Air quality and mental health: evidence, challenges and future directions

Background Poor air quality is associated with poor health. Little attention is given to the complex array of environmental exposures and air pollutants that affect mental health during the life course. Aims We gather interdisciplinary expertise and knowledge across the air pollution and mental he...

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Main Authors: Kamaldeep Bhui, Joanne B. Newbury, Rachel M. Latham, Marcella Ucci, Zaheer A. Nasir, Briony Turner, Catherine O'Leary, Helen L. Fisher, Emma Marczylo, Philippa Douglas, Stephen Stansfeld, Simon K. Jackson, Sean Tyrrel, Andrey Rzhetsky, Rob Kinnersley, Prashant Kumar, Caroline Duchaine, Frederic Coulon
Format: Article
Language:English
Published: Cambridge University Press 2023-07-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472423005070/type/journal_article
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author Kamaldeep Bhui
Joanne B. Newbury
Rachel M. Latham
Marcella Ucci
Zaheer A. Nasir
Briony Turner
Catherine O'Leary
Helen L. Fisher
Emma Marczylo
Philippa Douglas
Stephen Stansfeld
Simon K. Jackson
Sean Tyrrel
Andrey Rzhetsky
Rob Kinnersley
Prashant Kumar
Caroline Duchaine
Frederic Coulon
author_facet Kamaldeep Bhui
Joanne B. Newbury
Rachel M. Latham
Marcella Ucci
Zaheer A. Nasir
Briony Turner
Catherine O'Leary
Helen L. Fisher
Emma Marczylo
Philippa Douglas
Stephen Stansfeld
Simon K. Jackson
Sean Tyrrel
Andrey Rzhetsky
Rob Kinnersley
Prashant Kumar
Caroline Duchaine
Frederic Coulon
author_sort Kamaldeep Bhui
collection DOAJ
description Background Poor air quality is associated with poor health. Little attention is given to the complex array of environmental exposures and air pollutants that affect mental health during the life course. Aims We gather interdisciplinary expertise and knowledge across the air pollution and mental health fields. We seek to propose future research priorities and how to address them. Method Through a rapid narrative review, we summarise the key scientific findings, knowledge gaps and methodological challenges. Results There is emerging evidence of associations between poor air quality, both indoors and outdoors, and poor mental health more generally, as well as specific mental disorders. Furthermore, pre-existing long-term conditions appear to deteriorate, requiring more healthcare. Evidence of critical periods for exposure among children and adolescents highlights the need for more longitudinal data as the basis of early preventive actions and policies. Particulate matter, including bioaerosols, are implicated, but form part of a complex exposome influenced by geography, deprivation, socioeconomic conditions and biological and individual vulnerabilities. Critical knowledge gaps need to be addressed to design interventions for mitigation and prevention, reflecting ever-changing sources of air pollution. The evidence base can inform and motivate multi-sector and interdisciplinary efforts of researchers, practitioners, policy makers, industry, community groups and campaigners to take informed action. Conclusions There are knowledge gaps and a need for more research, for example, around bioaerosols exposure, indoor and outdoor pollution, urban design and impact on mental health over the life course.
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spelling doaj.art-b92873f8177f48308c67eb84b57b227f2023-07-05T07:01:51ZengCambridge University PressBJPsych Open2056-47242023-07-01910.1192/bjo.2023.507Air quality and mental health: evidence, challenges and future directionsKamaldeep Bhui0https://orcid.org/0000-0002-9205-2144Joanne B. Newbury1Rachel M. Latham2https://orcid.org/0000-0003-3632-4640Marcella Ucci3Zaheer A. Nasir4Briony Turner5Catherine O'Leary6Helen L. Fisher7https://orcid.org/0000-0003-4174-2126Emma Marczylo8Philippa Douglas9Stephen Stansfeld10https://orcid.org/0000-0001-8716-3897Simon K. Jackson11Sean Tyrrel12Andrey Rzhetsky13Rob Kinnersley14Prashant Kumar15Caroline Duchaine16Frederic Coulon17https://orcid.org/0000-0002-4384-3222Department of Psychiatry, University of Oxford, UK; Nuffield Department of Primary Care Health Sciences, Medical Sciences Division, Wadham College, University of Oxford, UK; World Psychiatric Association Collaborating Centre, UK; Oxford Health NHS Foundation Trust, UK; East London Foundation NHS Trust, UK; and Oxford Health NIHR Biomedical Research Centre, UKCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, UK; and MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, UKSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and ESRC Centre for Society and Mental Health, King's College London, UKUCL Institute for Environmental Design and Engineering, University College London, UKSchool of Water, Energy and Environment, Cranfield University, UKNational Centre for Earth Observation, Department of Meteorology, University of Reading, UKNational Centre for Earth Observation, Department of Meteorology, University of Reading, UKSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; and ESRC Centre for Society and Mental Health, King's College London, UKRadiation, Chemical and Environmental Hazards, UK Health Security Agency, UK; and Centre for Environmental Health and Sustainability, University of Leicester, UKRadiation, Chemical and Environmental Hazards, UK Health Security Agency, UK; Environment Agency, UK; Chief Scientist's Group, Environment Agency, UK; and Centre for Environmental Health and Sustainability, University of Leicester, UKCentre for Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, UKSchool of Biomedical Science, Faculty of Health Sciences, University of Plymouth, UKSchool of Water, Energy and Environment, Cranfield University, UKDepartment of Medicine, The University of Chicago, USA; Department of Human Genetics, The University of Chicago, USA; and Institute for Genomics and Systems Biology, The University of Chicago, USAChief Scientist's Group, Environmental Agency, UKGlobal Centre for Clean Air Research (GCARE), School of Sustainability, Civil and Environmental Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, UKDepartment of Biochemistry, Microbiology and Bioinformatics, Université Laval, Canada; and Quebec Heart and Lung Institute, Université Laval, CanadaSchool of Water, Energy and Environment, Cranfield University, UK Background Poor air quality is associated with poor health. Little attention is given to the complex array of environmental exposures and air pollutants that affect mental health during the life course. Aims We gather interdisciplinary expertise and knowledge across the air pollution and mental health fields. We seek to propose future research priorities and how to address them. Method Through a rapid narrative review, we summarise the key scientific findings, knowledge gaps and methodological challenges. Results There is emerging evidence of associations between poor air quality, both indoors and outdoors, and poor mental health more generally, as well as specific mental disorders. Furthermore, pre-existing long-term conditions appear to deteriorate, requiring more healthcare. Evidence of critical periods for exposure among children and adolescents highlights the need for more longitudinal data as the basis of early preventive actions and policies. Particulate matter, including bioaerosols, are implicated, but form part of a complex exposome influenced by geography, deprivation, socioeconomic conditions and biological and individual vulnerabilities. Critical knowledge gaps need to be addressed to design interventions for mitigation and prevention, reflecting ever-changing sources of air pollution. The evidence base can inform and motivate multi-sector and interdisciplinary efforts of researchers, practitioners, policy makers, industry, community groups and campaigners to take informed action. Conclusions There are knowledge gaps and a need for more research, for example, around bioaerosols exposure, indoor and outdoor pollution, urban design and impact on mental health over the life course. https://www.cambridge.org/core/product/identifier/S2056472423005070/type/journal_articleAir qualitypollutionresearchpolicymental health
spellingShingle Kamaldeep Bhui
Joanne B. Newbury
Rachel M. Latham
Marcella Ucci
Zaheer A. Nasir
Briony Turner
Catherine O'Leary
Helen L. Fisher
Emma Marczylo
Philippa Douglas
Stephen Stansfeld
Simon K. Jackson
Sean Tyrrel
Andrey Rzhetsky
Rob Kinnersley
Prashant Kumar
Caroline Duchaine
Frederic Coulon
Air quality and mental health: evidence, challenges and future directions
BJPsych Open
Air quality
pollution
research
policy
mental health
title Air quality and mental health: evidence, challenges and future directions
title_full Air quality and mental health: evidence, challenges and future directions
title_fullStr Air quality and mental health: evidence, challenges and future directions
title_full_unstemmed Air quality and mental health: evidence, challenges and future directions
title_short Air quality and mental health: evidence, challenges and future directions
title_sort air quality and mental health evidence challenges and future directions
topic Air quality
pollution
research
policy
mental health
url https://www.cambridge.org/core/product/identifier/S2056472423005070/type/journal_article
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