Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities
Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities
复制标题
北卡罗来纳州绿地和心理健康的空间分析：考虑农村和城市社区
DOI：
10.1097/fch.0000000000000363
复制
发表时间：
2023
影响因子：
2.3
通讯作者：
Matthews, Jessica L.
中科院分区：
文献类型：
--
作者：
Ryan, Sophia C.;Sugg, Margaret M.;Runkle, Jennifer D.;Matthews, Jessica L.
绿色空间对心理健康有积极影响。以前的研究主要集中在城市地区的绿色空间与心理健康的关系。然而，很少有工作着眼于农村地区，尽管农村社区报告说，与城市地区相比，精神健康状况不佳的比例相似，自杀死亡率较高。本生态研究探讨以下研究问题：（1）公共和/或私人绿地是否影响北卡罗来纳州心理健康结果的空间分布？(2)这种关系会随着农村化而改变吗？本分析包括2009年至2018年6种精神健康状况的急诊科数据和自杀死亡率数据。采用空间误差和普通最小二乘回归分析方法，研究了城乡社区公共绿地和私人绿地数量对心理健康的影响。结果表明，绿地有益于农村和城市社区的心理健康。这种关系的强度随城市化程度以及公共和私人绿地之间的差异而变化，这表明了一种更复杂的因果关系。鉴于农村地区的病例数高，而且精神卫生保健设施的密度往往较低，因此在考虑农村精神卫生保健时，必须关注绿色空间等低成本的精神卫生干预措施。
Greenspace positively impacts mental health. Previous research has focused on the greenspace-mental health relationship in urban areas. Yet, little work has looked at rural areas despite rural communities reporting similar rates of poor mental health outcomes and higher rates of suicide mortality compared with urban areas. This ecological research study examined the following research questions:(1) Do public and/or private greenspaces affect the spatial distribution of mental health outcomes in North Carolina?(2) Does this relationship change with rurality? Emergency department data for 6 mental health conditions and suicide mortality data from 2009 to 2018 were included in this analysis. Spatial error and ordinary least squares regressions were used to examine the influence of public and private greenspace quantity on mental health in rural and urban communities. Results suggest greenspace benefits mental health in rural and urban communities. The strength of this relationship varies with urbanity and between public and private greenspaces, suggesting a more complex causal relationship. Given the high case counts and often lower density of mental health care facilities in rural areas, focusing attention on low-cost mental health interventions, such as greenspace, is important when considering rural mental health care.