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Are Rurality, Area Deprivation, Access to Outside Space, and Green Space Associated with Mental Health during the COVID-19 Pandemic? A Cross Sectional Study (CHARIS-E)

Author

Listed:
  • Gill Hubbard

    (Centre for Health Sciences, Department of Nursing and Midwifery, University of the Highlands and Islands, Inverness 999020, UK)

  • Chantal den Daas

    (Health Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK)

  • Marie Johnston

    (Health Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK)

  • Peter Murchie

    (Centre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen AB24 3FX, UK)

  • Catharine Ward Thompson

    (OPENSpace Research Centre, University of Edinburgh, Edinburgh EH3 9DF, UK)

  • Diane Dixon

    (Health Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK)

Abstract

The study investigated if rurality, area deprivation, access to outside space (Study 1), and frequency of visiting and duration in green space (Study 2) are associated with mental health during the COVID-19 pandemic and examined if individual demographics (age, gender, COVID-19 shielding status) and illness beliefs have a direct association with mental health during the COVID-19 pandemic. A serial, weekly, nationally representative, cross-sectional, observational study of randomly selected adults was conducted in Scotland during June and July 2020. If available, validated instruments were used to measure psychological distress, individual demographics, illness beliefs, and the following characteristics: Rurality, area deprivation, access to residential outside space, frequency of visiting, and duration in green space. Simple linear regressions followed by examination of moderation effect were conducted. There were 2969 participants in Study 1, of which 1765 (59.6%) were female, 349 (11.9%) were in the shielding category, and the median age was 54 years. There were 502 participants in Study 2, of which 295 (58.60%) were female, 58 (11.6%) were in shielding category, and the median age was 53 years. Direct effects showed that psychological distress was worse if participants reported the following: Urban, in a deprived area, no access to or sharing residential outside space, fewer visits to green space (environment), younger, female, in the shielding category (demographics), worse illness (COVID-19) representations, and greater threat perception (illness beliefs). Moderation analyses showed that environmental factors amplified the direct effects of the individual factors on psychological distress. This study offers pointers for public health and for environmental planning, design, and management, including housing design and public open space provision and regulation.

Suggested Citation

  • Gill Hubbard & Chantal den Daas & Marie Johnston & Peter Murchie & Catharine Ward Thompson & Diane Dixon, 2021. "Are Rurality, Area Deprivation, Access to Outside Space, and Green Space Associated with Mental Health during the COVID-19 Pandemic? A Cross Sectional Study (CHARIS-E)," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:3869-:d:531553
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    References listed on IDEAS

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    1. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    2. Andrea Amerio & Andrea Brambilla & Alessandro Morganti & Andrea Aguglia & Davide Bianchi & Francesca Santi & Luigi Costantini & Anna Odone & Alessandra Costanza & Carlo Signorelli & Gianluca Serafini , 2020. "COVID-19 Lockdown: Housing Built Environment’s Effects on Mental Health," IJERPH, MDPI, vol. 17(16), pages 1-10, August.
    3. Catharine Ward Thompson & Peter Aspinall & Jenny Roe & Lynette Robertson & David Miller, 2016. "Mitigating Stress and Supporting Health in Deprived Urban Communities: The Importance of Green Space and the Social Environment," IJERPH, MDPI, vol. 13(4), pages 1-24, April.
    4. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
    5. Yubin Ding & Junling Xu & Sisi Huang & Peipei Li & Cuizhen Lu & Shenghua Xie, 2020. "Risk Perception and Depression in Public Health Crises: Evidence from the COVID-19 Crisis in China," IJERPH, MDPI, vol. 17(16), pages 1-17, August.
    6. Gareth J. Hollands & Giacomo Bignardi & Marie Johnston & Michael P. Kelly & David Ogilvie & Mark Petticrew & Andrew Prestwich & Ian Shemilt & Stephen Sutton & Theresa M. Marteau, 2017. "The TIPPME intervention typology for changing environments to change behaviour," Nature Human Behaviour, Nature, vol. 1(8), pages 1-9, August.
    7. Jenny J. Roe & Catharine Ward Thompson & Peter A. Aspinall & Mark J. Brewer & Elizabeth I. Duff & David Miller & Richard Mitchell & Angela Clow, 2013. "Green Space and Stress: Evidence from Cortisol Measures in Deprived Urban Communities," IJERPH, MDPI, vol. 10(9), pages 1-18, September.
    8. Michelle C. Kondo & Jaime M. Fluehr & Thomas McKeon & Charles C. Branas, 2018. "Urban Green Space and Its Impact on Human Health," IJERPH, MDPI, vol. 15(3), pages 1-28, March.
    9. Walters, K. & Breeze, E. & Wilkinson, P. & Price, G.M. & Bulpitt, C.J. & Fletcher, A., 2004. "Local area deprivation and urban-rural differences in anxiety and depression among people older than 75 years in Britain," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1768-1774.
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    5. Claire L. Wicks & Jo L. Barton & Leanne Andrews & Sheina Orbell & Gavin Sandercock & Carly J. Wood, 2023. "The Impact of the Coronavirus Pandemic on the Contribution of Local Green Space and Nature Connection to Mental Health," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
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