Kentleşme sürecinin ruh sağlığı üzerine etkileri

Kentleşme, sanayileşme ve ekonomik gelişmeyle ilişkili olarak kentlerin büyümesine yol açan bir süreçtir. Bu süreç aynı zamanda iş bölümü ve insan davranışlarında da birtakım değişikliklere neden olur. Bunların yanı sıra kentleşme, stresli yaşam olaylarına, sosyal desteğin zayıflamasına, göçler sonucunda şehirlerin hızlı büyümesi gibi sorunlara da yol açabilir. Bütün bu etkenler ruh sağlığını olumsuz yönde etkilemektedir. Bu nedenle bu süreç kesinlikle ihmal edilmemelidir. Sonuç olarak kentleşme süreci hem kentte önceden yaşayan insanları, hem de göç edenleri ilgilendirmektedir. Bu yazıda kentleşmeyle birlikte ortaya çıkan zorluklar ve kentleşmenin ruh sağlığı üzerine olan olumsuz etkileri gözden geçirilmiştir.

Impacts of urbanization process on mental health

Urbanization is such a process that it leads to the growth of cities related to industrial and economic development. It also causes some changes in labor division and human behaviors. Besides, urbanization may cause problems such as stressful life events, poor social network, and rapid growth of cities because of immigration. All of these factors may negatively affect mental health which makes it a prominent process that should not be neglected. The aim of this was to review the difficulties stemming from urbanization -an important problem for both urban people and immigrants- and its negative impacts on mental health.

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  • 1. Savrun MB, Balcıoğlu İ. Kentleşme, kadın ve şiddet. İ Balcıoğlu (Ed.), Biyolojik, Sosyolojik, Psikolojik Açıdan Şiddet, İstanbul, Yüce Reklam Yayım Dağıtım, 2000, s.39-50.
  • 2. Ludermir AB, Harpham T. Urbanization and mental health in Brazil: Social and economic dimensions. Health & Place 1998; 4:223-232.
  • 3. T.C. Başbakanlık Türkiye İstatistik Kurumu. 2000 Genel Nüfus Sayımı Kesin Sonuçları. www.tuik.gov.tr
  • 4. T.C. Başbakanlık Türkiye İstatistik Kurumu. Adrese Dayalı Nüfus Kayıt Sistemi 2007 Nüfus Sayımı Sonuçları. Haber Bülteni 2008. www.tuik.gov.tr
  • 5. Harpham T. Urbanization and mental health in developing countries: a research role for social scientists, public health professionals and social psychiatrists. Soc Sci Med 1994; 39:233-245.
  • 6. Reichenheim M. Child health in urban context: risk factors in a squatter settlement of Rio de Janeiro. Doctoral Thesis, London University, 1988.
  • 7. Balcıoğlu İ. Stres, gençlik, kentleşme, şiddet. Yeni Symposium 2001; 39:49-56.
  • 8. Balcıoğlu İ. Kültürün Saldırganlıkla Bağlantısı. İ Balcıoğlu (Ed.), Biyolojik, Sosyolojik, Psikolojik Açıdan Şiddet, İstanbul, Yüce Reklam Yayım Dağıtım, 2000, s.59-65.
  • 9. Gökçen B. Toplum ve göç. Ulusal Sosyoloji Kongresi Özetleri, Ankara, DİE Matbaası, 1997,s.81-82.
  • 10. Özbek A. Sosyal Psikiyatriye Giriş. Ankara Üniversitesi Tıp Fakültesi Yayınları, 1983; 243:143-144.
  • 11. Ewans GW, Erica Chan H, Wells NW, Saltzman H. Housing quality and mental health. J Consult Clin Psychol 2000; 68:526-530.
  • 12. Kellet J. Health and housing. J Psycomed Res 1989; 33:225-268.
  • 13. Ouis D. Annoyance from road traffic noise: a review. J Environ Psychol 2001; 21:101-120.
  • 14. Monahan J, Vaux A. Task force report: the macro environment and community mental health. Community Ment Health J 1980; 16:14-26.
  • 15. Chu A, Thorne A, Guite H. The impact on mental well-being of the urban and physical environment: an assesment of the evidence. J Mental Health Promot 2004; 3:17-32.
  • 16. Guite H.F, Clark C, Ackrill G. The impact of the physical and urban environment on mental wellbeing. Public Health 2006; 120:1117-1126.
  • 17. Romans-Clarkson SE, Walton VA, Herbison GP, Mullen PE. Psychiatric morbidity among women in urban and rural New Zealand: psycho-social correlates. Br J Psychiatry 1990; 156:84-91.
  • 18. Pedersen CB, Mortensen PB. Evidence of a dose-response relationship between urbanicity during upbringing and schizophrenia risk. Arch Gen Psychiatry 2001; 58:1039-1046.
  • 19. Marcelis M, Takei N, van Os J. Urbanization and risk for schizophrenia: does the effect operate before or around the time of illness onset? Psychol Med 1999; 29:1197-1203.
  • 20. Bayülkem F. Aksaray Dispanseri çevresinde sosyal, ekonomik ve ruh sağlığı yönünden özellikler. Tıp Dergisi 1986; 3:128-129.
  • 21. Takei N, Sham PC, O’Callaghan E, Glover G, Murray RM. Schizophrenia: increased risk associated with winter and city birth -a case- control study in 12 regions within England and Wales. J Epidemiol Community Health 1995; 49:106-107.
  • 22. Sundquist K, Frank G, Sunquist J. Urbanisation and incidence of psychosis and depression: follow-up study of 4.4 million women and men in Sweden. Br J Psychiatry 2004; 184:293-298.
  • 23. van Os J, McGuffin P. Can the social environment cause schizophrenia? Br J Psychiatry 2003; 182:291-292.
  • 24. Abood Z, Sharkey A, Webb M, Kelly A, Gill M. Are patients with bipolar affective disorder socially disadvantaged? A comparison with a control group. Bipolar Disord 2002; 4:243-248.
  • 25. Kovess-Masvety V, Lecoutour X, Delavelle S. Mood Disorders and urban/rural settings. Soc Psychiatry Psychiatr Epidemiol 2005; 40:613-618.
  • 26. Kaymaz N, Krabbendam L, de Graf R, Nolen W, Ten Have M, van Os J. Evidence that the urban environment specifically impacts on the psychotic but not the affective dimension of bipolar disorder. Soc Psychiatry Psychiatr Epidemiol 2006;41:679-685.
  • 27. Coburn AF. Rural long-term care: What do we need to know to improve policy and programs? J Rural Health 2002; 18:256-269.
  • 28. Eberhardt MS, Pamuk ER. The importance of place of residance: examining health in rural and non- rural areas. Am J Public Health 2004;94:1682-1686.
  • 29. Probst JC, Laditka SB, Moore CG, Harun N, Powell MP, Baxley EG. Rural-urban differences in depression prevalence: implications for family medicine. Fam Med 2006; 38:653-660.
  • 30. Singh GK, Siahpush M. Increasing rural-urban gradients in US suicide mortality, 1970-1997. Am J Public Health 2002; 92:1161-1167.
  • 31. Middleton N, Gunnell D, Frankel S, Whitley E, Dorling D. Urban-rural differences in suicide trends in young adults: England and Wales, 1981-1998. Soc Sci Med. 2003; 57:1183-1194.
  • 32. Hirschfeld RM, Montgomery SA, Keller MB, Kasper S, Schatzberg AF, Möller HJ, et al. Social functioning in depression: a review. J Clin Psychiatry 2000; 61:268-275.
  • 33. Abraham HD, Fava M. Order of onset of substance abuse and depression in a sample of depressed outpatients. Compr Psychiatry 1999;40:44-50.
  • 34. Haris KM, Edlund MJ. Self-medication of mental health problems: new evidence from a national survey. Health Serv Res 2005; 40:117-134.
  • 35. Paykel ES, Abbott R, Jenkins R, Brugha TS, Meltzer H. Urban-rural mental health differences in Great Britain: findings from the National Morbidity Survey. Psychol Med 2000; 30:269-280.