Department of Educational Psychology, University of Pretoria, Pretoria, South Africa.
Departamento de Ciências Fisiológicas, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Syst Rev. 2021 Mar 27;10(1):85. doi: 10.1186/s13643-021-01639-z.
Whilst there is little uncertainty about the deleterious impact of pollution on human and planetary health, pollution's impact on adolescent mental health is less well understood. This is particularly true for young people in underdeveloped and developing world contexts, about whom research is generally lacking. Furthermore, although adolescent resilience continues to be a research priority, little attention has been paid to adolescent pathways of resilience in the face or aftermath of pollution exposure. The objective of this study will be to examine the associations between pollution and mental health in 10- to 24-year-olds (i.e. adolescents).
We designed and registered a study protocol for a systematic review of studies which link pollution and mental health in adolescents. We will include observational studies (e.g. cohort, case-control, time series analyses) that assess the associations between exposure to any form of pollution and the mental health of 10- to 24-year-olds. The primary outcome will be symptoms associated with neurodevelopmental disorders; disruptive, impulse-control, and conduct disorders; depressive disorders; anxiety disorders; substance disorders; and schizophrenia. No secondary outcomes will be considered. Literature searches will be conducted in multiple electronic databases (from inception onwards), including PubMed, MEDLINE, SCOPUS, Web of Science, CINAHL, PsycINFO, SciELO, ERIC, and Africa-Wide. Two investigators will independently screen all citations, full-text articles, and abstract data. The methodological quality (or bias) of included studies will be appraised using appropriate tools. We will provide a narrative synthesis of the evidence.
This systematic review will evaluate the evidence on the associations between pollution and the mental health of 10- to 24-year-olds. Our findings will be of potential interest to multiple audiences (including adolescent patients/clients, their families, caregivers, healthcare professionals, scientists, and policy makers) and could be used to develop prevention and intervention strategies as well as focus future research. Results will be published in a peer-reviewed journal.
PROSPERO CRD42020176664.
尽管人们对污染对人类和地球健康的有害影响几乎没有任何疑问，但污染对青少年心理健康的影响却知之甚少。对于欠发达和发展中国家的年轻人来说尤其如此，这些国家的相关研究通常很缺乏。此外，尽管青少年的适应力仍然是一个研究重点，但在面对或应对污染暴露时，很少有人关注青少年适应力的途径。本研究的目的将是研究 10 至 24 岁（即青少年）人群中污染与心理健康之间的关联。
我们设计并注册了一项系统评价研究方案，以审查将污染与青少年心理健康联系起来的研究。我们将纳入评估任何形式的污染暴露与 10 至 24 岁青少年心理健康之间关联的观察性研究（例如队列、病例对照、时间序列分析）。主要结局将是与神经发育障碍、破坏性行为、冲动控制和行为障碍、抑郁障碍、焦虑障碍、物质障碍和精神分裂症相关的症状。不会考虑次要结局。文献检索将在多个电子数据库中进行（从创建开始），包括 PubMed、MEDLINE、SCOPUS、Web of Science、CINAHL、PsycINFO、SciELO、ERIC 和 Africa-Wide。两名调查员将独立筛选所有引用、全文文章和摘要数据。将使用适当的工具评估纳入研究的方法学质量（或偏倚）。我们将提供证据的叙述性综合。
本系统评价将评估污染与 10 至 24 岁青少年心理健康之间关联的证据。我们的研究结果可能会引起多个受众的兴趣（包括青少年患者/客户、他们的家人、照顾者、医疗保健专业人员、科学家和政策制定者），并可用于制定预防和干预策略以及关注未来的研究。研究结果将发表在同行评议的期刊上。
PROSPERO CRD42020176664。
