Urbanicity-Perspectives from Neuroscience and Public Health: A Scoping Review

Int J Environ Res Public Health. 2022 Dec 30;20(1):688. doi: 10.3390/ijerph20010688.

Abstract

Urban residency is associated with exposure to environmental factors, which can influence health in many ways. Neuroscientific research, as well as Public Health research, aim towards broadening evidence in the field of Urban Health. However, it is unclear whether the association between urban living and mental illnesses is causal rather than explainable by other selective effects. This review seeks to gather information on the current evidence regarding urban living and neurological outcomes to demonstrate how Public Health and Neuroscience could complement each other in the field of Urban Health. A scoping review was conducted in four electronic databases according to the PRISMA-statement guidelines. 25 empirical studies were included. Outcomes such as schizophrenia and psychotic disorders, social and cognitive functioning were scrutinised. Evidence was found for alteration of brain functioning and brain structure. Most studies researching cognitive functioning or cognitive decline displayed possible protective effects of urban living compared to rural living. The different study designs in Public Health and Neuroscience could profit from each other. Although the comparability of studies is limited by the inconsistent assessments of urbanity. Synergies and potentials to combine aspects of Public Health and Neuroscience in the field of Urban Health to improve population health became apparent.

Keywords: Mental Health; Neuroscience; Public Health; Urban Health; brain structure; urban brain; urban planning.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognitive Dysfunction*
  • Humans
  • Psychotic Disorders*
  • Public Health
  • Schizophrenia* / epidemiology
  • Urban Health
  • Urban Population

Grants and funding

This research was funded within the program “Healthy Places—Therapeutic Landscapes” by the Peter Beate Heller-Stiftung of the German Stifterverband (project number: T0160/33738/2019/kln) and we acknowledge the support for the publication costs by the Open Access Publication Fund of Bielefeld University and the Deutsche Forschungsgemeinschaft (DFG).