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Cause and context: place-based approaches to investigate how environments affect mental health

Gina S. Lovasi; Stephen Mooney; Charles J. DiMaggio; Peter A. Muennig

Title:
Cause and context: place-based approaches to investigate how environments affect mental health
Author(s):
Lovasi, Gina S.
Mooney, Stephen
DiMaggio, Charles J.
Muennig, Peter A.
Date:
Type:
Articles
Department(s):
Epidemiology
Volume:
51
Persistent URL:
Book/Journal Title:
Social Psychiatry and Psychiatric Epidemiology
Publisher:
Springer Verlag
Abstract:
Objectives Our surroundings affect our mood, our recovery from stress, our behavior, and, ultimately, our mental health. Understanding how our surroundings influence mental health is central to creating healthy cities. However, the traditional observational methods now dominant in the psychiatric epidemiology literature are not sufficient to advance such an understanding. In this essay we consider potential alternative strategies, such as randomizing people to places, randomizing places to change, or harnessing natural experiments that mimic randomized experiments. Methods We discuss the strengths and weaknesses of these methodological approaches with respect to (1) defining the most relevant scale and characteristics of context, (2) disentangling the effects of context from the effects of individuals’ preferences and prior health, and (3) generalizing causal effects beyond the study setting. Results Promising alternative strategies include creating many small-scale randomized place-based trials, using the deployment of place-based changes over time as natural experiments, and using fluctuations in the changes in our surroundings in combination with emerging data collection technologies to better understand how surroundings influence mood, behavior, and mental health. Conclusions Improving existing research strategies will require interdisciplinary partnerships between those specialized in mental health, those advancing new methods for place effects on health, and those who seek to optimize the design of local environments.
Subject(s):
Mental health
Mental health services--Evaluation
Mental health--Environmental aspects
Epidemiology
Publisher DOI:
https://doi.org/10.1007/s00127-016-1300-x
Item views
78
Metadata:
text | xml
Suggested Citation:
Gina S. Lovasi, Stephen Mooney, Charles J. DiMaggio, Peter A. Muennig, , Cause and context: place-based approaches to investigate how environments affect mental health, Columbia University Academic Commons, .

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