Evaluation of neighborhood resources and mental health in American military Veterans using geographic information systems.

Autor:	Shin Park Y; School of Nursing, University of Minnesota, Minneapolis, MN, USA.; Mo-Im Kim Nursing Research Institute College of Nursing, Yonsei University, Seoul, South Korea., Wyman JF; School of Nursing, University of Minnesota, Minneapolis, MN, USA., McMorris BJ; School of Nursing, University of Minnesota, Minneapolis, MN, USA., Pruinelli L; School of Nursing, University of Minnesota, Minneapolis, MN, USA., Song Y; Geography, Environment and Society, University of Minnesota, Minneapolis, MN, USA., Kaas MJ; VA New York Harbor Healthcare System, USA.; Department of Population Health, New York University School of Medicine, USA., Sherman SE; VA New York Harbor Healthcare System, USA.; Department of Population Health, New York University School of Medicine, USA., Fu S; Center for Chronic Disease Outcomes Research, VA Health Services Research and Development Center of Innovation, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.; Department of Medicine, University of Minnesota Medical School, USA.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2021 Sep 03; Vol. 24, pp. 101546. Date of Electronic Publication: 2021 Sep 03 (Print Publication: 2021).
DOI:	10.1016/j.pmedr.2021.101546
Abstrakt:	Neighborhood-level social determinants are increasingly recognized as factors shaping mental health in adults. Data-driven informatics methods and geographic information systems (GIS) offer innovative approaches for quantifying neighborhood attributes and studying their influence on mental health. Guided by a modification of Andersen's Behavioral Model of Health Service Use framework, this cross-sectional study examined associations of neighborhood resource groups with psychological distress and depressive symptoms in 1,528 U.S. Veterans. Data came from the Veteran Affairs (VA) Health Services Research and Development Proactive Mental Health trial and publicly available sources. Hierarchical clustering based on the proportions of neighborhood resources within walkable distance was used to identify neighborhood resource groups and generalized estimating equations analyzed the association of identified neighborhood resource groups with mental health outcomes. Few resources were found in walkable areas except alcohol and/or tobacco outlets. In clustering analysis, four meaningful neighborhood groups were identified characterized by alcohol and tobacco outlets. Living in an alcohol-permissive and tobacco-restrictive neighborhood was associated with increased psychological distress but not depressive symptoms. Living in urban or rural areas and access to VA care facilities were not associated with either outcome. These findings can be used in developing community-based mental health-promoting interventions and public health policies such as zoning policies to regulate alcohol outlets in neighborhoods. Augmenting community-based services with Veteran-specialized services in neighborhoods where Veterans live provides opportunities for improving their mental health. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2021 The Authors.)
Databáze:	MEDLINE
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