Demographic and Environmental Factors Associated with Mental Health: A Cross-Sectional Study

被引:63
作者
Kim, Jayeun [1 ]
Kim, Ho [1 ,2 ]
机构
[1] Seoul Natl Univ, Inst Hlth & Environm, Seoul 08826, South Korea
[2] Seoul Natl Univ, Grad Sch Publ Hlth, Dept Publ Hlth Sci, Seoul 08826, South Korea
关键词
community health; cross-sectional study; demographic character; greenness; mental health; AIR-POLLUTION; GREEN SPACE; DEPRESSION; STRESS; ANXIETY; PREVALENCE; BIOMARKERS; SYMPTOMS; EXPOSURE; SMOKING;
D O I
10.3390/ijerph14040431
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Relevant demographic and environmental conditions need to be understood before tailoring policies to improve mental health. Using community health survey data from 25 communities in Seoul, 2013, cross-sectional associations between mental health and community level environments were assessed. Mental health outcomes (self-rated stress levels (SRS) and depressive symptoms (DS)) were analyzed. Community environmental factors included green space, green facilities, and annual PM10 level (AnnPM(10)); socio-demographic factors included sex, age, education, labor market participation, comorbidity, sleep hours, physical activity, smoking, and drinking. A total of 23,139 people with the following characteristics participated: men (44.2%); age groups 19-39 (36.0%), 40-59 (39.4%), 60-74 (19.2%), and 75+ (5.4%). Women had higher odds ratios (OR) for SRS [OR 1.22, 95% Confidence interval (CI) 1.17-1.27] and DS [OR 1.55, 95% CI 1.42-1.71]. Regular physical activity predicted SRS [OR 0.90, 95% CI 0.84-0.95] and DS [OR 0.98, 95% CI 0.88-1.10]; current smoking and drinking were adversely associated with both SRS and DS. Higher accessibility to green space (Q4) was inversely associated with DS [OR 0.89, 95% CI 0.81-0.97] compared to lower accessibility (Q1). AnnPM(10), annual levels for particles of aerodynamic diameter <10 mu m (PM10), among communities was associated with poorer SRS [OR 1.02, 95% CI 1.00-1.04] by 10 mu g/m(3) increases. Therefore, both demographic and environmental factors should be considered to understand mental health conditions among the general population.
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页数:15
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共 40 条
[1]   Neighborhood social stressors, fine particulate matter air pollution, and cognitive function among older US adults [J].
Ailshire, Jennifer ;
Karraker, Amelia ;
Clarke, Philippa .
SOCIAL SCIENCE & MEDICINE, 2017, 172 :56-63
[2]   Environmental pollution and risk of psychotic disorders: A review of the science to date [J].
Attademo, Luigi ;
Bernardini, Francesco ;
Garinella, Raffaele ;
Compton, Michael T. .
SCHIZOPHRENIA RESEARCH, 2017, 181 :55-59
[3]  
Barua Ankur, 2010, Indian J Psychol Med, V32, P87, DOI 10.4103/0253-7176.78503
[4]  
Buser M.C., 2016, J CLIN PSYCHIAT
[5]   Beyond Proximity: The Importance of Green Space Useability to Self-Reported Health [J].
Carter, May ;
Horwitz, Pierre .
ECOHEALTH, 2014, 11 (03) :322-332
[6]   Air pollution as a risk factor for depressive episode in patients with cardiovascular disease, diabetes mellitus, or asthma [J].
Cho, Jaelim ;
Choi, Yoon Jung ;
Suh, Mina ;
Sohn, Jungwoo ;
Kim, Hyunsoo ;
Cho, Seong-Kyung ;
Ha, Kyoung Hwa ;
Kim, Changsoo ;
Shin, Dong Chun .
JOURNAL OF AFFECTIVE DISORDERS, 2014, 157 :45-51
[7]   Community study of depression in old age in Taiwan - Prevalence, life events and socio-demographic correlates [J].
Chong, MY ;
Chen, CC ;
Tsang, HY ;
Yeh, TL ;
Chen, CS ;
Lee, YH ;
Tang, TC ;
Lo, HY .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :29-35
[8]   Does Mental Health Status Influence Susceptibility to the Physiologic Effects of Air Pollution? A Population Based Study of Canadian Children [J].
Dales, Robert E. ;
Cakmak, Sabit .
PLOS ONE, 2016, 11 (12)
[9]   Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence [J].
Du, Yixing ;
Xu, Xiaohan ;
Chu, Ming ;
Guo, Yan ;
Wang, Junhong .
JOURNAL OF THORACIC DISEASE, 2016, 8 (01) :E8-E19
[10]   Stress and the urge to drink [J].
Fouquereau, E ;
Fernandez, A ;
Mullet, E ;
Sorum, PC .
ADDICTIVE BEHAVIORS, 2003, 28 (04) :669-685