Going outdoors, neighbourhood satisfaction and mental health and wellbeing during a COVID-19 lockdown: A fixed-effects analysis

2021 ◽  
Author(s):  
Sarah Stock ◽  
Feifei Bu ◽  
Daisy Fancourt ◽  
Hei Wan Mak
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Fixed Effects ◽  
Living Arrangement ◽  
Positive Association ◽  
Social Study ◽  
Anxiety Symptoms ◽  
Health And Wellbeing ◽  
Longitudinal Association ◽  
The Uk

The COVID-19 pandemic led to national lockdowns in countries around the world. Whilst lockdowns were shown to be effective in reducing the spread of disease, they were also associated with adverse effects on people’s mental health and wellbeing. Previous studies have suggested that time spent outside may have played a role in mitigating these negative effects, but research on this topic remains limited. Therefore, this study was designed to explore the longitudinal associations between going outdoors and people’s mental health and wellbeing during the first national lockdown (March-May 2020) in the UK. Data from 35,301 participants from the COVID-19 Social Study were analysed. Fixed effects regression was used to explore the longitudinal association between changes in going outdoors (the number of days spent outside) and changes in depressive symptoms, anxiety symptoms, life satisfaction and loneliness. A range of household and neighbourhood moderators were examined. Results show that an increase in the number of days spent outside was associated with decreases in depressive and anxiety symptoms and an increase in life satisfaction. No longitudinal association was found with loneliness. Further analysis revealed some moderating effects of household and neighbourhood factors, including living arrangement, perceived walkability satisfaction, and satisfaction with green space/park within neighbourhood. Overall, our analyses showed a positive association between going outdoors and improved mental health and wellbeing during the first COVID-19 lockdown in the UK. Associations were more salient amongst people living with others, and those with greater satisfaction with their neighbourhood walkability and green spaces. These findings are important for formulating guidance for people to stay well at home during pandemics and for the on-going nature-based social prescribing scheme.

scholarly journals Time-use and mental health during the COVID-19 pandemic: a panel analysis of 55,204 adults followed across 11 weeks of lockdown in the UK

2020 ◽  
Author(s):  
Feifei Bu ◽  
Andrew Steptoe ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Time Use ◽  
Fixed Effects ◽  
Panel Study ◽  
Social Study ◽  
Panel Analysis ◽  
The Public ◽  
Health And Wellbeing ◽  
The Uk ◽  
The Impact

There is currently major concern about the impact of the global COVID 19 outbreak on mental health. But it remains unclear how individual behaviors could exacerbate or protect against adverse changes in mental health. This study aimed to examine the associations between specific activities (or time use) and mental health and wellbeing amongst people during the COVID 19 pandemic. Data were from the UCL COVID 19 Social Study; a panel study collecting data weekly during the COVID 19 pandemic. The analytical sample consisted of 55,204 adults living in the UK who were followed up for the strict 11 week lockdown period from 21st March to 31st May 2020. Data were analyzed using fixed effects and Arellano Bond models. We found that changes in time spent on a range of activities were associated with changes in mental health and wellbeing. After controlling for bidirectionality, behaviors involving outdoor activities including gardening and exercising predicted subsequent improvements in mental health and wellbeing, while increased time spent on following news about COVID 19 predicted declines in mental health and wellbeing. These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies, and may help the public to maintain wellbeing during future pandemics.

scholarly journals Mental health and wellbeing amongst people with informal caring responsibilities across different time points during the COVID-19 pandemic: A population-based propensity score matching analysis

2021 ◽  
Author(s):  
Hei Wan Mak ◽  
Feifei Bu ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Social Study ◽  
Population Based ◽  
Time Points ◽  
Health And Wellbeing ◽  
Tier System ◽  
Informal Carers

AbstractAimsDue to a prolonged period of national and regional lockdown measures during the coronavirus (COVID-19) pandemic, there has been an increase reliance on informal care and a consequent increase in care intensity for informal carers. In light of this, the current study compared the experiences of carers and non-carers on various mental health and wellbeing measures across 5 key time points during the pandemic.MethodsData analysed were from the UCL COVID -19 Social Study. Our study focused on 5 time points in England: (i) the first national lockdown (March-April 2020; N=12,053); (ii) the beginning of lockdown rules easing (May 2020; N=24,374); (iii) further easing (July 2020; N=21,395); (iv) new COVID-19 restrictions (September 2020; N=4,792); and (v) the three-tier system restrictions (October 2020; N=4,526). We considered 5 mental health and wellbeing measures-depression, anxiety, loneliness, life satisfaction and sense of worthwhile. Propensity score matching were applied for the analyses.ResultsWe found that informal carers experienced higher levels of depressive symptoms and anxiety than non-carers across all time points. During the first national lockdown, carers also experienced a higher sense of life being worthwhile. No association was found between informal caring responsibilities and levels of loneliness and life satisfaction.ConclusionGiven that carers are an essential national health care support, especially during a pandemic, it is crucial to integrate carers’ needs into healthcare planning and delivery. These results highlight there is a pressing need to provide adequate and targeted mental health support for carers during and following this pandemic.

scholarly journals Time use and mental health in UK adults during an 11-week COVID-19 lockdown: a panel analysis

2021 ◽  
pp. 1-6
Author(s):  
Feifei Bu ◽  
Andrew Steptoe ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Time Use ◽  
Fixed Effects ◽  
Panel Study ◽  
Social Study ◽  
Well Being ◽  
The Public ◽  
The Uk ◽  
The Impact ◽  
Health And Well Being

Background There is currently major concern about the impact of the global COVID-19 outbreak on mental health. But it remains unclear how individual behaviours could exacerbate or protect against adverse changes in mental health. Aims To examine the associations between specific activities (or time use) and mental health and well-being among people during the COVID-19 pandemic. Method Data were from the UCL COVID-19 Social Study, a panel study collecting data weekly during the COVID-19 pandemic. The analytical sample consisted of 55 204 adults living in the UK who were followed up for the 11-week strict lockdown period from 21 March to 31 May 2020. Data were analysed using fixed-effects and Arellano–Bond models. Results Changes in time spent on a range of activities were associated with changes in mental health and well-being. After controlling for bidirectionality, behaviours involving outdoor activities such as gardening and exercising predicted subsequent improvements in mental health and well-being, whereas increased time spent following news about COVID-19 predicted declines in mental health and well-being. Conclusions These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies and may help the public to maintain well-being during future lockdowns and pandemics.

scholarly journals Rates and predictors of uptake of mental health support during the COVID-19 pandemic: an analysis of 26,720 adults in the UK in lockdown

2021 ◽  
Author(s):  
Feifei Bu ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Social Study ◽  
Active Role ◽  
Service Planning ◽  
Gender Education ◽  
Mental Health Support ◽  
Health Support ◽  
Negative Impacts ◽  
The Uk

Abstract Purpose The coronavirus disease 2019 (COVID-19) pandemic has put a great strain on people’s mental health. A growing number of studies have shown worsening mental health measures globally during the pandemic. However, there is a lack of empirical study on how people support their mental health during the COVID-19 pandemic. This study aimed to examine a number of formal and informal mental health support. Further, it explored factors that might be associated with the use of different types mental health support. Methods Data from 26,720 adults in the UCL COVID-19 Social Study were analysed between 13th April 2020 and 3rd July 2020. Data were analysed using logistic and Poisson regression models. Results About 45% of people reported talking to friends or family members to support their mental health, 43% engaging in self-care activities, 20% taking medication, 9% speaking to mental health professionals, 8% talking to a GP or other health professional, and another 8% using helpline or online services. Gender, education, living status, loneliness, pre-existing mental health conditions, general depression and anxiety, coping and personality were found to be associated with the use of mental health support. Conclusion While the negative impacts caused by the COVID-19 pandemic are inevitable, people can play an active role in managing their mental health. Understanding the patterns and predictors of various kinds of mental health support during the pandemic is crucial for future service planning and delivery through recognising potential barriers to mental health care faced by certain groups.

scholarly journals Evaluating Mental Health and Wellbeing of Postgraduate Researchers: Prevalence and Contributing Factors

2020 ◽  
Author(s):  
Jelena Milicev ◽  
Stephany Biello ◽  
Maria Gardani
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Academic Success ◽  
Online Survey ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
Mental Wellbeing ◽  
Contributing Factors ◽  
Health And Wellbeing ◽  
The Uk

AbstractIntroduction: Recent research has revealed high rates of mental health issues in postgraduate researchers (PGRs). Mental ill-health is a barrier to life satisfaction and academic success. More knowledge is necessary to understand the extent and origins of mental health problems of PGRs in the UK. Aims: To assess the prevalence of anxiety, depression, sleep problems, subjective mental wellbeing, and suicide behaviours of PGRs in the UK, as well as to explore the factors that underpin these outcomes.Methods: An online survey (N=479) was used to measure the mental health outcomes, and assess the influence of demographic, trait and academic variables, and social support. Results: In this sample the prevalence of mental ill-health was high, while wellbeing was lower than in the general population. Female, non-binary and non-heterosexual PGRs had poorer mental health than their male and/or heterosexual counterparts. Researchers in the field of Arts had higher levels of wellbeing, while those in the 5th year of study or above were at a higher risk of suicidal behaviours. Resilience, adaptive perfectionism, social support and positive evaluations of progress and preparation, departmental climate, and supervisory relationship were associated with positive outcomes, while maladaptive perfectionism and workaholism were linked to the negative ones. Resilience and workaholism were the only variables that played a role in all mental health outcomes.Conclusions: The current paper contributes new knowledge about the PGR wellbeing, the prevalence of mental health symptoms, and some of the factors that shape them. Our findings imply that institutional efforts to improve PGR mental health and wellbeing should include a variety of strategies to promote equality, diversity, resilience, integration and work-life balance of PGRs.

scholarly journals Does the longitudinal association between neighbourhood cohesion and mental health differ by ethnicity? Results from the UK Household Longitudinal Survey

2020 ◽  
Author(s):  
Antony Chum ◽  
Celine Teo ◽  
Karanpreet Kaur Azra
Keyword(s):  
Mental Health ◽  
Ethnic Groups ◽  
Longitudinal Survey ◽  
Future Research ◽  
Neighbourhood Effects ◽  
Point Increase ◽  
Black Caribbean ◽  
Longitudinal Association ◽  
The Uk ◽  
Modelling Approach

PurposeWhile the association between neighbourhood cohesion and mental health has been widely studied in the general population, the effects of neighbourhood cohesion across ethnic groups is not well understood. Ethnicity is often left out of study design, many studies do not consider effect modification by ethnicity, or they rely on overly simplistic ethnic categories. MethodsData from the UK household longitudinal study was used to investigate whether changes in neighbourhood cohesion is independently associated with changes in mental health (measured using the GHQ) over 9 years (2009 to 2018), and whether the association differed across 17 ethnic groups. The study used a fixed-effect modelling approach that includes within-person estimators that allows each participant to act as their own control. ResultsCompared to British white, the following ethnic groups all saw a similar improvement in GHQ (-0.76, 95% CI -0.83 to -0.70) for each point increase in neighbourhood cohesion: Irish, any other White, White and Asian mixed, Chinese, Caribbean, African, any other Black, Arab, and others. Some ethnic groups saw stronger improvements in mental for each point increase in neighbourhood cohesion, including White and Black Caribbean mixed, any other mixed, Indian, Pakistani, any other Asian, with the strongest effect seen in Bangladeshi participants (-2.52. 95% CI -3.48 to -1.56). ConclusionOur study highlights the importance of ethnocultural data in research examining neighbourhood effects on mental health. Future research should evaluate policies to improve neighbourhood cohesion for ethnic minorities to address ethnic mental health disparities.

scholarly journals Arts, mental distress, mental health functioning & life satisfaction: fixed-effects analyses of a nationally-representative panel study

2020 ◽  
Author(s):  
Senhu Wang ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Time Constant ◽  
Fixed Effects ◽  
Mental Distress ◽  
Time Varying ◽  
Arts Participation ◽  
Mental Health Functioning ◽  
Health Functioning ◽  
Arts Engagement

Abstract Background. Arts engagement within communities is ubiquitous across cultures globally and previous research has suggested its benefits for mental health and wellbeing. However, it remains unclear whether these benefits are driven by arts engagement itself or by important confounders such as socio-economic status (SES), childhood arts engagement, previous mental health, personality, or self-selection bias. The aim of this study is to use fixed effects models that account for unidentified time-constant confounding measures to examine the longitudinal association between arts (frequency of both arts participation and cultural attendance), mental distress, mental health functioning and life satisfaction. Methods. Data from 23,660 individuals (with a mean age of 47 years) included in the UK Understanding Society wave 2 (2010-2012) and wave 5 (2013-2015) were analyzed. Aside from controlling for all time-constant variables using the fixed-effects models, we additionally adjusted for time-varying demographic factors (e.g. age and marital status), health behaviors and social support variables. Results. After controlling for all time-constant variables and identified time-varying confounders, frequent arts participation and cultural attendance were associated with lower levels of mental distress and higher levels of life satisfaction, with arts participation additionally associated with better mental health functioning. Health-related and social time-varying factors were shown to partly but not wholly explain the observed associations. Conclusion. Arts engagement amongst the population as a whole may help enhance positive mental health and life satisfaction, and protect against mental distress. These results are not explained by any time-constant confounding factors.

scholarly journals The Mental Health and Wellbeing of EU Citizens in the UK: A Systematic Review of the Qualitative Literature

2020 ◽  
Vol 10 (1) ◽  
pp. 43-60
Author(s):  
Piotr Teodorowski ◽  
Ruth Woods ◽  
Catriona Kennedy
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Social Connectedness ◽  
Web Of Science ◽  
Health And Wellbeing ◽  
The United Kingdom ◽  
The Uk ◽  
Migration Experiences ◽  
Qualitative Literature

Moving to a new country impacts on migrants’ mental health and wellbeing. There are over 3.6 million European Union citizens living in the United Kingdom. We conducted a systematic review of the qualitative literature to explore what is known about their mental health and wellbeing at the post-migration stage in pre-Brexit period. We searched five databases from 1st January 2009 to 19th February 2019; Web of Science, MEDLINE, CINAHL, SocIndex and Scopus for studies. Ten papers reporting nine studies were included in this review. Two themes were constructed; a narrative of adjustment and of employment realities. The former focuses on the process of settling in and the role of social connectedness. The latter concerns employment realities with included studies exploring the financial position and employment experiences of migrants. Findings indicate that we still know relatively little about the range of post-migration experiences among EU citizens and their implications for mental health

scholarly journals Exploring the Mental Health and Wellbeing Needs of Workers in the UK Automotive Industry

2019 ◽  
Vol 6 (1) ◽  
pp. 1-23
Author(s):  
Samantha Gellatly
Keyword(s):  
Mental Health ◽  
Health And Safety ◽  
Working Hours ◽  
Well Being ◽  
Automotive Sector ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Health And Wellbeing ◽  
Employee Wellbeing ◽  
The Uk

The purpose of this research was to explore the mental health and wellbeing needs of employees in the automotive sector, to understand the types of initiatives these employees would appreciate and how to promote them effectively. The research was approached with an exploratory, qualitative design. The collection of employee knowledge and opinion was undertaken utilising in-depth and semi structured interviews with a small cross-sectional group of employees. The main findings from the research showed that mental health presenteeism and leaveism are commonly occurring. It was found that individual understanding of well-being differed due to conflicting terminology and that where the company excelled in the areas of health and safety employees experienced unhappiness with working hours, work life balance and pay and reward. Research of this scope was original to the company and the automotive sector thus providing great insight. These employees showed there was less need for complex well-being programmes and that there was a keenness for mental health to be recognised and discussed more to help diminish the attached stigma. This research also questions: who is really best suited to support employee wellbeing? Whilst research highlights the importance of managers in this process, it also confirms, as with this study, that they are the employees with the worst wellbeing and therefore unlikely to be those best suited to provide this support. If managers wellbeing is not boosted it is unlikely that they can bring about desired improvements and bridging this gap requires future consideration.

scholarly journals Predictors of Change in Children’s Internalising and Externalising Behaviour Before and During the Initial COVID-19 Lockdown in the UK and Turkey: A Cross-cultural Examination

2022 ◽  
Author(s):  
Evren Morgul ◽  
Angeliki Kallitsoglou ◽  
Cecilia A. Essau
Keyword(s):  
Mental Health ◽  
Perceived Risk ◽  
Child Mental Health ◽  
Cross Cultural ◽  
Electronic Survey ◽  
Health And Wellbeing ◽  
Cross Cultural Differences ◽  
The Uk ◽  
The Impact ◽  
Predictors Of Change

Abstract Background: The COVID-19 pandemic has had a profound effect on the mental health and wellbeing of children and young people. Culture can influence emotional and behavioural responses to the pandemic and its consequences, but research is primarily focused on single culture experiences. The study examined the impact of caregiver emotional responses to the pandemic and the lockdown on child mental health and wellbeing in two culturally different countries that were severely affected by the pandemic: UK and Turkey Method: Participants were 1849 caregivers of children between 5- and 12-years old living in the UK (n= 995) and Turkey (n = 854), who completed a 20 -min electronic survey on child and family wellbeing distributed via social networks during the initial phase of the COVID-19 lockdown (July and August 2020). Findings: Worry of COVID-19 infection was higher amongst caregivers in the Turkish sample and it independently predicted change in children’s internalising behaviour in the Turkish sample only even after controlling for caregiver and child mental health, and caregiver perceived risk of COVID-19 infection. Caregivers in the UK sample reported more difficulty with family coexistence during the stay-at-home orders. However, difficulty with coexistence independently predicted change in children’s externalising and internalising symptoms before and during the lockdown in both samples. The study revealed cross-cultural differences in the predictors of change in children’s internalising and externalising behaviour before and during the initial national COVID-19 lockdown.

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