Effect of changes in green spaces on mental health in older adults: a fixed effects analysis
Effect of changes in green spaces on mental health in older adults: a fixed effects analysis
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DOI：
10.1136/jech-2019-212704
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发表时间：
2020-01-01
影响因子：
6.3
通讯作者：
Van Lenthe, Frank J.
中科院分区：
文献类型：
--
作者：
Noordzij, J. Mark;Beenackers, Marielle A.;Van Lenthe, Frank J.
背景城市绿色空间与不同的健康益处有关，但关于绿色空间对心理健康影响的纵向研究很少，证据往往不确定。我们的目标是研究的影响，在绿色空间的变化，在居住环境中的心理健康的变化与10 years的后续数据（2004-2014）。方法数据从3175荷兰成年人被链接到可访问性和可用性措施的绿色空间在三个时间点（2004/2011/2014）。心理健康的测量与心理健康量表-5。固定效应分析进行评估的影响，在绿色空间的变化对心理health.Results横断面分析的基线数据显示最近的绿色空间和心理健康的欧几里得距离之间的显着关联，增加100米与较低的心理健康评分约0.5（95%CI-0.87-0.12）在0-100规模。固定效应模型显示，无论是对于整个样本还是对于那些在随访期间没有搬迁的样本，都没有证据表明绿色空间的变化与心理健康变化之间存在关联。结论尽管观察到居住环境中绿色空间的可及性与心理健康之间存在横截面相关性，但没有发现证据表明绿色空间的变化与心理健康的变化之间存在关联。如果心理健康和绿色空间确实存在因果联系，那么2004年至2014年间埃因霍温地区绿色空间的变化不足以产生显著影响。
Background Urban green spaces have been linked to different health benefits, but longitudinal studies on the effect of green spaces on mental health are sparse and evidence often inconclusive. Our objective was to study the effect of changes in green spaces in the residential environment on changes in mental health using data with 10years of follow-up (2004-2014).Methods Data from 3175 Dutch adults were linked to accessibility and availability measures of green spaces at three time points (2004/2011/2014). Mental health was measured with the Mental Health Inventory-5. Fixed effects analyses were performed to assess the effect of changes in green spaces on mental health.Results Cross-sectional analysis of baseline data showed significant associations between Euclidean distances to the nearest green space and mental health, with an increase of 100 m correlating with a lower mental health score of approximately 0.5 (95% CI -0.87 to -0.12) on a 0-100 scale. Fixed effects models showed no evidence for associations between changes in green spaces and changes in mental health both for the entire sample as well as for those that did not relocate during follow-up.Conclusions Despite observed cross-sectional correlations between the accessibility of green space in the residential environment and mental health, no evidence was found for an association between changes in green spaces and changes in mental health. If mental health and green spaces are indeed causally linked, then changes in green spaces in the Eindhoven area between 2004 and 2014 are not enough to produce a significant effect.