scholarly journals A Primrose Path? Moderating Effects of Age and Gender in the Association between Green Space and Mental Health

Author(s):  
Elisabeth Bos ◽  
Leon van der Meulen ◽  
Marieke Wichers ◽  
Bertus Jeronimus
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J China

Abstract Background Depression is one of the most common mental disorders worldwide and is a major contributor to the overall global burden of disease. The social determinants of age, gender and access to a primary health care physician have been identified as significant determinants of variability in the prevalence of depression. This research evaluates the association between depression and these social determinants in the city of Almada, in Portugal. Methods This cross-sectional study reports the one-month prevalence (December, 2015) of depression and its association with age, gender and access to a primary health care doctor in Almada's primary health care population. Data was collected from the 'Information System of the Regional Health Administration' (SIARS) database. The diagnostic tools used for the identification of cases were the ICPC-2 codes 'P76: Depressive Disorder' and 'P03: Feeling Depressed'. An odds ratio was applied as an association measure. Results Regarding gender and age: women are more likely to develop depression than men (OR 3.21) and the age group of 40-64 years is more likely to develop depression compared with other age groups (OR 2.21). The odds of being affected by depression for patients with a permanent primary health care physician, compared with users without a permanent primary health care physician, are higher (OR 2.24). Conclusions The patterns of association of age and gender, uncovered in this dataset, are consistent with previously reported findings for other Western countries. The association between depression and the assignment of a permanent primary health care doctor is highly significant. This finding suggests the existence of a higher detection rate of depression in patients with a permanent doctor and adds weight to the need to implement health policies that guarantee a primary health care physician for each patient. Key messages The age and gender gap in depression calls for stronger public health and intersectoral strategies to promote and protect mental health, in community-based settings. Reducing barriers and enhancing access to high-quality primary medical care must be a cornerstone of mental health policies.


Author(s):  
Éva Kállay ◽  
Alexandra Rebeca Mihoc

"The changes occurring in modern society can significantly influence individuals’ well-being, mental health and even personality traits such as narcissism and perfectionism. Since studies investigating age and gender differences in narcissism and perfectionism have produced mixed results, and the number of studies conducted in Romanian population is scarce, the main aims of this study were to investigate possible age and gender differences in narcissism, perfectionism and several mental-health indicators in a sample of healthy participants, as well as specific association patterns between these variables within each group of participants. Our sample included 465 millennials and 149 participants over 35 years of age. The results indicate that millennials reported significantly lower levels of narcissism and self-oriented perfectionism than the older generations, higher levels of depressive symptoms and lower levels of autonomy, environmental mastery, purpose in life, and self-acceptance. Female millennials reported lower levels of narcissistic traits and higher levels of socially-prescribed perfectionism, depressive symptoms, personal growth, and positive relations with others than male participants. Older females indicated significantly higher levels of depressive symptoms and loneliness than male participants. Regarding association patterns, in the group of millennial women narcissism was positively correlated with self-oriented, socially-prescribed perfectionism and subjective well-being, and negatively with loneliness, environmental mastery and purpose in life. In millennial males, we found significant positive correlations only between narcissism and subjective well-being and environmental mastery. Our findings may have important implications for the literature regarding millennials and can contribute to the interventions and prevention programs designed to improve their well-being. Keywords: millennials, narcissism, perfectionism, mental health indicators, age and gender differences "


Author(s):  
Kaili Chen ◽  
Tianzheng Zhang ◽  
Fangyuan Liu ◽  
Yingjie Zhang ◽  
Yan Song

In recent years, the interest in the relationship between urban green space and residents’ mental health has gradually risen. A number of researchers have investigated the causal relationship and possible mediators between the two, although few have summarized these mediators. For this reason, we searched for relevant studies and filtered them by criteria and quality score, and analyzed the mediators and paths of the impact of urban green space on residents’ mental health. The mediators can be divided into environmental factors, outdoor activity, and social cohesion. From the perspective of heterogeneity, both individual characteristics (e.g., age and gender) and group characteristics (e.g., level of urban development and urban density) of residents are considered to be the cause of various mediating effects. Types of urban green space tend to affect residents’ mental health through different paths. Furthermore, this review discusses the details of each part under the influence paths. Finally, the policy implications for urban green space planning from three mediator levels are put forward based on an analysis of the situation in different countries.


2010 ◽  
Vol 19 (1) ◽  
pp. 161-165 ◽  
Author(s):  
Jennifer Barsky Reese ◽  
Rebecca A. Shelby ◽  
Amy P. Abernethy

BJPsych Open ◽  
2021 ◽  
Vol 7 (6) ◽  
Author(s):  
Ruth Blackburn ◽  
Omotomilola Ajetunmobi ◽  
Louise Mc Grath-Lone ◽  
Pia Hardelid ◽  
Roz Shafran ◽  
...  

Background Schools are a potential stressor for adolescents and may contribute to emergency hospital admissions. Aims We describe rates of stress-related presentations (SRPs) among school-aged adolescents (11–17 years) during school terms and holidays, and explore differences by age and gender. Method Using national administrative hospital data, we defined an SRP as an emergency hospital admission with a primary diagnosis related to pain, psychosomatic symptoms (e.g. fatigue) or mental health problems, or with self-harm indicated in any diagnostic position. We estimated incidence rate ratios for weekly SRPs in term time versus holidays from 2014–2015 to 2017–2018, using negative binomial regression models, stratified by age and gender. We estimated the cumulative incidence of any SRP between 11 and 17 years by analysing prior hospital admission histories of adolescents with an SRP in 2017–2018. Results Over the 4-year study period, 305 491 SRPs in 171 013 school-aged adolescents accounted for 31% of emergency admissions for this group. SRPs were predominantly for mental health problems or self-harm (38%), or pain (35%). Weekly admission rates for SRPs were higher in term time than holidays for all ages (age-specific incidence rate ratios were 1.15–1.49 for girls and 1.08–1.60 for boys). Rates were highest for girls aged 14 and 15 years. The estimated cumulative incidence of any SRP between 11 and 17 years was 7.9% for girls and 4.1% for boys. Conclusions Hospital admissions for SRPs are common among adolescents, affecting around two girls and one boy in every classroom. Higher rates in term time than holidays suggest that school factors may contribute.


BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e023945 ◽  
Author(s):  
Ewelina Rydzewska ◽  
Laura Anne Hughes-McCormack ◽  
Christopher Gillberg ◽  
Angela Henderson ◽  
Cecilia MacIntyre ◽  
...  

ObjectivesTo investigate the prevalence of comorbid mental health conditions and physical disabilities in a whole country population of adults aged 25+ with and without reported autism.DesignSecondary analysis of Scotland’s Census, 2011 data. Cross-sectional study.SettingGeneral population.Participants94% of Scotland’s population, including 6649/3 746 584 adults aged 25+ reported to have autism.Main outcome measuresPrevalence of six comorbidities: deafness or partial hearing loss, blindness or partial sight loss, intellectual disabilities, mental health conditions, physical disability and other condition; ORs (95% CI) of autism predicting these comorbidities, adjusted for age and gender; and OR for age and gender in predicting comorbidities within the population with reported autism.ResultsComorbidities were common: deafness/hearing loss—17.5%; blindness/sight loss—12.1%; intellectual disabilities—29.4%; mental health conditions—33.0%; physical disability—30.7%; other condition—34.1%. Autism statistically predicted all of the conditions: OR 3.3 (95% CI 3.1 to 3.6) for deafness or partial hearing loss, OR 8.5 (95% CI 7.9 to 9.2) for blindness or partial sight loss, OR 94.6 (95% CI 89.4 to 100.0) for intellectual disabilities, OR 8.6 (95% CI 8.2 to 9.0) for mental health conditions, OR 6.2 (95% CI 5.8 to 6.6) for physical disability and OR 2.6 (95% CI 2.5 to 2.8) for other condition. Contrary to findings within the general population, female gender predicted all conditions within the population with reported autism, including intellectual disabilities (OR=1.4).ConclusionsClinicians need heightened awareness of comorbidities in adults with autism to improve detection and suitable care, especially given the added complexity of assessment in this population and the fact that hearing and visual impairments may cause additional difficulties with reciprocal communication which are also a feature of autism; hence posing further challenges in assessment.


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