Centre for Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, London, United Kingdom.
Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Am J Epidemiol. 2018 Mar 1;187(3):474-483. doi: 10.1093/aje/kwx205.
Public expenditure on large events such as the London 2012 Olympic Games is often justified by the potential legacy of urban regeneration and its associated health and well-being benefits for local communities. In the Olympic Regeneration in East London Study, we examined whether there was an association between urban regeneration related to the 2012 Games and improved mental health in young people. Adolescents aged 11-12 years attending schools in the Olympic host borough of Newham in London or in 3 adjacent comparison London boroughs completed a survey before the 2012 Games and 6 and 18 months after the Games (in 2013 and 2014, respectively). Changes in depressive symptoms and well-being between baseline and each follow-up were examined. A total of 2,254 adolescents from 25 randomly selected schools participated. Adolescents from Newham were more likely to have remained depressed between baseline and the 6- and 18-month follow-up surveys (for 6-month follow-up, relative risk = 1.78, 95% confidence interval: 1.12, 2.83; for 18-month follow-up, relative risk = 1.93, 95% confidence interval: 1.01, 3.70) than adolescents from the comparison boroughs. No differences in well-being were observed. There was little evidence that urban regeneration had any positive influence on adolescent mental health and some suggestion that regeneration may have been associated with maintenance of depressive symptoms. Such programs may have limited short-term impact on the mental health of adolescents.
公共支出用于大型活动，如伦敦 2012 年奥运会，往往可以通过城市再生及其对当地社区健康和福祉的潜在影响来证明其合理性。在《伦敦东部奥运会再生研究》中，我们研究了与 2012 年奥运会相关的城市再生是否与年轻人心理健康的改善有关。在伦敦奥运主办区纽汉姆和伦敦 3 个毗邻的比较行政区的学校就读的 11-12 岁青少年在奥运会前、奥运会后 6 个月（2013 年）和 18 个月（2014 年）完成了一项调查。调查了基线与每次随访之间抑郁症状和幸福感的变化。共有来自 25 所随机抽取的学校的 2254 名青少年参与了这项研究。与来自比较行政区的青少年相比，纽汉姆的青少年在基线和 6 个月及 18 个月随访调查中更有可能持续抑郁（6 个月随访时，相对风险=1.78，95%置信区间：1.12，2.83；18 个月随访时，相对风险=1.93，95%置信区间：1.01，3.70）。幸福感没有差异。几乎没有证据表明城市再生对青少年的心理健康有任何积极影响，而有一些迹象表明，再生可能与抑郁症状的维持有关。此类项目可能对青少年的心理健康只有短期的影响。
