Advances in commercial wearable devices are increasingly facilitating the collection and analysis of everyday physiological data. This article discusses the theoretical and practical aspects of using such ambulatory devices for the detection of episodic changes in physiological signals as a marker for mental state in outdoor environments. A pilot study was conducted to evaluate the feasibility of using commercial wearables in combination with location tracking technologies. The study measured physiological signals for fifteen participants, including heart rate, heart rate variability, and skin conductance. Participants’ signals were recorded during an outdoor walk that was tracked using a Global Positioning System logger. The walk was designed to pass through various types of environments including green, blue, and urban spaces, as well as a more stressful road crossing. The data that were obtained were used to demonstrate how biosensor information can be contextualized and enriched using location information. Significant episodic changes in physiological signals under real-world conditions were detectable in the stressful road crossing but not in the other types of environments. The article concludes that despite challenges and limitations of current off-the-shelf wearables, the utilization of these devices offers novel opportunities for evaluating episodic changes in physiological signals as a marker for mental state during everyday activities including in outdoor environments. Key Words: electrodermal activity, GPS, mental state, stress, wearable.
Emerging evidence suggests that exposure to residential green space is beneficial for people's mental health along multiple pathways. It remains unknown, however, whether the complex pathways found for the general population also apply to internal migrants in China. To examine the mediators of green space-mental health associations among migrants in the metropolis of Shenzhen, China. We conducted a cross-sectional survey among 591 migrants aged between 18 and 68 years in January-April 2017 in Shenzhen, a city facing a considerable inflow of rural-urban migration. Migrants' mental health was assessed using the 12-item General Health Questionnaire. Data on migrant's green space perception, migration characteristics, environmental disturbances, social cohesion, physical health, etc. were obtained through a questionnaire. Structural equation modeling was used to analyze the mechanisms underlying the green space-mental health association. No direct effect of perceived green space on migrants' mental health was found. We did find, however, that perceived green space is significantly and indirectly related to mental health through reducing perceived environmental disturbance and enhancing social cohesion. Migrants' residential mobility presented a significant potential risk to migrants' physical health and might influence their mental health indirectly. A similar but only weakly significant health-threatening effect was found for migration frequency. Male and female respondents showed different patterns regarding their physical and mental health status. Migrants with higher personal incomes seemed to face a lower mental health risk. Our findings suggest distinctive pathways through which residential green space could affect the mental health of internal migrants in China. Further studies in rapidly urbanizing areas are advised to evaluate green space-mental health relationships for specific population groups/subgroups with distinctive socioeconomic backgrounds.
Citizens in urban areas are exposed to multiple environmental stressors like noise, heat, and air pollution, with impact on human health. There is a great deal of evidence that connects human health, objective environmental exposure, and place of residence. However, little is known about subjective and objective multiple personal exposures while being mobile. To address this research gap, this paper presents results from a mixed-methods exploratory study with cyclists in the City of Leipzig, Germany. In the summer of 2017, cyclists (n = 66) wore a unique combination of sensors that measured particle number counts (PNC), noise, humidity, temperature, geolocation, and the subjective perception of each exposure on everyday routes for one week (n = 730). A smartphone application was developed to question participants about their perception of subjective exposure. The data were analyzed with three aims: (i) to compare the multiple exposure profiles of the cyclists, (ii) to contrast the objective data and subjective individual perception, and (iii) to examine the role of route decision-making and awareness of health impacts for healthier route choices. The results indicate distinct differences between the exposure profiles of cyclists. Over 80% of the cyclists underestimated their exposure to noise and air pollution. Except for heat, no significant associations between the objective and subjective data were found. This reveals an exposure awareness gap that needs to be considered in urban health planning and risk communication. It is argued that knowledge about health impacts and route characteristics plays a crucial role in decision-making about route choices. The paper concludes with suggestions to harness smart sensing for exposure mitigation and research in health geography.
Massive rural–urban migration in China has drawn attention to the prevalence of mental health problems among migrants. Research on the mental health of Chinese migrants has a narrow focus on rural–urban migrants, emphasizing the institutional role of hukou in migrant mental health. We argue that the heterogeneity of migrants, including their place of origin and whether they are temporary or permanent migrants, should be taken into account when trying to understand the meaning of migration as an actual movement from one place to another. The data used for this study is from a cross-sectional survey (N = 855) conducted in Shenzhen to compare the differences in migrants’ mental health that arise when using the two definitions (e.g., hukou and birthplace). Binary logistic regression models were estimated to assess the associations between people’s mental health and migration, while controlling for settlement experiences, self-reported physical health, and sociodemographics. The results reveal inconsistent findings across both definitions: general migrants by birthplace were found to be unlikely to have mental problems compared to non-migrants, whereas temporary migrants were at higher risk of mental problems. The study provides important evidence that different migrant groups have different mental health outcomes. The choice of the definition used influences both migrant group selection and the actual linkage between migration and mental health.
Background: Migrants experience substantial changes in their neighborhood physical and social environments along their migration journeys, but little is known about how perceived changes in their neighborhood environment pre- and post-migration correlate with their mental health. Our aim was to examine the associations between recalled changes in the perceived neighborhood physical and social environments and migrants’ mental health in the host city. Methods: We used cross-sectional data on 591 migrants in Shenzhen, China. We assessed their risk of mental illness using the General Health Questionnaire (GHQ). Neighborhood perceptions were collected retrospectively pre- and post-migration. We used random forests to analyze possibly non-linear associations between GHQ scores and changes in the neighborhood environment, variable importance, and for exploratory analysis of variable interactions. Results: Perceived changes in neighborhood aesthetics, safety, and green space were non-linearly associated with migrants’ mental health: A decline in these characteristics was associated with poor mental health, while improvements in them were unrelated to mental health benefits. Variable importance showed that change in safety was the most influential neighborhood characteristic, although individual-level characteristics—such as self-reported physical health, personal income, and hukou (i.e., the Chinese household registration system)—appeared to be more important to explain GHQ scores and also strongly interacted with other variables. For physical health, we found different associations between changes in the neighborhood provoked by migration and mental health. Conclusion: Our findings suggest that perceived degradations in the physical environment are related to poorer post-migration mental health. In addition, it seems that perceived changes in the neighborhood environment play a minor role compared to individual-level characteristics, in particular migrants’ physical health condition. Replication of our findings in longitudinal settings is needed to exclude reverse causality.