Evidence map›Paper›PMID 33917067›Full record

Observational studyInternational journal of environmental research and public health2021

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).

Gill Hubbard, Chantal den Daas, Marie Johnston, Peter Murchie, Catharine Ward Thompson, Diane Dixon

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 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.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  5. Pilot Testing an Ecotherapy Program for Adolescence: Initial Findings and Methodological Reflections.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Gill HubbardCentre for Health Sciences, Department of Nursing and Midwifery, University of the Highlands and Islands, Inverness 999020, UK.
Chantal den DaasHealth Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK.
Marie JohnstonHealth Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK.ORCID 0000-0003-0124-4827
Peter MurchieCentre of Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen AB24 3FX, UK.
Catharine Ward ThompsonOPENSpace Research Centre, University of Edinburgh, Edinburgh EH3 9DF, UK.ORCID 0000-0002-9563-0026
Diane DixonHealth Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen 999020, UK.ORCID 0000-0001-7099-204X
University of Aberdeen · GBUniversity of Edinburgh · GBUniversity of the Highlands and Islands · GB

Funding

Chief Scientist Office, Scottish Government Health and Social Care Directorate unknown
6 · The paper itself

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.

Indexed as

COVID-19PandemicsAdultCross-Sectional StudiesFemaleHumansMaleMental HealthMiddle AgedParks, RecreationalSARS-CoV-2Scotlandarea deprivationCOVID-19environmentgreen spacemental healthpandemicplaceruralurban

Identifiers

PMID33917067
PMCPMC8067699
OpenAlexW3152132097

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.