The ESG Determinants of Mental Health Index Across Italian Regions: A Machine Learning Approach

Resta, Emanuela and Logroscino, Giancarlo and Tafuri, Silvio and Peter, Preethymol and Noviello, Chiara and Costantiello, Alberto and Leogrande, Angelo (2024): The ESG Determinants of Mental Health Index Across Italian Regions: A Machine Learning Approach.

Abstract

The following article analyses the relationship between the mental health index and the variables of the Environment, Social and Governance-ESG model in the Italian regions between 2004 and 2023. First of all, a static analysis is proposed aimed at identifying trends relating to mental health in the Italian regions with indication of the regional gaps. Subsequently, a clustering with k-Means algorithm is proposed. Below is a comparison of 11 machine learning algorithms for predicting the performance of the mental health index. Finally, the article offers some economic policy suggestions. The results are critically discussed in light of the scientific literature

• Item Type: MPRA Paper
• Language: English
• Keywords: Mental Health Index, Machine Learning, ESG, Regional Inequalities
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior; I - Health, Education, and Welfare > I1 - Health > I13 - Health Insurance, Public and Private; I - Health, Education, and Welfare > I1 - Health > I14 - Health and Inequality; I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health

References

Abbas, J., Wang, D., Su, Z., & Ziapour, A. (2021). The role of social media in the advent of COVID- 19 pandemic: crisis management, mental health challenges and implications. Risk management and healthcare policy, 1917-1932.

Amerio, A., Brambilla, A., Morganti, A., Aguglia, A., Bianchi, D., Santi, F., ... & Capolongo, S. (2020). COVID-19 lockdown: housing built environment’s effects on mental health. International journal of environmental research and public health, 17(16), 5973.

Arensman, E., O’Connor, C., Leduc, C., Griffin, E., Cully, G., Ní Dhálaigh, D., ... & Corcoran, P. (2022). Mental health promotion and intervention in occupational settings: protocol for a pilot study of the MENTUPP intervention. International Journal of Environmental Research and Public Health, 19(2), 947.

Argyriadis, A., Fradelos, E. C., Argyriadi, A., Ziegler, E., & Kaba, E. (2023). Advancing access to quality LGBTQIA+ health care: gender discrimination, socio-cultural, and mental health issues: a mixed-method study. International journal of environmental research and public health, 20(6), 4767.

Armbruster, S., & Klotzbücher, V. (2020). Lost in lockdown? COVID-19, social distancing, and mental health in Germany (No. 2020-04). Diskussionsbeiträge.

Barouki, R., Kogevinas, M., Audouze, K., Belesova, K., Bergman, A., Birnbaum, L., ... & Hera- Covid-19 Working Group. (2021). The COVID-19 pandemic and global environmental change: Emerging research needs. Environment international, 146, 106272.

Bedaso, A., Adams, J., Peng, W., & Sibbritt, D. (2021). The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis. Reproductive health, 18, 1-23.

Bjørnshagen, V., & Ugreninov, E. (2021). Labour market inclusion of young people with mental health problems in Norway. Alter, 15(1), 46-60.

Bonnie, R., & Zelle, H. (2019). Ethics in Mental Health Care: A Public Health Perspective. The Oxford Handbook of Public Health Ethics. https://doi.org/10.1093/OXFORDHB/9780190245191.013.21.

Braghieri, L., Levy, R. E., & Makarin, A. (2022). Social media and mental health. American Economic Review, 112(11), 3660-3693.

Brouwers, E. P. (2020). Social stigma is an underestimated contributing factor to unemployment in people with mental illness or mental health issues: position paper and future directions. BMC psychology, 8, 1-7.

Brouwers, E. P. M., Joosen, M. C. W., Van Zelst, C., & Van Weeghel, J. (2020). To disclose or not to disclose: a multi-stakeholder focus group study on mental health issues in the work environment. Journal of occupational rehabilitation, 30, 84-92.

Callaghan, A., McCombe, G., Harrold, A., McMeel, C., Mills, G., Moore-Cherry, N., & Cullen, W. (2021). The impact of green spaces on mental health in urban settings: A scoping review. Journal of Mental Health, 30(2), 179-193.

Cao, X., Zhang, H., Li, P., & Huang, X. (2022). The influence of mental health on job satisfaction: mediating effect of psychological capital and social capital. Frontiers in Public Health, 10, 797274.

Charlson, F., Ali, S., Benmarhnia, T., Pearl, M., Massazza, A., Augustinavicius, J., & Scott, J. G. (2021). Climate change and mental health: a scoping review. International journal of environmental research and public health, 18(9), 4486.

Chaturvedi, S. K. (2020). Covid-19, coronavirus and mental health rehabilitation at times of crisis. Journal of Psychosocial Rehabilitation and Mental Health, 7, 1-2.

Cheng, Y., Zhang, J., & Liu, Y. (2022). The impact of enterprise management elements on college students’ entrepreneurial behavior by complex adaptive system theory. Frontiers in Psychology, 12, 769481.

Choe, E. Y., Jorgensen, A., & Sheffield, D. (2020). Does a natural environment enhance the effectiveness of Mindfulness-Based Stress Reduction (MBSR)? Examining the mental health and wellbeing, and nature connectedness benefits. Landscape and Urban Planning, 202, 103886.

Comtesse, H., Ertl, V., Hengst, S. M., Rosner, R., & Smid, G. E. (2021). Ecological grief as a response to environmental change: a mental health risk or functional response?. International journal of environmental research and public health, 18(2), 734.

Coyne, S. M., Rogers, A. A., Zurcher, J. D., Stockdale, L., & Booth, M. (2020). Does time spent using social media impact mental health?: An eight year longitudinal study. Computers in human behavior, 104, 106160.

Cratsley, K., & Radden, J. (2019). Public mental health ethics. Developments in Neuroethics and Bioethics. https://doi.org/10.1016/bs.dnb.2019.07.002.

Cvenkel, N. (2020). Well-being in the workplace: governance and sustainability insights to promote workplace health. Springer Nature.

Disney, L., & McPherson, J. (2020). Understanding refugee mental health and employment issues: Implications for social work practice. Journal of Social Work in the Global Community, 5(1), 2.

Dzhambov, A. M., Lercher, P., Browning, M. H., Stoyanov, D., Petrova, N., Novakov, S., & Dimitrova, D. D. (2021). Does greenery experienced indoors and outdoors provide an escape and support mental health during the COVID-19 quarantine?. Environmental research, 196, 110420.

FACMHN, K. U. A. R. P., & Bhullar, N. (2020). Life in the pandemic: Social isolation and mental health.

Fisher, M., Newton, C., & Sainsbury, E. (2021). Mental health social work observed. Routledge.

Fletcher, E., Barroso, A., & Croft, B. (2020). A case study of a peer respite's integration into a public mental health system. Journal of health care for the poor and underserved, 31(1), 218-234.

Ganesan, B., Al-Jumaily, A., Fong, K. N., Prasad, P., Meena, S. K., & Tong, R. K. Y. (2021). Impact of coronavirus disease 2019 (COVID-19) outbreak quarantine, isolation, and lockdown policies on mental health and suicide. Frontiers in psychiatry, 12, 565190.

Girdhar, R., Srivastava, V., & Sethi, S. (2020). Managing mental health issues among elderly during COVID-19 pandemic. Journal of geriatric care and research, 7(1), 32-5.

Gislason, M. K., Kennedy, A. M., & Witham, S. M. (2021). The interplay between social and ecological determinants of mental health for children and youth in the climate crisis. International journal of environmental research and public health, 18(9), 4573.

Gorczynski, P., Currie, A., Gibson, K., Gouttebarge, V., Hainline, B., Castaldelli-Maia, J. M., ... & Swartz, L. (2021). Developing mental health literacy and cultural competence in elite sport. Journal of Applied Sport Psychology, 33(4), 387-401.

Gorobets, A. (2014). Eco-centric policy for sustainable development. Journal of Cleaner Production, 64, 654-655. https://doi.org/10.1016/J.JCLEPRO.2013.09.022.

Guidotti, T. (2018). Sustainability and health: notes toward a convergence of agendas. Journal of Environmental Studies and Sciences, 8, 357-361. https://doi.org/10.1007/s13412-018-0496-3.

Gupta, R., & Agrawal, R. (2021). Are the concerns destroying mental health of college students?: A qualitative analysis portraying experiences amidst COVID‐19 ambiguities. Analyses of Social Issues and Public Policy, 21(1), 621-639.

Hassan, H., Hsbollah, H. M., & Mohamad, R. (2022). Examining the interlink of social media use, purchase behavior, and mental health. Procedia Computer Science, 196, 85-92.

Hobbs, M., Kingham, S., Wiki, J., Marek, L., & Campbell, M. (2021). Unhealthy environments are associated with adverse mental health and psychological distress: cross-sectional evidence from nationally representative data in New Zealand. Preventive Medicine, 145, 106416.

Hogg, B., Medina, J. C., Gardoki-Souto, I., Serbanescu, I., Moreno-Alcázar, A., Cerga-Pashoja, A., ... & Amann, B. L. (2021). Workplace interventions to reduce depression and anxiety in small and medium-sized enterprises: A systematic review. Journal of affective disorders, 290, 378-386.

Hogg, B., Moreno-Alcázar, A., Tóth, M. D., Serbanescu, I., Aust, B., Leduc, C., ... & Amann, B. L. (2023). Supporting employees with mental illness and reducing mental illness-related stigma in the workplace: an expert survey. European archives of psychiatry and clinical neuroscience, 273(3), 739- 753.

Ingle, H. E., & Mikulewicz, M. (2020). Mental health and climate change: tackling invisible injustice. The Lancet Planetary Health, 4(4), e128-e130.

Ipsen, C., Karanika-Murray, M., & Nardelli, G. (2020). Addressing mental health and organisational performance in tandem: A challenge and an opportunity for bringing together what belongs together. Work & Stress, 34(1), 1-4.

Jain, A., Hassard, J., Leka, S., Di Tecco, C., & Iavicoli, S. (2021). The role of occupational health services in psychosocial risk management and the promotion of mental health and well-being at work. International journal of environmental research and public health, 18(7), 3632.

Jiang, Y., Luo, H., & Yang, F. (2020). Influences of migrant construction workers’ environmental risk perception on their physical and mental health: Evidence from china. International journal of environmental research and public health, 17(20), 7424.

Kass, N. (2001). An ethics framework for public health.. American journal of public health, 91 11, 1776-82 . https://doi.org/10.2105/AJPH.91.11.1776.

Li, A., Martino, E., Mansour, A., & Bentley, R. (2022). Environmental noise exposure and mental health: evidence from a population-based longitudinal study. American journal of preventive medicine, 63(2), e39-e48.

Looi, J. C., Allison, S., & Bastiampillai, T. (2020). Commonwealth of common mental health: the need for a comprehensive overhaul of corporate governance in mental healthcare in Australia. Australasian Psychiatry, 28(3), 300-302.

Marazziti, D., Cianconi, P., Mucci, F., Foresi, L., Chiarantini, I., & Della Vecchia, A. (2021). Climate change, environment pollution, COVID-19 pandemic and mental health. Science of the total environment, 773, 145182.

Martin, A., Kilpatrick, M., Scott, J., Cocker, F., Dawkins, S., Brough, P., & Sanderson, K. (2020). Protecting the mental health of small-to-medium enterprise owners: a randomized control trial evaluating a self-administered versus telephone supported intervention. Journal of Occupational and Environmental Medicine, 62(7), 503-510.

Marzukhi, M. A., Ghazali, N. M., Leh, O. L. H., & Yakob, H. (2020). A bidirectional associations between urban physical environment and mental health: a theoretical framework. Environ Behav Proc J, 5, 167-73.

McLeod, K. E., Butler, A., Young, J. T., Southalan, L., Borschmann, R., Sturup-Toft, S., ... & Kinner, S. A. (2020). Global prison health care governance and health equity: a critical lack of evidence. American journal of public health, 110(3), 303-308.

Moncrieff, J. (2022). The political economy of the mental health system: A Marxist analysis. Frontiers in Sociology, 6, 771875. Mukhtar, S. (2020). Pakistanis’ mental health during the COVID-19. Asian journal of psychiatry, 51, 102127.

Newman, M. G., & Zainal, N. H. (2020). The value of maintaining social connections for mental health in older people. The Lancet Public Health, 5(1), e12-e13.

Nguyen, T., Tran, T., Tran, H., Tran, T. D., & Fisher, J. (2021). Challenges in integrating mental health into primary care in Vietnam. In Innovations in global mental health (pp. 1249-1269). Cham: Springer International Publishing.

Nurunnabi, M., Almusharraf, N., & Aldeghaither, D. (2020). Mental health and well-being during the COVID-19 pandemic in higher education: Evidence from G20 countries. Journal of Public Health Research, 9(1_suppl), jphr-2020.

O’reilly, M. (2020). Social media and adolescent mental health: the good, the bad and the ugly. Journal of Mental Health, 29(2), 200-206.

Ogbe, E., Harmon, S., Van den Bergh, R., & Degomme, O. (2020). A systematic review of intimate partner violence interventions focused on improving social support and/mental health outcomes of survivors. PLoS one, 15(6), e0235177.

Okoro, Y. O., Ayo-Farai, O., Maduka, C. P., Okongwu, C. C., & Sodamade, O. T. (2024). The Role of technology in enhancing mental health advocacy: a systematic review. International Journal of Applied Research in Social Sciences, 6(1), 37-50.

Ollivier, R., Aston, M., Price, S., Sim, M., Benoit, B., Joy, P., ... & Nassaji, N. A. (2021). Mental health & parental concerns during COVID-19: The experiences of new mothers amidst social isolation. Midwifery, 94, 102902.

Ortuño-Sierra, J., Lucas-Molina, B., Inchausti, F., & Fonseca-Pedrero, E. (2021). Special issue on mental health and well-being in adolescence: Environment and behavior. International Journal of Environmental Research and Public Health, 18(6), 2975.

Osypuk, T., Joshi, P., Geronimo, K., & Acevedo-Garcia, D. (2014). Do Social and Economic Policies Influence Health? A Review. Current Epidemiology Reports, 1, 149-164. https://doi.org/10.1007/s40471-014-0013-5.

Pancani, L., Marinucci, M., Aureli, N., & Riva, P. (2021). Forced social isolation and mental health: a study on 1,006 Italians under COVID-19 lockdown. Frontiers in psychology, 12, 663799.

Pavlista, V., Angerer, P., & Diebig, M. (2021). Barriers and drivers of psychosocial risk assessments in German micro and small-sized enterprises: a qualitative study with owners and managers. BMC public health, 21, 1-12.

Petrie, M. (2022). Integrating Economic and Environmental Policy. Policy Quarterly. https://doi.org/10.26686/pq.v18i2.7569.

Piao, X., Xie, J., & Managi, S. (2022). Environmental, social, and corporate governance activities with employee psychological well-being improvement. BMC Public Health, 22, 1-12.

Ribeiro, A. I., Triguero-Mas, M., Santos, C. J., Gómez-Nieto, A., Cole, H., Anguelovski, I., ... & Baró, F. (2021). Exposure to nature and mental health outcomes during COVID-19 lockdown. A comparison between Portugal and Spain. Environment international, 154, 106664.

Salameh, P., Aline, H. A. J. J., Badro, D. A., Abou Selwan, C., Randa, A. O. U. N., & Sacre, H. (2020). Mental health outcomes of the COVID-19 pandemic and a collapsing economy: perspectives from a developing country. Psychiatry research, 294, 113520.

Sameroff, A. J., & Seifer, R. (2021). Accumulation of environmental risk and child mental health. In Children of poverty (pp. 233-258). Routledge. Schwartz, S. E., Benoit, L., Clayton, S., Parnes, M. F., Swenson, L., & Lowe, S. R. (2023). Climate change anxiety and mental health: Environmental activism as buffer. Current Psychology, 42(20), 16708-16721.

Shohaieb, D., Elmarzouky, M., & Albitar, K. (2022). Corporate governance and diversity management: evidence from a disclosure perspective. International Journal of Accounting & Information Management, 30(4), 502-525.

Spitzmueller, M. C. (2020). Remaking “community” mental health: Contested institutional logics and organizational change. In Human Service Organizations and the Question of Impact (pp. 11-33). Routledge.

Stogner, J., Miller, B. L., & McLean, K. (2020). Police stress, mental health, and resiliency during the COVID-19 pandemic. American journal of criminal justice, 45, 718-730.

Sujarwoto, Saputri, R. A. M., & Yumarni, T. (2023). Social media addiction and mental health among university students during the COVID-19 pandemic in Indonesia. International journal of mental health and addiction, 21(1), 96-110.

Tang, S., Lee, H. F., & Feng, J. (2022). Social capital, built environment and mental health: a comparison between the local elderly people and the ‘laopiao’in urban China. Ageing & Society, 42(1), 179-203.

Thakur, A. (2020). Mental health in high school students at the time of COVID-19: A student’s perspective. Journal of the American Academy of Child and Adolescent Psychiatry, 59(12), 1309.

Thoma, M. V., Rohleder, N., & Rohner, S. L. (2021). Clinical ecopsychology: the mental health impacts and underlying pathways of the climate and environmental crisis. Frontiers in psychiatry, 12, 675936.

Valdez, D., Ten Thij, M., Bathina, K., Rutter, L. A., & Bollen, J. (2020). Social media insights into US mental health during the COVID-19 pandemic: Longitudinal analysis of Twitter data. Journal of medical Internet research, 22(12), e21418.

Van Kamp, I., Waye, K. P., Kanninen, K., Gulliver, J., Bozzon, A., Psyllidis, A., ... & Team, E. L. S. (2022). Early environmental quality and life-course mental health effects: The Equal-Life project. Environmental Epidemiology, 6(1), e183.

Vella, S. A., Schweickle, M. J., Sutcliffe, J. T., & Swann, C. (2021). A systematic review and metasynthesis of mental health position statements in sport: Scope, quality and future directions. Psychology of Sport and Exercise, 55, 101946.

Ventriglio, A., Torales, J., Castaldelli-Maia, J. M., De Berardis, D., & Bhugra, D. (2021). Urbanization and emerging mental health issues. CNS spectrums, 26(1), 43-50.

Vinberg, S., & Danielsson, P. (2021). Managers of micro-sized enterprises and Covid-19: impact on business operations, work-life balance and well-being. International Journal of Circumpolar Health, 80(1), 1959700.

Visentin, D. C., Cleary, M., & Minutillo, S. (2020). Small business ownership and mental health. Issues in mental health nursing, 41(5), 460-463.

Vito, R. (2020). Key variations in organizational culture and leadership influence: A comparison between three children’s mental health and child welfare agencies. Children and Youth Services Review, 108, 104600.

Warford, J. (1995). Environment, health, and sustainable development: the role of economic instruments and policies.. Bulletin of the World Health Organization, 73 3, 387-95.

Weirauch, L., Galliker, S., & Elfering, A. (2023). Holacracy, a modern form of organizational governance predictors for person-organization-fit and job satisfaction. Frontiers in psychology, 13, 1021545.

Wu, A., Roemer, E. C., Kent, K. B., Ballard, D. W., & Goetzel, R. Z. (2021). Organizational best practices supporting mental health in the workplace. Journal of occupational and environmental medicine, 63(12), e925-e931.

Wutich, A., Brewis, A., & Tsai, A. (2020). Water and mental health. Wiley Interdisciplinary Reviews: Water, 7(5), e1461.

Yang, F., Jiang, Y., & Pu, X. (2021, August). Impact of work value perception on workers’ physical and mental health: evidence from China. In Healthcare (Vol. 9, No. 8, p. 1059). MDPI.

Yi, X., Yang, J., Gao, X., & Li, F. (2022). The relationship between occupational stress, mental health and work ability of coal chemical workers in Xinjiang. Frontiers in Psychiatry, 13, 903534.

Younes, M. (2018). 1694b Health in all policies as a sustainable development strategy. Occupational and Environmental Medicine, 75, A602 - A602. https://doi.org/10.1136/oemed-2018- ICOHabstracts.1699.

Yue, Y., Yang, D., Owen, N., & Van Dyck, D. (2022). The built environment and mental health among older adults in Dalian: The mediating role of perceived environmental attributes. Social science & medicine, 311, 115333.