Socioeconomic deprivation modifies green space and mental health associations: A within person study.

Autor: Belcher RN; Science and Solutions for a Changing Planet NERC DTP, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; MRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; University of Kent, School of Architecture and Planning, UK. Electronic address: r.belcher19@imperial.ac.uk., Murray KA; MRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London W2 1PG, UK; MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Atlantic Boulevard, Fajara, the Gambia., Reeves JP; Ecosystem Health & Social Dimensions Unit, Wildfowl & Wetlands Trust (WWT), Slimbridge, Glos GL2 7BT, UK., Fecht D; MRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; National Institute for Health Research Health Protection Research Unit in Chemical and Radiation Threats and Hazards, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, UK.
Jazyk: angličtina
Zdroj: Environment international [Environ Int] 2024 Oct; Vol. 192, pp. 109036. Date of Electronic Publication: 2024 Sep 30.
DOI: 10.1016/j.envint.2024.109036
Abstrakt: Living in an area with good availability and accessibility of residential green spaces such as parks, woodlands, and residential gardens can improve mental health and reduce the global disease burden. Unlike for physical health, it is not well understood if mental health and green space associations might be modified by local area deprivation. Existing evidence for this association comes from cross-sectional studies, widely considered vulnerable to confounding and bias. Individual time-invariant mental health status, personality, and other factors may result in positive effect modification on green space and mental health associations in more deprived areas. We use fixed-effects models that remove time-invariant confounding by calculating differences within-persons to eliminate this bias and add to the existing evidence. We modelled changes in mental health status, green space, and deprivation (relative to the within-person mean) within 54,666 individuals with a combined total of 300,710 mental health scores from one of the world's largest panel surveys: "Understanding Society" in the UK. We found a positive effect of increasing residential green space on mental health and this was positively modified and intensified by area deprivation before and after adjusting for confounding. Our results support providing green space to protect against the negative impact of socioeconomic deprivation on health, particularly for those moving from a less deprived to a more deprived area.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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