization behavior constitute a complete negative feedback loop. Human beings' adjustment to the unbalanced conditions in these interactions, employing institutions, technology, planning, and other tools, constitutes a positive cycle within human-environment interactions. (2) TSP can regulate the whole process of human-environment interactions through mechanisms such as coordination and control, adaptation and mitigation, and consolidation and restoration. (3) Unreasonable agricultural development and urban expansion have triggered intense negative feedback on the ecological environment. (4) The Chinese government has carried out a top-down TSP reform initiative to establish a unified planning system. This aims to alleviate the adverse ecological and environmental effects caused by TSD and build a more secure territory space pattern. Therefore, nations around the globe should innovate their spatial planning management systems and spatial planning systems, standardize and guide the development and utilization of spatial resources, and coordinate the relationship between humans and the environment.
