2016年4月30日星期六

1. Where We Live Matters for Our Health: Neighbourhoods and Health

Introduction
Just as conditions within our homes have important implications for our health, conditions in the neighbourhoods surrounding our homes also can have major health effects. There is a statement that social and economic features of neighbourhoods have been linked with mortality, general health status, disability, birth outcomes, chronic conditions, health behaviours and other risk factors for chronic disease, as well as with mental health, injuries, violence and other important health indicators.
How could neighbourhood affect health? 
There are three major aspects including physical environment, social environment, and service environment.

  • The physical environment includes the “built environment”— the environment resulting from structures built by humans—as well as the natural environment. Health can be adversely affected by poor air and water quality or proximity to facilities that produce or store hazardous substances;9 by substandard housing conditions exposing residents to lead paint, mold, dust or pest infestation; by lack of access to nutritious foods and safe places to exercise combined with concentrated exposure and ready access to fast food outlets and liquor stores; and by adverse traffic conditions.

  • The social environment includes the quality of relationships—such as trust, connectedness and cooperation—among neighbourhood residents. Health can also be shaped by the social environments of neighbourhoods—that is, by characteristics of the social relationships among their residents, including the degree of mutual trust and feelings of connectedness among neighbours. 

  • The service environment includes neighbourhood resources for education, employment, transportation, health care, grocery shopping, recreation and other services directly or indirectly tied to health. The availability of services and opportunities in neighborhoods is another general pathway through which neighborhoods can influence health. Where we live is highly correlated with the quality of schools, transportation and other municipal services, health care services and employment opportunities to which we have access. Health care can influence health in relatively direct ways. Education, employment opportunities and other services influence health more indirectly, such as by providing the means to achieve an adequate standard of living now and in the future. 
Neighbourhood improvement
There are eight ways to improve your neighbourhood relating to your neighbours as following;
1. Reach out
2. Get involved with your neighbours
3. Make a connection with your neighbours
4. Be considerate of others
5. Be generous
6. Draw neighbours together
7. Extend your church affiliation
8. Volunteer in your neighbourhood


















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