Green Belt Removal - Mental Health implications review


Replacing Greenbelt Land with Social Housing and Commercial Markets: A brief review of mental health implications

Compiled April 2019, by Adam Laws, BSc. Psychology (Hons.)
MSc. Clinical Psychology and Mental Health Student at the University of Sussex

Please request authors’ permission to edit or reproduce this review (via this blog).

Mental health problems and psychiatric disorders remain a leading cause of global burden, accounting for a large portion of the world’s years lived with disability (Becker & Kleinman, 2013; Vigo, Thornicroft & Atun, 2016). Thus, it is essential that steps are taken to reduce the likelihood of the development of such problems and disorders.

This brief review presents recent evidence dictating that the shifting of greenbelt land into more urbanised housing, schools and markets would negatively impact on the mental health outcomes of residents, particularly children and adolescents.

Benefits of Green Space: Mental Health Outcomes and Health Behaviours


Initially, research failed to identify a mechanism to explain the association between growing up in urban areas and poorer mental health outcomes, though the relationship is well-evidenced (Engemann et al., 2019). However, recent studies have identified that this association may be explained by the lack of green space in urban areas. Following a systematic review, Vanaken and Danckaerts (2018) concluded that local green space exposure is key to protecting the mental health and wellbeing of children and adolescents. Particularly, this relationship was prominent in the development of emotional and behavioural problems including hyperactivity and inattention problems, linked to attention deficit hyperactivity disorder (ADHD; American Psychiatric Association, 2013) and several other psychiatric problems (Rajendran, Oneill & Halperin, 2013). A protective role was also identified for depressive symptoms.


Further, Barton and Mitchell (2017) observed that greenspaces are associated with reduced anxiety, mental distress and depression, and that greenspaces reduce the impact of life stresses on wellbeing. Most research found that these relationships existed even when other confounding variables, including parental mental health, socioeconomic status and other measures of urbanisation (Vanaken & Danckaerts, 2018; Engemann et al., 2019). Bondo (2019) highlights that mental health benefits of even low level greenspace exposure extend from childhood well into adulthood.


Additionally, increased greenspace availability is closely linked to increased physical activity (Barton, 2016), recommended by both the NHS (2018) and NICE (2019) for improving mental wellbeing both in presence and absence of mental health problems. Mitchell (2013) found that those who use greenspaces for physical activity at least once per week have only half the risk of poor mental health, with further reductions seen with greater weekly usage.

Impacts of Noise Pollution: Mental Health and Cognitive Ability


The construction of houses and maintenance of wholesale markets is likely to involve a large amount of noise pollution at varying times of the day. Dzhambov et al. (2017) highlight the contribution of increases in residential noise levels to residents’ mental health. The authors found that daytime noise pollution predicted higher levels of annoyance, sleep disturbance and reduced physical activity, all of which in turn predicted poorer mental health outcomes on the widely-used General Health Questionnaire (GHQ). Mental health outcomes measured included both anxiety and depression. Ma et al. (2018) expand on this, concluding that noise pollution predicts fatigue, stress, anxiety, sleep disturbance and headaches, regardless of participants’ social environments. Indeed, housing satisfaction was directly correlated with perceived stress and levels of anxiety.

Makopa, Agoub and Ahami (2014) demonstrate an impact of residential noise on the cognitive functioning of residents. The authors found that noise disturbs memory, distracts attention and produces poorer performance in cognitive tasks. Epidemiological studies reviewed by the authors suggested that students in schools located in noisy areas are more likely to present cognitive impairment.

Traffic and Commuting


With the increased public attention and attendance associated with commercial markets, as well as schools, traffic is an inevitable and potentially harmful burden. Research, for a number of years, has shown that increased commuting and travel times is linked to poorer mental health. Stutzer and Frey (2008) report reduced subjective wellbeing in those with longer commutes and long commutes are linked to reduced health satisfaction, causing more frequent visits to general practitioners (Künn-Nelen, 2015). Feng and Boyle (2013) reiterate that long journeys are a stressful event for many and long-term impacts on wellbeing are observed, primarily in women and children.


Conclusion
This brief review outlines the several ways in which replacing greenbelt land with commercial markets, social housing and schools may impact residents’ mental health. Primarily, these impacts are seen as a direct result of removing greenbelt land, which has well-evidenced mental health benefits. However, there are also mental health implications which stem from the practical elements of these changes, including noise pollution and increased commuting time.



References:
Barton, J. (2016). Green exercise linking nature, health and well-being. London: Routledge, Taylor & Francis Group, Earthscan from Routledge.
Barton, J., & Rogerson, M. (2017). The importance of greenspace for mental health. BJPsych. International, 14(4), 79-81. doi:10.1192/s2056474000002051
Becker, A. E., & Kleinman, A. (2013). Mental Health and the Global Agenda. New England Journal of Medicine, 369(1), 66-73. doi:10.1056/nejmra1110827
Bondo, P. (2019). Being surrounded by green space in childhood may improve mental health of adults. Retrieved April 8, 2019, from http://scitech.au.dk/en/about-science-and-technology/current-affairs/news/show/artikel/being-surrounded-by-green-space-in-childhood-may-improve-mental-health-of-adults/
Dzhambov, A. M., Markevych, I., Tilov, B., Arabadzhiev, Z., Stoyanov, D., Gatseva, P., & Dimitrova, D. D. (2018). Pathways linking residential noise and air pollution to mental ill-health in young adults. Environmental Research, 166, 458-465. doi:10.1016/j.envres.2018.06.031
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NHS. (2018). Get active for mental wellbeing. Retrieved April 8, 2019, from https://www.nhs.uk/conditions/stress-anxiety-depression/mental-benefits-of-exercise/
NICE. (2019). Mental health and wellbeing. Retrieved April 8, 2019, from https://www.nice.org.uk/guidance/lifestyle-and-wellbeing/mental-health-and-wellbeing
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