Streetscape greenery and health: Stress, social cohesion and physical activity as mediators
Streetscape greenery and health: Stress, social cohesion and physical activity as mediators
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DOI：
10.1016/j.socscimed.2013.06.030
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发表时间：
2013-10-01
影响因子：
5.4
通讯作者：
Spreeuwenberg, Peter
中科院分区：
文献类型：
--
作者：
de Vries, Sjerp;van Dillen, Sonja M. E.;Spreeuwenberg, Peter
几项研究表明，当地绿地可获得性与居民健康之间存在正相关关系，这可能为改善健康提供机会。本研究主要探讨绿色植物对健康产生积极影响的三种机制：缓解压力、刺激体力活动和促进社会凝聚力。有关机制的知识有助于确定哪种类型的绿地在产生健康益处方面最有效。通过观察收集了荷兰四个城市的80个居民区的街景绿化数量和质量的数据。通过邮寄问卷(N=1641)获得成人自我报告的健康状况和建议的中介数据。控制社会人口学特征的多水平回归分析显示，街景绿化的数量和质量都与感知的一般健康、急性健康相关投诉和心理健康有关。一般来说，人际关系的质量强于数量。压力和社会凝聚力是最强的中介。总的体力活动不是一个中介因素。与压力和社会凝聚力相比，可以在公共空间进行的体力活动(绿色活动)是有限的，但不是那么多。由于所有三名调解人都包括在分析中，从统计上讲，六起案件中有五起可以证明完全调解。在这些分析中，绿色活动的贡献往往不大。讨论了绿色活动的影响是由压力和社会凝聚力中介的可能性，而不是它对健康的直接影响。(C)2013爱思唯尔有限公司。保留所有权利。
Several studies have shown a positive relationship between local greenspace availability and residents' health, which may offer opportunities for health improvement. This study focuses on three mechanisms through which greenery might exert its positive effect on health: stress reduction, stimulating physical activity and facilitating social cohesion. Knowledge on mechanisms helps to identify which type of greenspace is most effective in generating health benefits. In eighty neighbourhoods in four Dutch cities data on quantity and quality of streetscape greenery were collected by observations. Data on self-reported health and proposed mediators were obtained for adults by mail questionnaires (N = 1641). Multilevel regression analyses, controlling for socio-demographic characteristics, revealed that both quantity and quality of streetscape greenery were related to perceived general health, acute health-related complaints, and mental health. Relationships were generally stronger for quality than for quantity. Stress and social cohesion were the strongest mediators. Total physical activity was not a mediator. Physical activity that could be undertaken in the public space (green activity) was, but less so than stress and social cohesion. With all three mediators included in the analysis, complete mediation could statistically be proven in five out of six cases. In these analyses the contribution of green activity was often not significant. The possibility that the effect of green activity is mediated by stress and social cohesion, rather than that it has a direct health effect, is discussed. (C) 2013 Elsevier Ltd. All rights reserved.