Department of Population Health Sciences, University of WI - Madison, 610 Walnut Street, Madison, WI, 53726, USA.
Department of Mathematics, University of WI - Madison, Madison, WI, USA.
Community Ment Health J. 2023 Jul;59(5):986-998. doi: 10.1007/s10597-022-01082-x. Epub 2023 Jan 12.
Geography may influence mental health by inducing changes to social and physical environmental and health-related factors. This understanding is largely based on older studies from Western Europe. We sought to quantify contemporary relationships between urbanicity and self-reported poor mental health days in US counties. We performed regression on US counties (n = 3142) using data from the County Health Rankings and Roadmaps. Controlling for state, age, income, education, and race/ethnicity, large central metro counties reported 0.24 fewer average poor mental health days than small metro counties (t = - 5.78, df = 423, p < .001). Noncore counties had 0.07 more average poor mental health days than small metro counties (t = 3.06, df = 1690, p = 0.002). Better mental health in large central metro counties was partly mediated by differences in the built environment, such as better food environments. Poorer mental health in noncore counties was not mediated by considered mediators.
地理因素可能会通过改变社会和物理环境以及与健康相关的因素来影响心理健康。这种理解在很大程度上是基于西欧的早期研究。我们试图量化美国各县的城市化程度与自我报告的心理健康不佳天数之间的当代关系。我们使用 County Health Rankings and Roadmaps 的数据，对美国各县（n=3142）进行回归分析。在控制了州、年龄、收入、教育和种族/民族因素后，大型中心都会区报告的平均心理健康不佳天数比小型都会区少 0.24 天（t=-5.78，df=423，p<.001）。非核心县比小型都会区平均多 0.07 天心理健康不佳天数（t=3.06，df=1690，p=0.002）。大型中心都会区更好的心理健康部分是由建筑环境的差异所介导的，例如更好的食品环境。非核心县较差的心理健康状况不受考虑的中介因素的影响。
