Abstract
Although mountaintop removal (MTR) coal extraction techniques have been employed in Appalachia for decades, relatively little research has examined its potential psychological impact on people living in close proximity to MTR activity. The current study taps the State Emergency Department Database (Healthcare Cost and Utilization Project, Kentucky State Emergency Department Database, 2008) to examine the relative risk for diagnoses of depressive, substance use, and anxiety disorders originating in areas with and without MTR activity. Logistical regression analyses, controlling for ethnicity, rurality, mean income, and gender, indicated that MTR independently predicts greater risk for depressive (OR 1.37) and substance use disorders (OR 1.41), but not anxiety disorders. Overall, these findings have public health policy implications, build on other evidence of increased risk of negative mental health outcomes related to MTR, and lend some support to the validity of solastalgia related to environmental change.
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Notes
Those in counties with other forms of mining besides MTR had elevated risk only for mild major depressive symptoms, as opposed to mild and moderate symptoms in MTR counties.
There is a rolling 3-year moratorium on SEDD data; the 2008 year was the most current available when the authors accessed the database to examine the possible MTR effects on well being.
It is perhaps still worth noting, however, that the uncontrolled proportion of cases with an anxiety disorder diagnosis did still trend toward greater in MTR-active (3.1%) versus non-MTR (2.9%) areas.
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Canu, W.H., Jameson, J.P., Steele, E.H. et al. Mountaintop Removal Coal Mining and Emergent Cases of Psychological Disorder in Kentucky. Community Ment Health J 53, 802–810 (2017). https://doi.org/10.1007/s10597-017-0122-y
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DOI: https://doi.org/10.1007/s10597-017-0122-y