期刊
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
卷 75, 期 5, 页码 470-476出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/jech-2020-214257
关键词
ageing; self-rated health; mental health; depression; geography
资金
- European Union [667661]
- Welcome Trust [064947, 081081]
- US National Institute on Aging [R01 AG23522-01]
- MacArthur Foundation 'MacArthur Initiative on Social Upheaval and Health' [712058]
- Netherlands Ministry of Health, Welfare and Sport, Directorate of Long-Term Care
- INPES (National Institute for Prevention and Health Education)
- IReSP (Institute for Public Health Research)
- InVS (National Institute of Public Health Surveillance)
- French Ministries of Research and Health
- CNAM-TS (National Health Insurance Office for Salaried Workers)
- Ile-de-France Regional Health Agency (ARS)
Studies on the relationship between urban green space and mental health in Europe have produced mixed results. This study, including data from four European aging cohorts, found no significant association between green space exposure and subjective health or depressed affect in middle-aged and older adults.
Background Studies on associations between urban green space and mental health have yielded mixed results. This study examines associations of green space exposures with subjective health and depressed affect of middle-aged and older adults in four European cohorts. Methods Data came from four Western-European and Central-European ageing cohorts harmonised as part of the Mindmap project, comprising 16 189 adults with an average age of 50-71 years. Green space exposure was based on the distance to the nearest green space and the amount of green space within 800 m buffers around residential addresses. Cohort-specific and one-step individual participant data (IPD) meta-analyses were used to examine associations of green space exposures with subjective health and depressed affect. Results The amount of green spaces within 800 m buffers was lowest for Residential Environment and CORonary heart Disease (Paris, 15.0 hectares) and highest for Health, Alcohol and Psychosocial factors In Eastern Europe (Czech Republic, 35.9 hectares). IPD analyses indicated no evidence of an association between the distance to the nearest green space and depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Likewise, the amount of green space within 800 m buffers did not predict depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Findings were consistent across all cohorts. Conclusions Data from four European ageing cohorts provide no support for the hypothesis that green space exposure is associated with subjective health or depressed affect. While longitudinal evidence is required, these findings suggest that green space may be less important for older urban residents.
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