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

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3302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。

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 3302 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.