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Conversely, in older generations, the same exposure appeared to have a reverse or neutral effect, potentially due to survivor bias or differences in environmental factors across generations

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Similar to health-promoting features, models identified J-shaped associations for self-harm hospitalisations and C-shaped associations for substance problems and health-constraining domains of the HLI, showing a negative association of the outcome with less busy environments (protective effect of poorer access to health-constraining domains)