scholarly journals Environmental exposures and health behavior in association with mental health: a study design

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Pauline Hautekiet ◽  
Tim S. Nawrot ◽  
Stefaan Demarest ◽  
Johan Van der Heyden ◽  
Ilse Van Overmeire ◽  
...  
Keyword(s):  
Mental Health ◽  
Air Pollution ◽  
Health Behavior ◽  
Green Space ◽  
Environmental Exposures ◽  
Health Indicators ◽  
Biological Aging ◽  
Cross Sectional ◽  
Biomarkers Of Exposure ◽  
Interesting Study

Abstract Background Air pollution, green space and smoking are known to affect human health. However, less is known about their underlying biological mechanisms. One of these mechanisms could be biological aging. In this study, we explore the mediation of biomarkers of exposure and biological aging to explain the associations between environmental exposures, health behavior and mental health. Methods The study population of this cross-sectional study (n = 1168) is a subsample of the Belgian 2018 Health Interview Survey (BHIS). Mental health indicators including psychological and severe psychological distress, life satisfaction, vitality, eating disorders, suicidal ideation, subjective health and depressive and anxiety disorders, demographics and health behavior such as smoking are derived from the BHIS. Urine and blood samples are collected to measure respectively the biomarkers of exposure (urinary black carbon (BC) and (hydroxy)cotinine) and the biomarkers of biological aging (mitochondrial DNA content (mtDNAc) and telomere length (TL)). Recent and chronic exposure (μg/m3) to nitrogen dioxide (NO2), particulate matter ≤2.5 μm (PM2.5) and ≤ 10 μm (PM10) and BC at the participants’ residence are modelled using a high resolution spatial temporal interpolation model. Residential green space is defined in buffers of different size (50 m – 5000 m) using land cover data in ArcGIS 10 software. For the statistical analysis multivariate linear and logistic regressions as well as mediation analyses are used taking into account a priori selected covariates and confounders. Results As this study combined data of BHIS and laboratory analyses, not all data is available for all participants. Therefore, data analyses will be conducted on different subsets. Data on air pollution and green space exposure is available for all BHIS participants. Questions on smoking and mental health were answered by respectively 7829 and 7213 BHIS participants. For biomarker assessment, (hydroxy) cotinine, urinary BC and the biomarkers of biological aging are measured for respectively 1130, 1120 and 985 participants. Conclusion By use of personal markers of air pollution and smoking, as well as biological aging, we will gain knowledge about the association between environmental exposures, health behavior, and the mental health status. The results of the study can provide insights on the health of the Belgian population, making it a nationwide interesting study.

Health literacy and mental health of school principals. Results from a German cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kevin Dadaczynski ◽  
Claudia Kotarski ◽  
Katharina Rathmann ◽  
Orkan Okan
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Emotional Exhaustion ◽  
Regression Models ◽  
School Principals ◽  
Health Indicators ◽  
Well Being ◽  
Work Characteristics ◽  
Cross Sectional ◽  
Content Type

PurposeSchool principals are generally seen as key facilitators for the delivery and long-term implementation of activities on school health promotion, including health literacy. However, there is little evidence on the health literacy and health status of this occupational group. The purpose of this paper is to investigate the health literacy of school principals and its association with mental health indicators.Design/methodology/approachA cross-sectional online survey with German school principals and members of the management board (vice principals) was conducted (n = 680, 68.3% female). Demographic (gender, age) and work characteristics (type of school, professional role) as well as health literacy served as independent variables. Mental health as a dependent variable included well-being, emotional exhaustion and psychosomatic complaints. Next to uni- and bivariate analysis, a series of binary logistic regression models was performed.FindingsOf the respondents, 29.2% showed a limited health literacy with significant differences to the disadvantage of male principals. With regard to mental health, respondents aged over 60 years and those from schools for children with special educational needs were less often affected by low well-being as well as frequent emotional exhaustion and psychosomatic complaints. Taking into account demographic and work characteristics, regression models revealed significant associations between a low level of health literacy and poor mental health across all indicators.Research limitations/implicationsThe cross-sectional nature of this study does not allow to draw conclusions about the causal pathways between health literacy and mental health. Although the sample has been weighted, the results cannot be generalized to the whole population of school principals. There is a need for evidence-based interventions aiming at promoting health literacy and mental health tailored to the needs of school principals.Originality/valueThis is the first study to investigate health literacy and its association with health indicators among school principals.

scholarly journals Social Media Activities, Emotion Regulation Strategies, and Their Interactions on People’s Mental Health in COVID-19 Pandemic

2020 ◽  
Vol 17 (23) ◽  
pp. 8931 ◽  
Author(s):  
Yang Yang ◽  
Keqiao Liu ◽  
Siqi Li ◽  
Man Shu
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Emotion Regulation ◽  
Online Survey ◽  
Health Indicators ◽  
Well Being ◽  
Emotion Regulation Strategies ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Regulation Strategies

The COVID-19 pandemic has dramatically changed the general population’s life worldwide. People may spend more time on social media because of policies like “work at home”. Using a cross-sectional dataset collected through an online survey in February 2020, in China, we examined (1) the relationships between social media activities and people’s mental health status and (2) the moderation effect of emotional-regulation strategies. The sample included people aged ≥18 years from 32 provinces and regions in China (N = 3159). The inferential analyses included a set of multiple linear regressions with interactions. Our results showed that sharing timely, accurate, and positive COVID-19 information, reducing excessive discussions on COVID-19, and promoting caring online interactions rather than being judgmental, might positively associate with the general public’s psychological well-being. Additionally, the relationships between social media activities and psychological well-being varied at different emotion-regulation strategy levels. Adopting the cognitive reappraisal strategy might allay the adverse relationships between certain social media activities and mental health indicators. Our findings expanded the theory of how social media activities can be associated with a human being’s mental health and how it can interact with emotion-regulation strategies during the COVID-19 pandemic.

scholarly journals Effect of changes in green spaces on mental health in older adults: a fixed effects analysis

2019 ◽  
Vol 74 (1) ◽  
pp. 48-56 ◽  
Author(s):  
J Mark Noordzij ◽  
Marielle A Beenackers ◽  
Joost Oude Groeniger ◽  
Frank J Van Lenthe
Keyword(s):  
Mental Health ◽  
Fixed Effects ◽  
Green Space ◽  
Residential Environment ◽  
Green Spaces ◽  
Cross Sectional ◽  
Urban Green Spaces ◽  
Using Data ◽  
Sectional Analysis

BackgroundUrban green spaces have been linked to different health benefits, but longitudinal studies on the effect of green spaces on mental health are sparse and evidence often inconclusive. Our objective was to study the effect of changes in green spaces in the residential environment on changes in mental health using data with 10 years of follow-up (2004–2014).MethodsData from 3175 Dutch adults were linked to accessibility and availability measures of green spaces at three time points (2004/2011/2014). Mental health was measured with the Mental Health Inventory-5. Fixed effects analyses were performed to assess the effect of changes in green spaces on mental health.ResultsCross-sectional analysis of baseline data showed significant associations between Euclidean distances to the nearest green space and mental health, with an increase of 100 m correlating with a lower mental health score of approximately 0.5 (95% CI −0.87 to −0.12) on a 0–100 scale. Fixed effects models showed no evidence for associations between changes in green spaces and changes in mental health both for the entire sample as well as for those that did not relocate during follow-up.ConclusionsDespite observed cross-sectional correlations between the accessibility of green space in the residential environment and mental health, no evidence was found for an association between changes in green spaces and changes in mental health. If mental health and green spaces are indeed causally linked, then changes in green spaces in the Eindhoven area between 2004 and 2014 are not enough to produce a significant effect.

scholarly journals A Review of the Epidemiological Methods Used to Investigate the Health Impacts of Air Pollution around Major Industrial Areas

2013 ◽  
Vol 2013 ◽  
pp. 1-17 ◽  
Author(s):  
Mathilde Pascal ◽  
Laurence Pascal ◽  
Marie-Laure Bidondo ◽  
Amandine Cochet ◽  
Hélène Sarter ◽  
...  
Keyword(s):  
Air Pollution ◽  
Birth Outcome ◽  
Respiratory Health ◽  
Health Indicators ◽  
Epidemiological Studies ◽  
Epidemiological Methods ◽  
Multicenter Studies ◽  
Cross Sectional ◽  
Industrial Areas ◽  
Statistical Designs

We performed a literature review to investigate how epidemiological studies have been used to assess the health consequences of living in the vicinity of industries. 77 papers on the chronic effects of air pollution around major industrial areas were reviewed. Major health themes were cancers (27 studies), morbidity (25 studies), mortality (7 studies), and birth outcome (7 studies). Only 3 studies investigated mental health. While studies were available from many different countries, a majority of papers came from the United Kingdom, Italy, and Spain. Several studies were motivated by concerns from the population or by previous observations of an overincidence of cases. Geographical ecological designs were largely used for studying cancer and mortality, including statistical designs to quantify a relationship between health indicators and exposure. Morbidity was frequently investigated through cross-sectional surveys on the respiratory health of children. Few multicenter studies were performed. In a majority of papers, exposed areas were defined based on the distance to the industry and were located from <2 km to >20 km from the plants. Improving the exposure assessment would be an asset to future studies. Criteria to include industries in multicenter studies should be defined.

scholarly journals Cross-sectional and prospective associations of sleep, sedentary and active behaviors with mental health in older people: a compositional data analysis from the Seniors-ENRICA-2 study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Verónica Cabanas-Sánchez ◽  
Irene Esteban-Cornejo ◽  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Ignacio Ara ◽  
...  
Keyword(s):  
Mental Health ◽  
Data Analysis ◽  
Older People ◽  
Time Use ◽  
Compositional Data ◽  
Global Mental Health ◽  
Health Indicators ◽  
Depression Symptoms ◽  
Compositional Data Analysis ◽  
Cross Sectional

Abstract Background Most studies on the effects of sleep, sedentary behavior (SB), and physical activity (PA) on mental health did not account for the intrinsically compositional nature of the time spent in several behaviors. Thus, we examined the cross-sectional and prospective associations of device-measured compositional time in sleep, SB, light PA (LPA) and moderate-to-vigorous PA (MVPA) with depression symptoms, loneliness, happiness, and global mental health in older people (≥ 65 years). Methods Data were taken from the Seniors-ENRICA-2 study, with assessments in 2015–2017 (wave 0) and 2018–2019 (wave 1). Time spent in sleep, SB, LPA and MVPA was assessed by wrist-worn accelerometers. Depression symptoms, loneliness, happiness, and global mental health were self-reported using validated questionnaires. Analyses were performed using a compositional data analysis (CoDA) paradigm and adjusted for potential confounders. Results In cross-sectional analyses at wave 0 (n = 2489), time-use composition as a whole was associated with depression and happiness (all p < 0.01). The time spent in MVPA relative to other behaviors was beneficially associated with depression (γ = -0.397, p < 0.001), loneliness (γ = -0.124, p = 0.017) and happiness (γ = 0.243, p < 0.001). Hypothetically, replacing 30-min of Sleep, SB or LPA with MVPA was beneficially cross-sectionally related with depression (effect size [ES] ranged -0.326 to -0.246), loneliness (ES ranged -0.118 to -0.073), and happiness (ES ranged 0.152 to 0.172). In prospective analyses (n = 1679), MVPA relative to other behaviors at baseline, was associated with favorable changes in global mental health (γ = 0.892, p = 0.049). We observed a beneficial prospective effect on global mental health when 30-min of sleep (ES = 0.521), SB (ES = 0.479) or LPA (ES = 0.755) were theoretically replaced for MVPA. Conclusions MVPA was cross-sectionally related with reduced depression symptoms and loneliness and elevated level of happiness, and prospectively related with enhanced global mental health. Compositional isotemporal analyses showed that hypothetically replacing sleep, SB or LPA with MVPA could result in modest but significantly improvements on mental health indicators. Our findings add evidence to the emerging body of research on 24-h time-use and health using CoDA and suggest an integrated role of daily behaviors on mental health in older people.

scholarly journals Time trends in mental health indicators during the initial 16 months of the COVID-19 pandemic in Denmark

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle T. Pedersen ◽  
Thea O. Andersen ◽  
Amy Clotworthy ◽  
Andreas K. Jensen ◽  
Katrine Strandberg-Larsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Time Series ◽  
Mental Illness ◽  
Chronic Illness ◽  
Time Trends ◽  
Time Series Data ◽  
Health Indicators ◽  
Series Data ◽  
Cross Sectional ◽  
Mental Health Questionnaire

Abstract Background The COVID-19 pandemic and its associated national lockdowns have been linked to deteriorations in mental health worldwide. A number of studies analysed changes in mental health indicators during the pandemic; however, these studies generally had a small number of timepoints, and focused on the initial months of the pandemic. Furthermore, most studies followed-up the same individuals, resulting in significant loss to follow-up and biased estimates of mental health and its change. Here we report on time trends in key mental health indicators amongst Danish adults over the course of the pandemic (March 2020 - July 2021) focusing on subgroups defined by gender, age, and self-reported previously diagnosed chronic and/or mental illness. Methods We used time-series data collected by Epinion (N=8,261) with 43 timepoints between 20 March 2020 and 22 July 2021. Using a repeated cross-sectional study design, independent sets of individuals were asked to respond to the Copenhagen Corona-Related Mental Health questionnaire at each timepoint, and data was weighted to population proportions. The six mental health indicators examined were loneliness, anxiety, social isolation, quality of life, COVID-19-related worries, and the mental health scale. Gender, age, and the presence of previously diagnosed mental and/or chronic illness were used to stratify the population into subgroups for comparisons. Results Poorer mental health were observed during the strictest phases of the lockdowns, whereas better outcomes occurred during reopening phases. Women, young individuals (<34 yrs), and those with a mental- and/or chronic illness demonstrated poorer mean time-series than others. Those with a pre-existing mental illness further had a less reactive mental health time-series. The greatest differences between women/men and younger/older age groups were observed during the second lockdown. Conclusions People with mental illness have reported disadvantageous but stable levels of mental health indicators during the pandemic thus far, and they seem to be less affected by the factors that result in fluctuating time-series in other subgroups.

scholarly journals Do Physical Activity, Social Cohesion, and Loneliness Mediate the Association Between Time Spent Visiting Green Space and Mental Health?

2017 ◽  
Vol 51 (2) ◽  
pp. 144-166 ◽  
Author(s):  
Magdalena M. van den Berg ◽  
Mireille van Poppel ◽  
Irene van Kamp ◽  
Annemarie Ruijsbroek ◽  
Margarita Triguero-Mas ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Cohesion ◽  
Leisure Time ◽  
Green Space ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Multiple Mediation ◽  
Cross Sectional ◽  
Mediation Analyses

This cross-sectional study investigated whether physical activity, social cohesion, and loneliness mediate the association between time spent visiting green spaces and perceived mental health and vitality. Questionnaire data were collected from 3,948 residents from 124 neighborhoods across four European cities. Multilevel linear regression analysis revealed positive, but weak, associations between time spent visiting green space and Medical Outcome Study Short Form (SF-36) mental health and vitality score, which suggest small mental health benefits. Single mediation analyses showed that different indicators of physical activity (total, during leisure time, and walking during leisure time), social cohesion, and loneliness were mediators. Multiple mediation analyses showed that physical activity during leisure time and loneliness may explain about 25% of the relationship. The unmediated part of the association suggests that other mediators may explain the association.

scholarly journals Relationships Between Youth Sports Participation and Mental Health in Young Adulthood Among Finnish Males

2017 ◽  
Vol 32 (7) ◽  
pp. 1502-1509 ◽  
Author(s):  
Kaija Appelqvist-Schmidlechner ◽  
Jani Vaara ◽  
Arja Häkkinen ◽  
Tommi Vasankari ◽  
Juha Mäkinen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Behavior ◽  
Young Adulthood ◽  
Mental Distress ◽  
Short Form ◽  
Sports Participation ◽  
Well Being ◽  
Short Version ◽  
Cross Sectional ◽  
Mental Well Being

Purpose: To examine whether retrospectively assessed sports participation (SP) and competitive sports (CS) at the age of 12 years is associated with mental health and health behavior in young adulthood among males. Design: A cross-sectional study using self-administered questionnaires. Setting: Conducted prior to compulsory military refresher training course in Finland allowing geographically representative sample of Finnish young men. Participants: Six hundred eighty males aged between 20 and 35 years. Measures: Mental well-being was measured with the short version of Warwick-Edinburgh Mental Well-Being Scale and mental distress with 5 items of The Short Form Helalth Survey (SF-36) scale. Analysis: Binary logistic regression models. Results: Sports participation at the age of 12 was associated with better mental health in young adulthood, with both mental well-being (odds ratio [OR] = 1.86, 95% confidence interval 1.11-3.11) and mental distress (OR = 0.61, 0.41-0.90). Age, years of education, and current physical activity were controlled. Higher level of intensity of SP and the level of CS in childhood were associated with lower level of mental distress in adulthood. No association was found between the level of CS in childhood and mental well-being in adulthood. Further, youth SP seemed to be a risk factor for increased alcohol consumption and use of snuff in adulthood. Conclusions: Despite negative outcomes related to health behavior, the findings provide support for the association between youth SP and positive mental health outcomes in adulthood among males.

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