Associations of Residential Greenness with Depression and Anxiety in Rural Chinese Adults.
Associations of Residential Greenness with Depression and Anxiety in Rural Chinese Adults.
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DOI：
10.1016/j.xinn.2020.100054
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发表时间：
2020-11-25
期刊：
影响因子：
--
通讯作者：
Guo Y
中科院分区：
文献类型：
--
作者：
Di N;Li S;Xiang H;Xie Y;Mao Z;Hou J;Liu X;Huo W;Yang B;Dong G;Wang C;Chen G;Guo Y
抑郁和焦虑是全球非致命性健康损失的主要原因。几项研究表明，住宅绿化与心理健康之间存在关联。参与者（n = 27,366）于2015-2017年间从中国河南省的四个县招募。在基线调查中使用患者健康问卷-2 （PHQ-2）和广泛性焦虑障碍-2 （GAD-2）评估抑郁和焦虑症状。采用中分辨率成像光谱辐射计（MODIS）、归一化植被指数（NDVI）和增强植被指数（EVI）评估基线调查前3年的住宅绿化水平。采用混合效应线性回归模型检验居住绿化与抑郁、焦虑的关系。调整后的模型结果显示，在1000 m缓冲半径内，NDVI和EVI的四分位数范围（IQR）分别增加，PHQ-2评分（Δscore和95%置信区间[CI]）分别下降了- 0.024（- 0.041,- 0.006）和- 0.022（- 0.038,- 0.004）。GAD-2评分（Δscore和95% CI）分别下降了- 0.024（- 0.040,- 0.006）和- 0.028(- 0.044,- 0.011)，相对于在1000 m缓冲半径内NDVI和EVI的IQR增加。在河南省农村地区，较高的住宅绿化水平与较低的抑郁和焦虑风险显著相关。改善住宅绿化可达性有助于促进农村人口的心理健康。精神障碍，特别是抑郁和焦虑，已成为全球最严重的公共卫生问题之一。对来自河南农村队列的27,366名参与者进行了抑郁、焦虑症状和住宅绿化水平的调查。采用混合效应线性回归模型研究了河南省农村居民居住绿化水平与抑郁、焦虑之间的关系。较高的住宅绿化与较低的抑郁和焦虑风险显著相关。居住绿化对男性、高收入、高教育水平人群的影响更大。
Depression and anxiety are top contributors to non-fatal health loss globally. Several studies have indicated the association between residential greenness and mental health. The participants (n = 27,366) were recruited from four counties in Henan Province, China during 2015–2017. Symptoms of depression and anxiety were evaluated using the Patient Health Questionnaire-2 (PHQ-2) and the Generalized Anxiety Disorder-2 (GAD-2) in the baseline survey. The level of residential greenness during the 3-year period before the baseline survey was assessed using the Moderate Resolution Imaging Spectroradiometer (MODIS) Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index (EVI). The mixed-effect linear regression model was applied to examine the associations of residential greenness with depression and anxiety. The results of adjusted models showed that the score of PHQ-2 (Δscore and 95% confidence interval [CI]) decreased by −0.024 (−0.041, −0.006) and −0.022 (−0.038, −0.004) with an interquartile range (IQR) increase in NDVI and EVI within a 1,000-m buffer radius, respectively. The score of GAD-2 (Δscore and 95% CI) decreased by −0.024 (−0.040, −0.006) and −0.028 (−0.044, −0.011), in relation to an IQR increase in NDVI and EVI within a 1,000-m buffer radius, respectively. A higher level of residential greenness was significantly associated with lower risk of depression and anxiety in rural areas of Henan Province. Improving residential greenness accessibility may help to promote the mental health of rural populations. Mental disorders, particularly depression and anxiety, have become one of the most serious public health issues globally. Symptoms of depression and anxiety and level of residential greenness were investigated for 27,366 participants from the Henan Rural Cohort. The mixed effect linear regression model was used to examine the associations between level of residential greenness and depression and anxiety in rural areas of Henan Province, China. Higher residential greenness was significantly associated with lower risks of depression and anxiety. Stronger effects of residential greenness were observed in males and in those with higher income and education level.
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