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Common mental disorders and the built environment in Santiago, Chile.

机译:智利圣地亚哥的常见精神障碍和建筑环境。

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BACKGROUND: There is growing research interest in the influence of the built environment on mental disorders. AIMS: To estimate the variation in the prevalence of common mental disorders attributable to individuals and the built environment of geographical sectors where they live. METHOD: A sample of 3870 adults (response rate 90%) clustered in 248 geographical sectors participated in a household cross-sectional survey in Santiago, Chile. Independently rated contextual measures of the built environment were obtained. The Clinical Interview Schedule was used to estimate the prevalence of common mental disorders. RESULTS: There was a significant association between the quality of the built environment of small geographical sectors and the presence of common mental disorders among its residents. The better the quality of the built environment, the lower the scores for psychiatric symptoms; however, only a small proportion of the variation in common mental disorder existed at sector level, after adjusting for individual factors. CONCLUSIONS: Findings from our study, using a contextual assessment of the quality of the built environment and multilevel modelling in the analysis, suggest these associations may be more marked in non-Western settings with more homogeneous geographical sectors.
机译:背景:人们对建筑环境对精神障碍的影响越来越感兴趣。目的:估计可归因于个人的普遍精神障碍的患病率以及他们所居住的地理区域的建成环境。方法:在智利圣地亚哥的248个地理区域中,对3870名成年人(答复率为90%)进行了抽样调查。获得了对建筑环境的独立评估的上下文度量。临床访谈时间表用于评估常见精神障碍的患病率。结果:小型地理区域的建筑环境质量与其居民之间常见的精神障碍之间存在显着关联。建筑环境的质量越好,精神症状的得分就越低;但是,在对个别因素进行调整之后,普通精神障碍的变异中只有一小部分存在于部门层面。结论:从我们的研究结果中,利用对建筑环境质量的上下文评估和分析中的多层次建模,表明这些关联在非西方地区地理区域更均一的环境中可能更为明显。

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