scholarly journals Understanding urbanicity: how interdisciplinary methods help to unravel the effects of the city on mental health

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Lydia Krabbendam ◽  
Mark van Vugt ◽  
Philippe Conus ◽  
Ola Söderström ◽  
Lilith Abrahamyan Empson ◽  
...  

Abstract Twenty-first century urbanization poses increasing challenges for mental health. Epidemiological studies have shown that mental health problems often accumulate in urban areas, compared to rural areas, and suggested possible underlying causes associated with the social and physical urban environments. Emerging work indicates complex urban effects that depend on many individual and contextual factors at the neighbourhood and country level and novel experimental work is starting to dissect potential underlying mechanisms. This review summarizes findings from epidemiology and population-based studies, neuroscience, experimental and experience-based research and illustrates how a combined approach can move the field towards an increased understanding of the urbanicity-mental health nexus.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xiu Zhang ◽  
Mengjie Li ◽  
Li Guo ◽  
Yanna Zhu

Abstract Background With rapid development of China’s economy, there were over 68.7 million left-behind children (LBC) in China whose mental health has become a problem of public concern. The present cross-sectional study aimed to investigate the status of mental health and its associated factors of LBC aged 3–16 years old in both rural and urban areas. Methods A total of 4187 children (aged 3–16), including 1471 LBC and 2716 non-left-behind children (NLBC), were recruited from 50 communities (22 in urban areas and 28 in rural areas) in Guangdong, China in August, 2014. The mental health problems were assessed using the Strength and Difficulties Questionnaire (SDQ). Results No statistically significant difference of SDQ subscales scores about difficulties were found between LBC and NLBC on the whole participants as well as in rural areas or in urban areas within the same age group after adjustments were made (all p > 0.05). However, compared with NLBC in the same areas, urban LBC tended to have higher prosocial behaviours scores, while rural LBC had the lowest prosocial behaviours scores not only in the whole age group but also in different age subgroups (p < 0.05). Besides, compared with urban LBC, rural LBC were not worse in SDQ subscales scores except for prosocial behaviour at 7–9 age group (p = 0.003). Furthermore, higher paternal educational level and longer duration of parental absence, were associated with less difficulties in both rural and urban LBC. Besides, shorter duration of talk per-time but higher communication frequency were associated with less difficulties in rural LBC. Conclusions The present study demonstrated that in general, no difference of mental health problems were found between LBC and NLBC. Besides, longer duration of parental absence, shorter duration of talk per time but more communication frequency, and higher paternal educational level tend to have better development of mental health. The findings reinforce the importance of the stability of caregivers and the effective parent-child communication for Chinese rural LBC.


2019 ◽  
Author(s):  
Xiu Zhang ◽  
Mengjie Li ◽  
Li Guo ◽  
Yanna Zhu

Abstract Background With rapid development of China’s economy, there were over 68.7 million left-behind children (LBC) in China whose mental health has become a problem of public concern. The present cross-sectional study aimed to investigate the status of mental health and its associated factors of LBC aged 3-16 years old in both rural and urban areas. Methods A total of 4187 children (aged 3-16), including 1471 LBC and 2716 non-left-behind children (NLBC), were recruited from 50 communities (22 in urban areas and 28 in rural areas) in Guangdong, China in August, 2014. The mental health problems were assessed using the Strength and Difficulties Questionnaire (SDQ). Results No statistically significant difference of SDQ subscales scores about difficulties were found between LBC and NLBC on the whole participants as well as in rural areas or in urban areas within the same age group after adjustments were made (all p>0.05). However, compared with NLBC in the same areas, urban LBC tended to have higher prosocial behaviours scores, while rural LBC had the lowest prosocial behaviours scores not only in the whole age group but also in different age subgroups (p<0.05). Besides, compared with urban LBC, rural LBC were not worse in SDQ subscales scores except for prosocial behaviour at 7-9 age group (p=0.003). Furthermore, longer duration of parental absence (β=-0.184 to -0.103) and lower communication frequency (β=0.085 to 0.121) were associated with less difficulties in both rural and urban LBC. Higher paternal educational level (β=-2.736 to -0.085) and longer duration of talk per-time (β=-0.183 to -0.113) were associated with less difficulties in rural LBC. Conclusions The present study demonstrated that in general, no difference of mental health problems were found between LBC and NLBC. The finding reinforce the importance of the stability of caregivers and the effective parent-child communication for Chinese rural LBC.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Hassan Emamian ◽  
Hossein Ebrahimi ◽  
Hassan Hashemi ◽  
Akbar Fotouhi

Abstract Background Previous studies have reported a high prevalence of hypertension in Iranian students, especially in rural areas. The aim of this study was to investigate the daily intake of salt in students and its association with high blood pressure. Methods A random sub-sample was selected from the participants of the second phase of Shahroud schoolchildren eye cohort study and then a random urine sample was tested for sodium, potassium and creatinine. Urine electrolyte esexcretion and daily salt intake were calculated by Tanaka et al.’s formula. Results Among 1455 participants (including 230 participants from rural area and 472 girls), the mean age was 12.9 ± 1.7 year and the mean daily salt intake was 9.7 ± 2.6 g (95% CI 9.5–9.8). The mean salt consumption in rural areas [10.8 (95% CI 10.4–11.2)] was higher than urban areas [9.4 (95% CI 9.3–9.6)], in people with hypertension [10.8 (95% CI 10.3–11.3)] was more than people with normal blood pressure [9.4 (95% CI 9.3–9.6)], and in boys [9.8 (95% CI 9.7–10.0)] was more than girls [9.3 (95% CI 9.1–9.6)]. Higher age, BMI z-score, male sex and rural life, were associated with increased daily salt intake. Increased salt intake was associated with increased systolic and diastolic blood pressure. Conclusion Daily salt intake in Iranian adolescents was about 2 times the recommended amount of the World Health Organization, was higher in rural areas and was associated with blood pressure. Reducing salt intake should be considered as an important intervention, especially in rural areas.


Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 119
Author(s):  
Norhafizah Sahril ◽  
Noor Ani Ahmad ◽  
Idayu Badilla Idris ◽  
Rajini Sooryanarayana ◽  
Mohamad Aznuddin Abd Razak

Mental health problems are a major public health issue, particularly among children. They impair children’s development, academic achievement, and ability to live a productive life. The present study aimed to determine the prevalence and factors associated with mental health problems among children aged 5 to 15 years old in Malaysia. Data from the National Health and Morbidity Survey (NHMS) 2015 were analyzed. A validated Strengths and Difficulties Questionnaire (SDQ) was used. The overall prevalence of mental health problems among children in Malaysia was 11.1%. Multiple logistic regression analysis revealed that for every year increment in age, mental health problems decreased by 5%. Further analysis found that children who had fathers with a non-formal education and worked in the private sector, had parents who were widowed or divorced, and had either parent with mental health problems were more likely to have mental health problems themselves. Children from the lower socioeconomic group and who had either parent with mental health problems had higher odds of having mental health problems in Malaysia.


2019 ◽  
Vol 53 (1) ◽  
pp. 54-75 ◽  
Author(s):  
Ryan A. Brown ◽  
Daniel L. Dickerson ◽  
David J. Klein ◽  
Denis Agniel ◽  
Carrie L. Johnson ◽  
...  

American Indian and Alaska Native (AI/AN) youth exhibit multiple health disparities, including high rates of alcohol and other drug (AOD) use, violence and delinquency, and mental health problems. Approximately 70% of AI/AN youth reside in urban areas, where negative outcomes on behavioral health and well-being are often high. Identity development may be particularly complex in urban settings, where youth may face more fragmented and lower density AI/AN communities, as well as mixed racial-ethnic ancestry and decreased familiarity with AI/AN lifeways. This study examines racial-ethnic and cultural identity among AI/AN adolescents and associations with behavioral health and well-being by analyzing quantitative data collected from a baseline assessment of 185 AI/AN urban adolescents from California who were part of a substance use intervention study. Adolescents who identified as AI/AN on their survey reported better mental health, less alcohol and marijuana use, lower rates of delinquency, and increased happiness and spiritual health.


BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Matthew Sunderland ◽  
Natacha Carragher ◽  
Jacqueline L. Brewer

BackgroundCommunity-based screening for mental health problems may increase service use through feedback to individuals about their severity of symptoms and provision of contacts for appropriate services.AimsThe effect of symptom feedback on service use was assessed. Secondary outcomes included symptom change and study attrition.MethodUsing online recruitment, 2773 participants completed a comprehensive survey including screening for depression (n=1366) or social anxiety (n=1407). Across these two versions, approximately half (n=1342) of the participants were then randomly allocated to receive tailored feedback. Participants were reassessed after 3 months (Australian New Zealand Clinical Trials Registry ANZCTR12614000324617).ResultsA negative effect of providing social anxiety feedback to individuals was observed, with significant reductions in professional service use. Greater attrition and lower intentions to seek help were also observed after feedback.ConclusionsOnline mental health screening with feedback is not effective for promoting professional service use. Alternative models of online screening require further investigation.


2021 ◽  
Author(s):  
Shiran Havivi ◽  
Stanley R. Rotman ◽  
Dan G. Blumberg ◽  
Shimrit Maman

&lt;p&gt;The damage caused by a natural disaster in rural areas differs in nature, extent, landscape and in structure, from the damage in urban environments. Previous and current studies focus mainly on mapping damaged structures in urban areas after catastrophe events such as an earthquake or tsunami. Yet, research focusing on the damage level or its distribution in rural areas is absent. In order to apply an emergency response and for effective disaster management, it is necessary to understand and characterize the nature of the damage in each different environment.&amp;#160;&lt;/p&gt;&lt;p&gt;Havivi et al. (2018), published a damage assessment algorithm that makes use of SAR images combined with optical data, for rapid mapping and compiling a damage assessment map following a natural disaster. The affected areas are analyzed using interferometric SAR (InSAR) coherence. To overcome the loss of coherence caused by changes in vegetation, optical images are used to produce a mask by computing the Normalized Difference Vegetation Index (NDVI) and removing the vegetated area from the scene. Due to the differences in geomorphological settings and landuse\landcover between rural and urban settlements, the above algorithm is modified and adjusted by inserting the Modified Normalized Difference Water Index (MNDWI) to better suit rural environments and their unique response after a disaster. MNDWI is used for detection, identification and extraction of waterbodies (such as irrigation canals, streams, rivers, lakes, etc.), allowing their removal which causes lack of coherence at the post stage of the event. Furthermore, it is used as an indicator for highlighting prone regions that might be severely affected pre disaster event. Thresholds are determined for the co-event coherence map (&amp;#8804; 0.5), the NDVI (&amp;#8805; 0.4) and the MNDWI (&amp;#8805; 0), and the three layers are combined into one. Based on the combined map, a damage assessment map is generated.&amp;#160;&lt;/p&gt;&lt;p&gt;As a case study, this algorithm was applied to the areas affected by multi-hazard event, following the Sulawesi earthquake and subsequent tsunami in Palu, Indonesia, which occurred on September 28th, 2018. High-resolution COSMO-SkyMed images pre and post the event, alongside a Sentinel-2 image pre- event are used as inputs. The output damage assessment map provides a quantitative assessment and spatial distribution of the damage in both the rural and urban environments. The results highlight the applicability of the algorithm for a variety of disaster events and sensors. In addition, the results enhance the contribution of the water component to the analysis pre and post the event in rural areas. Thus, while in urban regions the spatial extent of the damage will occur in its proximity to the coastline or the fault, rural regions, even in significant distance will experience extensive damage due secondary hazards as liquefaction processes.&amp;#160; &amp;#160; &amp;#160;&lt;/p&gt;


2009 ◽  
Vol 14 (2) ◽  
pp. 487-496 ◽  
Author(s):  
Cristiane Seixas Duarte ◽  
Isabel Altenfelder Santos Bordin ◽  
Genevieve Rachel Green ◽  
Christina W. Hoven

This paper examines challenges and current issues involved in measuring exposure to different types of violence which are associated mental health problems in children and adolescents. Standardized measures suitable for epidemiological studies, selected based on their relevance in the current literature, are briefly described and commented. The assessment of child's exposure to violence may focus on a specific event (e.g., kidnapping), a specific context (e.g., war) or even of a certain type of exposure (e.g., intrafamilial physical violence). The assessment of child mental health after exposure to violence has traditionally focused on posttraumatic stress disorder (PTSD) - most frequently measured through non-diagnostic scales. However, other mental health reactions may be present and screening as well as diagnostic instruments which may be used to assess these reactions are also described. Two issues of emerging importance - the assessment of impairment and of traumatic grief in children - are also presented. Availability of culturally appropriate instruments is a crucial step towards proper identification of child mental health problems after exposure to violence.


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