Green spaces, subjective health and depressed affect in middle-aged and older adults: a cross-country comparison of four European cohorts.
ageing
depression
geography
mental health
self-rated health
Journal
Journal of epidemiology and community health
ISSN: 1470-2738
Titre abrégé: J Epidemiol Community Health
Pays: England
ID NLM: 7909766
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
06
04
2020
revised:
12
11
2020
accepted:
17
01
2021
pubmed:
28
1
2021
medline:
18
9
2021
entrez:
27
1
2021
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.
Identifiants
pubmed: 33500323
pii: jech-2020-214257
doi: 10.1136/jech-2020-214257
pmc: PMC8053337
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-476Subventions
Organisme : NIA NIH HHS
ID : R01 AG023522
Pays : United States
Organisme : Wellcome Trust
ID : 064947
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 081081
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Health Place. 2017 Nov;48:63-71
pubmed: 28942343
Int Psychogeriatr. 2012 Aug;24(8):1207-25
pubmed: 22300529
J Epidemiol Community Health. 2014 Jun;68(6):578-83
pubmed: 24604596
Front Psychol. 2018 Nov 27;9:2320
pubmed: 30538653
Environ Res. 2017 Oct;158:301-317
pubmed: 28672128
Soc Sci Med. 2019 Apr;226:263-274
pubmed: 30898372
Psychol Aging. 2011 Mar;26(1):21-33
pubmed: 20973600
Soc Sci Med. 2008 Mar;66(6):1241-55
pubmed: 18177988
J Community Health. 2015 Feb;40(1):47-56
pubmed: 24917124
Health Place. 2017 Jul;46:73-81
pubmed: 28511083
BMC Public Health. 2018 Jan 19;18(1):158
pubmed: 29351781
Science. 2006 Jun 30;312(5782):1913-5
pubmed: 16809530
Br J Psychiatry. 2019 Aug;215(2):468-475
pubmed: 31057126
Psychol Sci. 2013 Jun;24(6):920-8
pubmed: 23613211
Curr Epidemiol Rep. 2015 Jun;2(2):131-142
pubmed: 26185745
Health Place. 2020 Jan;61:102264
pubmed: 32329730
Health Place. 2014 May;27:162-70
pubmed: 24607875
Int J Obes (Lond). 2012 Aug;36(8):1108-13
pubmed: 21986707
Int J Health Geogr. 2017 Jan 23;16(1):4
pubmed: 28114945
PLoS One. 2012;7(10):e46042
pubmed: 23056232
Environ Res. 2018 Oct;166:290-297
pubmed: 29936285
J Epidemiol Community Health. 2020 Jan;74(1):48-56
pubmed: 31630120
Int J Epidemiol. 2011 Aug;40(4):868-76
pubmed: 21216744
BJPsych Open. 2016 Nov 23;2(6):366-372
pubmed: 29018562
Am J Epidemiol. 2004 Apr 1;159(7):702-6
pubmed: 15033648
Int J Environ Res Public Health. 2015 Apr 22;12(4):4354-79
pubmed: 25913182
Stat Med. 2017 Feb 28;36(5):855-875
pubmed: 27747915
J Public Health (Oxf). 2011 Jun;33(2):212-22
pubmed: 20833671
BMC Public Health. 2006 Oct 18;6:255
pubmed: 17049075
JAMA. 2015 Apr 28;313(16):1657-65
pubmed: 25919529
Int J Epidemiol. 2014 Jun;43(3):721-30
pubmed: 23716619
Int J Epidemiol. 2012 Oct;41(5):1283-92
pubmed: 21737405