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      Association of outdoor artificial light at night with mental health among China adults: a prospective ecology study

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          Abstract

          Multiple environmental changes are related to mental disorders. However, research on the association between artificial light at night (ALAN) and mental health in China is limited, particularly at the national level. We used a "difference-in-differences" design and logistic regression to explore the relationship between ALAN changes and scores on self-assessed mental health. Participants were drawn from the China Family Panel Studies of adults in 2012 and 2018. The final analysis was based on 21,036 adults from 25 provinces throughout China. The brighter the ALAN, the worse was the mental health, and this connection was unaffected by particulate matter 2.5 (PM2.5) or temperature. ALAN sensitivity may differ among populations. Our findings suggest that exposure to brighter ALAN is associated significantly with worse mental health among Chinese adults. Environmental policies that reduce ALAN could improve the mental health of the Chinese public.

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          Most cited references38

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

          L Radloff (1977)
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            Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

            Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013.
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              From inflammation to sickness and depression: when the immune system subjugates the brain.

              In response to a peripheral infection, innate immune cells produce pro-inflammatory cytokines that act on the brain to cause sickness behaviour. When activation of the peripheral immune system continues unabated, such as during systemic infections, cancer or autoimmune diseases, the ensuing immune signalling to the brain can lead to an exacerbation of sickness and the development of symptoms of depression in vulnerable individuals. These phenomena might account for the increased prevalence of clinical depression in physically ill people. Inflammation is therefore an important biological event that might increase the risk of major depressive episodes, much like the more traditional psychosocial factors.
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                Author and article information

                Contributors
                Journal
                Environmental Science and Pollution Research
                Environ Sci Pollut Res
                Springer Science and Business Media LLC
                0944-1344
                1614-7499
                November 2022
                June 25 2022
                November 2022
                : 29
                : 54
                : 82286-82296
                Article
                10.1007/s11356-022-21587-y
                35750915
                fe39ee47-1db5-43a1-b131-211415237e70
                © 2022

                https://www.springer.com/tdm

                https://www.springer.com/tdm

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