Olsen, J. R. , Dundas, R. and Ellaway, A. (2017) Are changes in neighbourhood perceptions associated with changes in self-rated mental health in adults? A 13 year repeat cross-sectional study, UK. International Journal of Environmental Research and Public Health, 14(12), 1473. (doi: 10.3390/ijerph14121473) (PMID:29186035) (PMCID:PMC5750892)
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Abstract
The aim of this study was to examine changes in neighbourhood perceptions on self-rated mental health problems over time, and to explore demographic, geographic and socio-economic factors as determinants of increased or decreased anxiety and depression symptoms. We conducted a repeat cross-sectional study of individuals (N: 4480) living in the same areas of west central Scotland in 1997 and 2010. Individuals were asked to complete a questionnaire at both time-points, containing 14 questions relating to neighbourhood perceptions and the Hospital Anxiety and Depression Scale (HADS). A three-level linear regression model was fitted to HADS scores and changes in neighbourhood perceptions over time; controlling for a number of individual and area-level variables. Overall, area-level mean HADS scores decreased from 1997 to 2010. When adjusted for individual and area-level variables, this decrease did not remain for HADS anxiety. Applying an overall 14-scale neighbourhood perception measure, worsening neighbourhood perceptions were associated with small increases in depression (0.04, 95% confidence interval (CI) 0.01 to 0.07) and anxiety (0.04, 95% CI 0.00 to 0.08) scores over time. This highlights a need for local and national policy to target areas where neighbourhood characteristics are substantially deteriorating in order to ensure the mental health of individuals does not worsen.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Ellaway, Dr Anne and Olsen, Dr Jonathan and Dundas, Professor Ruth |
Authors: | Olsen, J. R., Dundas, R., and Ellaway, A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | International Journal of Environmental Research and Public Health |
Publisher: | MDPI |
ISSN: | 1661-7827 |
ISSN (Online): | 1660-4601 |
Published Online: | 29 November 2017 |
Copyright Holders: | Copyright © 2017 The Authors |
First Published: | First published in International Journal of Environmental Research and Public Health 14(12):1473 |
Publisher Policy: | Reproduced under a Creative Commons License |
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