Green spaces, subjective health and depressed affect in middle-aged and older adults: a cross-country comparison of four European cohorts.

Green spaces, subjective health and depressed affect in middle-aged and older adults: a cross-country comparison of four European cohorts.
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DOI:
10.1136/jech-2020-214257
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发表时间:
2021-05
影响因子:
6.3
通讯作者:
van Lenthe FJ
van Lenthe FJ
中科院分区:
医学2区
文献类型:
--
作者:
Noordzij JM;Beenackers MA;Oude Groeniger J;Timmermans E;Chaix B;Doiron D;Huisman M;Motoc I;Ruiz M;Wissa R;Avendano M;van Lenthe FJ

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关于城市绿色空间与心理健康之间关系的研究结果喜忧参半。本研究探讨协会的绿色空间暴露与主观健康和抑郁情绪的中年和老年人在四个欧洲队列。数据来自四个西欧和中欧的老龄化队列,作为思维导图项目的一部分,包括16189名成年人,平均年龄为50-71岁。绿色空间暴露是基于到最近的绿色空间的距离和住宅地址周围800米缓冲区内的绿色空间的数量。队列特定的和一步个人参与者数据(IPD)的荟萃分析被用来检查绿色空间暴露与主观健康和抑郁情绪的关联。800米缓冲区内的绿色空间的数量是最低的居住环境和心脏病(巴黎,15.0公顷)和最高的健康,酒精和心理社会因素在东欧(捷克共和国,35.9公顷)。IPD分析表明,没有证据表明到最近的绿色空间的距离与抑郁情绪(OR 0.98,95%CI 0.96至1.00)或良好的自评健康状况(OR 1.01,95%CI 0.99至1.02)之间存在关联。同样,800 m缓冲区内的绿色空间量不能预测抑郁情绪(OR 0.98,95% CI 0.96 - 1.00)或良好的自我评定健康(OR 1.01,95% CI 0.99 - 1.02)。所有队列的结果一致。来自四个欧洲老龄化队列的数据不支持绿色空间暴露与主观健康或抑郁情绪相关的假设。虽然需要纵向证据,这些研究结果表明,绿色空间可能是不太重要的老年城市居民。
Studies on associations between urban green space and mental health have yielded mixed results. This study examines associations of green space exposures with subjective health and depressed affect of middle-aged and older adults in four European cohorts. Data came from four Western-European and Central-European ageing cohorts harmonised as part of the Mindmap project, comprising 16 189 adults with an average age of 50–71 years. Green space exposure was based on the distance to the nearest green space and the amount of green space within 800 m buffers around residential addresses. Cohort-specific and one-step individual participant data (IPD) meta-analyses were used to examine associations of green space exposures with subjective health and depressed affect. The amount of green spaces within 800 m buffers was lowest for Residential Environment and CORonary heart Disease (Paris, 15.0 hectares) and highest for Health, Alcohol and Psychosocial factors In Eastern Europe (Czech Republic, 35.9 hectares). IPD analyses indicated no evidence of an association between the distance to the nearest green space and depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Likewise, the amount of green space within 800 m buffers did not predict depressed affect (OR 0.98, 95% CI 0.96 to 1.00) or good self-rated health (OR 1.01, 95% CI 0.99 to 1.02). Findings were consistent across all cohorts. Data from four European ageing cohorts provide no support for the hypothesis that green space exposure is associated with subjective health or depressed affect. While longitudinal evidence is required, these findings suggest that green space may be less important for older urban residents.
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