Effects of urban living environments on mental health in adults

Xu, Jiayuan, Liu, Nana, Polemiti, Elli, Garcia-Mondragon, Liliana, Tang, Jie, Liu, Xiaoxuan, Lett, Tristram, Yu, Le, Nöthen, Markus M., Feng, Jianfeng et al.
). (2023) Effects of urban living environments on mental health in adults. Nature Medicine, 29 (6). pp. 1456-1467. doi:10.1038/s41591-023-02365-w ISSN 1078-8956.

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Abstract

Urban-living individuals are exposed to many environmental factors that may combine and interact to influence mental health. While individual factors of an urban environment have been investigated in isolation, no attempt has been made to model how complex, real-life exposure to living in the city relates to brain and mental health, and how this is moderated by genetic factors. Using the data of 156,075 participants from the UK Biobank, we carried out sparse canonical correlation analyses to investigate the relationships between urban environments and psychiatric symptoms. We found an environmental profile of social deprivation, air pollution, street network and urban land-use density that was positively correlated with an affective symptom group (r = 0.22, Pperm < 0.001), mediated by brain volume differences consistent with reward processing, and moderated by genes enriched for stress response, including CRHR1, explaining 2.01% of the variance in brain volume differences. Protective factors such as greenness and generous destination accessibility were negatively correlated with an anxiety symptom group (r = 0.10, Pperm < 0.001), mediated by brain regions necessary for emotion regulation and moderated by EXD3, explaining 1.65% of the variance. The third urban environmental profile was correlated with an emotional instability symptom group (r = 0.03, Pperm < 0.001). Our findings suggest that different environmental profiles of urban living may influence specific psychiatric symptom groups through distinct neurobiological pathways.

Item Type: Journal Article
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Computer Science
Library of Congress Subject Headings (LCSH): Cities and towns, City planning, Mental health, Urban ecology (Sociology)
Journal or Publication Title: Nature Medicine
Publisher: Nature Publishing Group
ISSN: 1078-8956
Official Date: June 2023
Dates:
Date
Event
June 2023
Published
15 June 2023
Available
25 April 2023
Accepted
Volume: 29
Number: 6
Page Range: pp. 1456-1467
DOI: 10.1038/s41591-023-02365-w
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 12 December 2023
Date of first compliant Open Access: 13 December 2023
RIOXX Funder/Project Grant:
Project/Grant ID
RIOXX Funder Name
Funder ID
101057429 (environMENTAL)
[ERC] Horizon 2020 Framework Programme
10041392
UK Research and Innovation
10038599
UK Research and Innovation
695313 (STRATIFY)
[ERC] Horizon 2020 Framework Programme
945539
Human Brain Project
R01DA049238
National Institutes of Health
675346
[DFG] Deutsche Forschungsgemeinschaft
82001797
[NSFC] National Natural Science Foundation of China
82030053
[NSFC] National Natural Science Foundation of China
82202093
[NSFC] National Natural Science Foundation of China
82150710554
[NSFC] National Natural Science Foundation of China
2018YFC1314301
National Basic Research Program of China (973 Program)
21JCYBJC01360
Tianjin Medical University
TJWJ2021QN002
Tianjin Medical University
2019KJ195
Tianjin Municipal Education Commission
Clinical Talent Training 123 Climbing Plan
Tianjin Medical University
TJYXZDXK-001A
Tianjin Medical University
2022YFE0209400
National Basic Research Program of China (973 Program)
2021Z11GHX002
Tsinghua University
Earth System Science Numerical Simulator Facility
National Basic Research Program of China (973 Program)
UNSPECIFIED
American Friends of the Alexander von Humboldt Foundation
URI: https://wrap.warwick.ac.uk/181701/

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