بررﺳﯽ ارﺗﺒﺎط ﺑﯿﻦ ﺷﺮاﯾﻂ ﻣﺤﯿﻂ درك ﺷﺪه ، ﻓﻌﺎﻟﯿﺖ ﻓﯿﺰﯾﮑﯽ و ﺳﻼﻣﺖ رواﻧﯽ در ﻃﻮل ﺑﯿﻤﺎري ﻫﻤﻪﮔﯿﺮ 19 – COVID

Examine the associations between perceived neighborhood conditions, physical activity, and mental health during the COVID-91 pandemic

اين مطالعه چگونگي تغييرشرايط محل زندگي و چگونگي ارتباط شرايط محل زندگي با فعاليت بدني و بهداشت رواني را در طي همه گير كوييد 19 در ميان آمريكايي ها بررسي كرده است. نتايج عمده بر اساس فقر در محله طبقه بندي شد و از مدلهاي رگرسيون براي ارزيابي ارتباط بين شرايط محله و تغيير آن ها در طي همه گيري و نتايج فعاليت بدني و بهداشت رواني استفاده شد. نتايج نشان مي دهد كه محله هاي مرفه تر قبل از شيوع شرايط بهداشتي بهتر و تغييرات مثبت بيشتري را در طي شيوع داشته اند. شرايط محله اي ارتقا دهنده سلامت با فعاليت بدني بالاتر و فعاليت بدني متوسط و عدم وجود شرايط منفي در محله مانند جرم، خشونت و ترافيك با خطر كمتري از مشكلات رواني از جمله تنهايي، افسردگي و اضطراب همراه بود. مشكلات بهداشت روان نيز به طور قابل توجهي با ابتلا به كوويد 19 و ميزان مرگ وميرناشي از آن و درآمد خانوار ارتباط داشت. يافته هاي ما نشان مي دهد كه كاملا ممكن است كه اختلاف بين فعاليت بدني و سلامت روان در هر محله براثر همه گيري افزايش پيدا كند و بيشتر بار اين افزايش بر روي دوش محله هايي كه ازلحاظ اقتصادي اجتماعي وضعيت نامناسب تري دارند افتاده باشد.

This study examined how neighborhood conditions changed and how neighborhood conditions were associated with physical activity and mental health during the COVID-91 pandemic among Americans. The major outcomes were stratified by the neighborhood's poverty and regression models were used to assess the associations between neighborhood conditions and their change during the pandemic and the outcomes of physical activity and mental health. The results show that low-poverty neighborhoods had more health-promoting neighborhood conditions before the outbreak and more positive changes during the outbreak. Health-promoting neighborhood conditions were associated with higher physical activity and moderate physical activity and lack of negative neighborhood conditions such as crime/violence and traffic were associated with a lower risk of mental health problems including loneliness, depression, and anxiety. Mental health problems were also significantly associated with the COVID-91 infection and death and household income level. Our findings suggest that it is plausible that the disparities of physical activity and mental health by neighborhood exacerbate due to the pandemic and people who living in socioeconomically disadvantaged neighborhoods bear increasingly disproportionate burden