Green qualities in the neighbourhood and mental health - results from a longitudinal cohort study in Southern Sweden.
Green qualities in the neighbourhood and mental health - results from a longitudinal cohort study in Southern Sweden.
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DOI：
10.1186/1471-2458-12-337
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发表时间：
2012-05-08
影响因子：
4.5
通讯作者：
Währborg P
中科院分区：
文献类型：
--
作者：
Annerstedt M;Ostergren PO;Björk J;Grahn P;Skärbäck E;Währborg P
精神健康状况不佳是世界范围内的一个重大问题，因果关系复杂。对于具有多因素背景的疾病，个人和地点因素的协同效应可能是预防性的。自然被认为是这样一个积极的地方因素。在这项队列研究中，我们测试了基线环境中定义的绿色品质（宁静、空间、野性、文化、郁郁葱葱）对随访时心理健康的影响。我们还研究了这些地方因素和各种个人因素（经济压力，生活条件和身体活动）对心理健康的交互作用。从纵向（1999/2000年和2005年）人口健康调查（n = 24945）中提取的人的因素的数据。对与会者进行了地理编码，并将其与来自景观评估的绿色质量数据相联系，并将其储存在地理信息系统中。计算粗比值比（OR）和95%可信区间（CI），并进行多变量logistic分析。心理健康不受所选择的绿色品质的影响，无论是在数量上还是在任何特定的质量上。然而，我们发现，通过身体活动和获得宁静或空间的质量之间的显着相互作用效应，女性在随访时心理健康状况不佳的风险降低。男子的趋势也是类似的，但并不显著。对于其他三个绿色品质，以及质量的数量，没有发现统计上确定的协同效应。同样，绿色品质和其他人的因素之间也没有发现显着的协同效应。与缺乏身体活动相比，只有高级运动才能显著降低女性心理健康状况不佳的风险，但对男性则不然。研究结果并不直接支持通过接触绿色品质来预防心理健康的假设。然而，宁静的自然对体力活动的附加效应有助于改善随访时的心理健康。这一趋势对男女都是一样的，但只有对妇女具有统计学意义。客观的景观评估可能是重要的，在理顺健康的地理决定因素。本研究强调了在处理多因素背景疾病时考虑相互作用效应的重要性。
Poor mental health is a major issue worldwide and causality is complex. For diseases with multifactorial background synergistic effects of person- and place- factors can potentially be preventive. Nature is suggested as one such positive place-factor. In this cohort study we tested the effect of defined green qualities (Serene, Space, Wild, Culture, Lush) in the environment at baseline on mental health at follow-up. We also studied interaction effects on mental health of those place factors and varied person factors (financial stress, living conditions, and physical activity). Data on person factors were extracted from a longitudinal (years 1999/2000 and 2005) population health survey (n = 24945). The participants were geocoded and linked to data on green qualities from landscape assessments, and stored in the Geographical Information System (GIS). Crude odds ratios (OR) and 95% confidence intervals (CI) were calculated, and multivariate logistic analyses were performed. Mental health was not affected by access to the chosen green qualities, neither in terms of amount nor in terms of any specific quality. However, we found a reduced risk for poor mental health at follow-up among women, through a significant interaction effect between physical activity and access to the qualities Serene or Space. For men the tendencies were similar, though not significant. Regarding the other three green qualities, as well as amount of qualities, no statistically certain synergistic effects were found. Likewise, no significant synergies were detected between green qualities and the other person-factors. Only advanced exercise significantly reduced the risk for poor mental health among women, but not for men, compared to physical inactivity. The results do not directly support the hypothesis of a preventive mental health effect by access to the green qualities. However, the additive effect of serene nature to physical activity contributed to better mental health at follow-up. This tendency was equal for both sexes, but statistically significant only for women. Objective landscape assessments may be important in detangling geographic determinants of health. This study stresses the importance of considering interaction effects when dealing with disorders of multifactorial background.
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DOI：
10.1073/pnas.0900304106
发表时间：
2009-03-10
影响因子：
11.1
作者：
Cela-Conde, Camilo J.;Ayala, Francisco J.;Marty, Gisele
通讯作者：
Marty, Gisele
影响因子：
10.5
作者：
BENJAMIN, S;DECALMER, P;HARAN, D
通讯作者：
HARAN, D
DOI：
10.1016/j.socscimed.2009.11.020
发表时间：
2010-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Coombes E;Jones AP;Hillsdon M
通讯作者：
Hillsdon M
影响因子：
3.6
作者：
Gao F;Luo N;Thumboo J;Fones C;Li SC;Cheung YB
通讯作者：
Cheung YB
影响因子：
11.3
作者：
Baksheev, Gennady Nickolaevich;Robinson, Jo;Yung, Alison Ruth
通讯作者：
Yung, Alison Ruth