The social determinants of mental health and disorder: evidence, prevention and recommendations

World Psychiatry, Год журнала: 2024, Номер 23(1), С. 58 - 90

Опубликована: Янв. 12, 2024

People exposed to more unfavourable social circumstances are vulnerable poor mental health over their life course, in ways that often determined by structural factors which generate and perpetuate intergenerational cycles of disadvantage health. Addressing these challenges is an imperative matter justice. In this paper we provide a roadmap address the determinants cause ill Relying as far possible on high-quality evidence, first map out literature supports causal link between later outcomes. Given breadth topic, focus most pervasive across those common major disorders. We draw primarily available evidence from Global North, acknowledging other global contexts will face both similar unique sets require equitable attention. Much our focuses groups who marginalized, thus multitude intersecting risk factors. These include refugees, asylum seekers displaced persons, well ethnoracial minoritized groups; lesbian, gay, bisexual, transgender queer (LGBTQ+) living poverty. then introduce preventive framework for conceptualizing disorder, can guide much needed primary prevention strategies capable reducing inequalities improving population Following this, review concerning candidate intervene interventions fall broadly within scope universal, selected indicated strategies, but also briefly important secondary tertiary promote recovery with existing Finally, seven key recommendations, framed around justice, constitute action research, policy public Adoption recommendations would opportunity advance efforts modifiable affect

Язык: Английский

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Green space exposure on depression and anxiety outcomes: A meta-analysis

Environmental Research, Год журнала: 2023, Номер 231, С. 116303 - 116303

Опубликована: Июнь 1, 2023

Язык: Английский

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Factors influencing the effectiveness of nature-based interventions (NBIs) aimed at improving mental health and wellbeing: An umbrella review

Environment International, Год журнала: 2025, Номер unknown, С. 109217 - 109217

Опубликована: Янв. 1, 2025

Several systematic reviews support nature-based interventions (NBIs) as a mechanism of enhancing mental health and wellbeing. However, the available evidence for effectiveness these is fragmentary mixed. The heterogeneity existing significant fragmentation knowledge within field make it difficult to draw firm conclusions regarding NBIs. This can only limit development personal planetary wellbeing, potentially resulting in ineffective ill-targeted investment decisions. These concerns have hindered translation research into practice guidelines are urgently required assist researchers, practitioners policymakers developing promote environmental stewardship meet needs diverse communities. A higher-order or meta-level synthesis sense this evidence. umbrella review synthesises on barriers enablers through summative published meta-analyses. search PsycINFO, PubMed, Greenfile, Web Science, Embase, Scopus, Academic Search Complete (EBSCO), Environment Cochrane Library, CINAHL, Health Policy Reference Centre Google Scholar was performed. mixed method review, with both quantitative qualitative data were included. 64 included synthesis. descriptive data, extracted from each study, forms an overview characteristics interventions. narrative used present potential factors influencing outcomes risk bias assessed using 16-item Assessment Multiple Systematic Reviews 2 (AMSTAR2) checklist. Directions future research, quality recommendations policymaking, discusssed.

Язык: Английский

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The relationship between urban green space and social health of individuals: A scoping review

Urban forestry & urban greening, Год журнала: 2023, Номер 85, С. 127969 - 127969

Опубликована: Май 16, 2023

Язык: Английский

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The contribution of urban green and blue spaces to the United Nation's Sustainable Development Goals: An evidence gap map

Cities, Год журнала: 2023, Номер 145, С. 104706 - 104706

Опубликована: Дек. 6, 2023

Urban green and blue spaces (UGBS) have the potential to make a significant contribution United Nation's Sustainable Development Goals (SDGs). Research shows need for UGBS mitigate adverse environmental impacts of urbanisation provide equitable access resources that reduce social health inequalities. However, no previous review has attempted consolidate this evidence within context SDGs. The aim study was pertaining role in achieving SDGs identify important knowledge gaps. Using systematic methods, we developed an gap map literature explores achievement Five databases (Scopus, MEDLINE, PubMed, EMBASE, GreenFILE) were searched studies published since 2015 investigated at least one outcome corresponded Following screening, characteristics extracted, data imported into EPPI-Mapper create interactive map. In total n = 1872 identified. 181 eligible included synthesis. majority focused on impact wellbeing (SDG3; 115), pollution, urban heat island effects (SDG11 SDG13; 73 46, respectively). not addressed by SDG5 (gender equality), SDG9 (industry, innovation infrastructure), SDG12 (responsible consumptions production), SDG14 (life below water) SDG17 (partnership goals). addition, there relative lack conducted low- middle-income countries. Theoretically, could contribute 15 17 More research is needed address gaps towards 5,9, 12. Related countries must also be accelerated more assesses multifunctional benefits UGBS, drawing explicit links between

Язык: Английский

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Ambient greenness, access to local green spaces, and subsequent mental health: a 10-year longitudinal dynamic panel study of 2·3 million adults in Wales

The Lancet Planetary Health, Год журнала: 2023, Номер 7(10), С. e809 - e818

Опубликована: Окт. 1, 2023

Living in greener areas, or close to green and blue spaces (GBS; eg, parks, lakes, beaches), is associated with better mental health, but longitudinal evidence when GBS exposures precede outcomes less available. We aimed analyse the effect of living moving areas more space access on subsequent adult health over time, while explicitly considering inequalities.A cohort people Wales, UK (≥16 years; n=2 341 591) was constructed from electronic record data sources Jan 1, 2008 Oct 31, 2019, comprising 19 141 896 person-years follow-up. Household ambient greenness (Enhanced Vegetation Index [EVI]), (counts, distance nearest), common disorders (CMD, based a validated algorithm combining current diagnoses symptoms anxiety depression [treated untreated preceding 1-year period], treatment historical before [up 8 years previously, 2000], where diagnosis preceded treatment) were record-linked. Cumulative exposure values created for each adult, censoring CMD, migration out death, end cohort. Exposure CMD associations evaluated using multivariate logistic regression, stratified by area-level deprivation.After adjustment, greater time (+0·1 increased EVI 0-1 scale) lower odds (adjusted ratio 0·80, 95% CI 0·80-0·81), combination (treated period), treatments. Ten percentile points later (0·93, 0·93-0·93). Every additional 360 m nearest higher (1·05, 1·04-1·05). found that positive effects appeared be deprived quintiles.Ambient greatest reduced risk particularly those who live communities. These findings support authorities responsible GBS, are attempting engage planners policy makers, ensure meets residents' needs.National Institute Health Care Research Public programme.

Язык: Английский

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The effects of neighbourhood green spaces on mental health of disadvantaged groups: a systematic review

Humanities and Social Sciences Communications, Год журнала: 2024, Номер 11(1)

Опубликована: Апрель 5, 2024

Abstract Mental disorders affect many different groups around the world, and disadvantaged are often more severely affected. Neighbourhood green spaces (GS) can improve mental health, especially in groups. Many countries address social inequality inequity through GS interventions. However, current evidence shows inconsistencies, which may result from study site, research design, socio-demographically diverse samples, inclusivity considerations, metrics used to quantify exposure health benefits. Few conceptual models explain how neighbourhood greenery act as a structural intervention. We Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) method retrieved 5559 documents eight databases examine whether modify associations found that had substantial protective effects on of people influenced by quality than other exposures, such usage, distance, accessibility. Improvements subjective well-being were most pronounced terms outcomes. Mechanistically, improves mainly increased cohesion and, visibility, young receive further benefits physical activity (PA). These findings offer comprehensive understanding mechanisms between groups, addressing equities induced unfair distribution GS, thus promoting health-oriented environmental planning policies.

Язык: Английский

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Time outdoors and residential greenness are associated with reduced systemic inflammation and allostatic load

Environmental Pollution, Год журнала: 2024, Номер 344, С. 123408 - 123408

Опубликована: Янв. 24, 2024

Язык: Английский

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Greater residential greenness is associated with reduced epigenetic aging in adults

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Янв. 28, 2025

Abstract Potential pathways linking urban green spaces to improved health include relaxation, stress alleviation, and immune system functioning. Epigenetic age acceleration (EAA) is a composite biomarker of biological aging based on DNA methylation measurements; it predictive morbidity mortality. This cross-sectional study 116 adult residents metropolitan area in central North Carolina investigated associations between exposure residential EAA using four previously developed epigenetic formulas. tests white blood cells were conducted Illumina MethylationEPIC v1.0 assays. values calculated as residuals from the linear regression model chronological age. Residential greenness was characterized tree cover, total vegetated land normalized difference vegetation index (NDVI) data. An interquartile range (IQR) increase distance-to-residence weighted average within 500 m residence consistently associated with reduced adjusted for sociodemographic covariates, smoking status, cell fractions, two-dimensional spline function geographic coordinates. The reduction estimates measures ranged − 1.0 1.6 years 1.2 1.5 0.9 1.3 NDVI; 11 12 statistically significant ( p < 0.05). produced new evidence greater near residences.

Язык: Английский

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Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication

Occupational and Environmental Medicine, Год журнала: 2023, Номер 80(2), С. 111 - 118

Опубликована: Янв. 16, 2023

Background Exposure to natural environments is thought be beneficial for human health, but the evidence inconsistent. Objective To examine whether exposure green and blue spaces in urban associated with mental physical health Finland. Methods The Helsinki Capital Region Environmental Health Survey was conducted 2015−2016 Helsinki, Espoo Vantaa Finland (n=7321). Cross-sectional associations of amounts residential within 1 km radius around respondent’s home (based on Urban Atlas 2012), views from space visits self-reported use psychotropic (anxiolytics, hypnotics antidepressants), antihypertensive asthma medication were examined using logistic regression models. Indicators behaviour, traffic-related outdoor air pollution noise socioeconomic status (SES) used as covariates, last these also a potential effect modifier. Results Amounts or not medications. However, frequency lower odds (OR=0.67, 95% CI 0.55 0.82 3–4 times/week; 0.78, 0.63 0.96 ≥5 times/week) (0.64, 0.52 0.78; 0.59, 0.48 0.74, respectively) (0.74, 0.58 0.94; 0.76, 0.59 0.99, use. observed attenuated by body mass index, no consistent interactions SES indicators observed. Conclusions Frequent visits, spaces, home, less frequent psychotropic, environments.

Язык: Английский

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