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- Title
Ecological Study of Urbanicity and Self-reported Poor Mental Health Days Across US Counties.
- Authors
Olson-Williams, Hannah; Grey, Skylar; Cochran, Amy
- Abstract
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.
- Subjects
UNITED States; PSYCHIATRIC epidemiology; RESEARCH; SELF-evaluation; RURAL conditions; MENTAL health; POPULATION geography; ECOLOGICAL research; REGRESSION analysis; RACE; COMPARATIVE studies; SURVEYS; SOCIOECONOMIC factors; DESCRIPTIVE statistics; FACTOR analysis; DISEASE prevalence; METROPOLITAN areas; STATISTICAL correlation; SOCIODEMOGRAPHIC factors
- Publication
Community Mental Health Journal, 2023, Vol 59, Issue 5, p986
- ISSN
0010-3853
- Publication type
Article
- DOI
10.1007/s10597-022-01082-x