COVID-19大流行期间的步行性和心理健康弹性。

IF 2.4 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-07-17 DOI:10.1002/hec.70013
Karen Smith Conway, Andrea K. Menclova
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引用次数: 0

摘要

这项研究调查了当地的步行性是否有助于减轻COVID-19大流行对心理健康的影响。可步行性可以通过促进步行(我们的数据表明,在大流行期间发生了这种情况)以及通过其他途径,如户外活动和改善社会关系,来改善心理健康。然而,由于缺乏外源性时间变化,估计步行性的因果效应受到挑战。我们的经验方法将大流行作为对心理健康的地理变量和可争议的随机冲击,当与人口普查区的步行性和心理健康措施相结合时,揭示了当地步行性对心理健康弹性的可能影响。关注县内心理健康的随时间变化,并控制一系列广泛的当地因素,结果表明,那些生活在更适合步行的社区的人心理健康下降幅度较小。幅度是合理的;步行能力每增加一个标准差,与流行病相关的心理健康恶化平均减少4%有关。这些发现是稳健的许多敏感性检查和证伪检验。虽然大流行是这里研究的随机冲击,但这项研究对步行在减少其他压力源对心理健康的影响方面的潜在作用具有启示意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Walkability and Mental Health Resiliency During the COVID-19 Pandemic

Walkability and Mental Health Resiliency During the COVID-19 Pandemic

This study investigates if local walkability helped mitigate the well-documented mental health impacts of the COVID-19 pandemic. Walkability may improve mental health by facilitating walking (which our data suggest occurred during the pandemic), as well as through other avenues such as time spent outdoors and improved social ties. However, estimating the causal effects of walkability is challenged by its lack of exogenous time variation. Our empirical approach uses the pandemic as a geographically-variable and arguably-random shock to mental health which, when combined with Census tract measures of walkability and mental health, sheds light on the possible impact of local walkability on mental health resiliency. Focusing on within-county, over-time variation in mental health and controlling for a wide set of local factors, results suggest that those living in a more walkable community experienced smaller declines in mental health. The magnitudes are reasonable; increasing walkability by one standard deviation is associated with a 4 percent reduction in the average pandemic-related deterioration in mental health. These findings are robust to many sensitivity checks and falsification tests. Although the pandemic is the random shock studied here, this research has implications for the potential role of walkability in diminishing the mental health effects of other stressors.

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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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