ArticleJournal of affective disorders2021
Urbanization level and neighborhood deprivation, not COVID-19 case numbers by residence area, are associated with severe psychological distress and new-onset suicidal ideation during the COVID-19 pandemic.
Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Waterpipe Smoking Among Japanese Teens and Young Adults: an Emerging Public Health Concern.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Heterogeneous pathways to depressive and anxiety disorders: A cluster-based predictive study in a nationwide longitudinal cohort.Psychological medicine · 2026Article
- The association between one's social life and symptoms of prolonged grief following a traumatic loss: an ecological momentary assessment study.European journal of psychotraumatology · 2025Article
- Associations of the Food Insecurity Experience Scale with Socioeconomic and Psychological Factors in Japan.Nutrients · 2025Article
- Article
- Serious psychological distress among slum dwellers and unhoused people in Ho Chi Minh City, Vietnam: a pilot study.Tropical medicine and health · 2025Article
- Prevalence and associated factors of waterpipe tobacco smoking in Japan.Tobacco induced diseases · 2025Article
- The Role of Social Determinants of Health in Self-Reported Psychological Distress among United States Adults Post-COVID-19 Pandemic.International journal of environmental research and public health · 2024Article
- Psychological distress among individuals with a suicide attempt or suicidal ideation and suicide attempts patterns: first two years of the pandemic.Frontiers in psychiatry · 2024Article
- Does online communication mitigate the association between a decrease in face-to-face communication and laughter during the COVID-19 pandemic? A cross-sectional study from JACSIS study.Preventive medicine reports · 2023Article
- Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.BMC public health · 2023Article
- Neighborhood Socioeconomic Characteristics Associated with the COVID-19 Incidence in Elementary School Children: An Ecological Study in Osaka City, Japan.Children (Basel, Switzerland) · 2023Article
- Impact of COVID-19 on the Surrounding Environment of Nursing Home Residents and Attitudes towards Infection Control and Oral Health Care among Nursing Home Staff in Japan.Journal of clinical medicine · 2023Article
- The impact of urban spatial environment on COVID-19: a case study in Beijing.Frontiers in public health · 2023Article
- Article
- The association between emotion malleability beliefs and severe psychological distress stratified by sex, age, and presence of any psychiatric disorders.Frontiers in psychology · 2023Article
- Knowledge and willingness to receive a COVID-19 vaccine: a survey from Anhui Province, China.Human vaccines & immunotherapeutics · 2022Article
- Psychological Distress During the Coronavirus Disease 2019 Pandemic and Associated Factors Among Undergraduate Students in Japan.Disaster medicine and public health preparedness · 2022Article
- Trends in internal migration in Japan, 2012-2020: The impact of the COVID-19 pandemic.Population, space and place · 2022Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies indicate an urgent need to take action against mental health issues during the COVID-19 pandemic. However, the association between larger-scale environmental factors such as living conditions and mental health problems during the pandemic is currently unknown.
methodsA nationwide, cross-sectional internet survey was conducted in Japan between August and September 2020 to examine the association between urbanization level and neighborhood deprivation as living conditions and COVID-19 case numbers by prefecture. Prevalence ratios (PRs) for severe psychological distress, suicidal ideation, and new-onset suicidal ideation during the pandemic were adjusted for potential confounders.
resultsAmong 24,819 responses analyzed, the prevalence of mental health problems was 9.2% for severe psychological distress and 3.6% for new-onset suicidal ideation. PRs for severe psychological distress were significantly associated with higher urbanization level (highest PR = 1.30, 95% CI = 1.08-1.56). PRs for new-onset suicidal ideation were significantly associated with higher urbanization level (highest PR = 1.83, 95% CI = 1.37-2.45) and greater neighborhood deprivation (highest PR = 1.35, 95% CI = 1.06-1.72). Severe psychological distress and new-onset suicidal ideation were significantly more prevalent when there was higher urbanization plus lower neighborhood deprivation (PR = 1.34 [1.15-1.56], and 1.57 [1.22-2.03], respectively).
conclusionThese findings suggest that it is not the number of COVID-19 cases by residence area but higher urbanization level and greater neighborhood deprivation (lower neighborhood-level socioeconomic status) that are associated with severe psychological distress and new-onset suicidal ideation during the pandemic. These findings differ in part from evidence obtained before the pandemic.
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