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Roads, isolation and more schizophrenia hospital visits — Level A2 — A city street with buildings on either side.

Roads, isolation and more schizophrenia hospital visitsCEFR A2

28 Apr 2026

Adapted from Brown University, Futurity CC BY 4.0

Photo by André Eusébio, Unsplash

Level A2 – High beginner / Elementary
2 min
109 words

Researchers analysed ZIP code data for New York City and used annual state health counts of hospital visits for mood, anxiety, adjustment and schizophrenia disorders. They measured how cut off a community was with a measure called the Community Severance Index, which looks at roads, traffic and missing sidewalks or crosswalks.

The strongest link in the study was with schizophrenia-related hospital visits, and the effect was similar across age groups. The authors suggest that isolation can reduce social contact, discourage walking, limit access to services and increase stress. They say lowering vehicle emissions alone may not be enough and planners should reduce car dependence to bring people together.

Difficult words

  • analyselook at data to find patterns or meaning
    analysed
  • schizophreniaserious mental illness with unusual thoughts and behaviour
  • isolationstate of being separated from other people
  • discouragemake someone less likely to do something
  • vehicle emissiongases released by cars and other vehicles
    vehicle emissions
  • indexnumber or value used to measure something

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Discussion questions

  • Do you have sidewalks and crosswalks where you live? How do they affect walking?
  • What can planners do to reduce car dependence in your city or town?
  • Is lowering vehicle emissions enough to bring people together? Why or why not?

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