{"title":"COVID-19大流行期间的步行性和心理健康弹性。","authors":"Karen Smith Conway, Andrea K. Menclova","doi":"10.1002/hec.70013","DOIUrl":null,"url":null,"abstract":"<p>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.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 10","pages":"1921-1942"},"PeriodicalIF":2.4000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70013","citationCount":"0","resultStr":"{\"title\":\"Walkability and Mental Health Resiliency During the COVID-19 Pandemic\",\"authors\":\"Karen Smith Conway, Andrea K. Menclova\",\"doi\":\"10.1002/hec.70013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>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.</p>\",\"PeriodicalId\":12847,\"journal\":{\"name\":\"Health economics\",\"volume\":\"34 10\",\"pages\":\"1921-1942\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-07-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70013\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health economics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hec.70013\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health economics","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hec.70013","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
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.
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.