Dataset Information

Association of Urban Green Space With Mental Health and General Health Among Adults in Australia.

ABSTRACT:

Importance

Recent studies indicate that living near more green space may support mental and general health and may also prevent depression. However, most studies are cross-sectional, and few have considered whether some types of green space matter more for mental health.

Objective

To assess whether total green space or specific types of green space are associated with better mental health.

Design, setting, and participants

This cohort study included a residentially stable, city-dwelling sample of 46 786 participants from Sydney, Wollongong, and Newcastle, Australia, in the baseline of the Sax Institute's 45 and Up Study (data collected from January 1, 2006, to December 31, 2009). Follow-up was conducted from January 1, 2012, to December 31, 2015. Analyses were conducted in January 2019.

Exposures

Percentage of total green space, tree canopy, grass, and other low-lying vegetation measured within 1.6-km (1-mile) road network distance buffers around residential addresses at baseline.

Main outcomes and measures

Three outcome variables were examined at baseline (prevalence) and follow-up (incidence without baseline affirmatives): (1) risk of psychological distress (10-item Kessler Psychological Distress Scale), (2) self-reported physician-diagnosed depression or anxiety, and (3) fair to poor self-rated general health.

Results

This study included 46 786 participants (mean [SD] age, 61.0 [10.2] years; 25 171 [53.8%] female). At baseline, 5.1% of 37 775 reported a high risk of psychological distress, 16.0% of 46 786 reported depression or anxiety, and 9.0% of 45 577 reported fair to poor self-rated health. An additional 3.3% of 32 991 experienced psychological distress incidence, 7.5% of 39 277 experienced depression or anxiety incidence, and 7.3% of 40 741 experienced fair to poor self-rated health incidence by follow-up (mean [SD] of 6.2 [1.62] years later). Odds ratios (ORs) adjusted for age, sex, income, economic status, couple status, and educational level indicated that exposures of 30% or more total green space (OR, 0.46; 95% CI, 0.29-0.69) and tree canopy specifically (OR, 0.69; 95% CI, 0.54-0.88) were associated with lower incidence of psychological distress. Exposure to tree canopy of 30% or more, compared with 0% to 9%, was also associated with lower incidence of fair to poor general health (OR, 0.67; 95% CI, 0.57-0.80). Exposure to grass of 30% or more, compared with 0% to 4%, was associated with higher odds of incident fair to poor general health (OR, 1.47; 95% CI, 1.12-1.91) and prevalent psychological distress (OR, 1.71; 95% CI, 1.25-2.28). Exposure to low-lying vegetation was not consistently associated with any outcome. No green space indicator was associated with prevalent or incident depression or anxiety.

Conclusions and relevance

Protection and restoration of urban tree canopy specifically, rather than any urban greening, may be a good option for promotion of community mental health.

SUBMITTER: Astell-Burt T

PROVIDER: S-EPMC6661720 | biostudies-literature |

REPOSITORIES: biostudies-literature

ACCESS DATA

Similar Datasets

Project description:BackgroundExposure to a diverse environmental microbiome is thought to play an important role in "educating" the immune system and facilitating competitive exclusion of pathogens to maintain human health. Vegetation and soil are key sources of airborne microbiota--the aerobiome. A limited number of studies have attempted to characterize the dynamics of near surface green space aerobiomes, and no studies to date have investigated these dynamics from a vertical perspective. Vertical stratification in the aerobiome could have important implications for public health and for the design, engineering, and management of urban green spaces.ObjectivesThe primary objectives of this study were to: a) assess whether significant vertical stratification in bacterial species richness and evenness (alpha diversity) of the aerobiome occurred in a parkland habitat in Adelaide, South Australia; b) assess whether significant compositional differences (beta diversity) between sampling heights occurred; and c) to preliminarily assess whether there were significant altitudinal differences in potentially pathogenic and beneficial bacterial taxa.MethodsWe combined an innovative columnar sampling method at soil level, 0.0, 0.5, 1.0, and 2.0m, using passive petri dish sampling to collect airborne bacteria. We used a geographic information system (GIS) to select study sites, and we used high-throughput sequencing of the bacterial 16S rRNA gene to assess whether significant vertical stratification of the aerobiome occurred.ResultsOur results provide evidence of vertical stratification in both alpha and beta (compositional) diversity of airborne bacterial communities, with diversity decreasing roughly with height. We also found significant vertical stratification in potentially pathogenic and beneficial bacterial taxa.DiscussionAlthough additional research is needed, our preliminary findings point to potentially different exposure attributes that may be contingent on human height and activity type. Our results lay the foundations for further research into the vertical characteristics of urban green space aerobiomes and their implications for public health and urban planning. https://doi.org/10.1289/EHP7807.

Project description:Spending time in nature is one potential way to cope with the negative physical and psychological health impacts from major stressful life events. In 2020, a large fraction of the global population was impacted by restrictions to contain the spread of the COVID-19 outbreak, a period characterised by marked health risks and behavioural changes. Here we explore whether people responded to this stressor by spending more time in nature and investigate the reasons for any changes.We surveyed 1,002 people in Brisbane, Australia in 2020, to measure the change in use of green space during the restrictions period and benefits people associated with visiting them.About 36% of participants increased their urban green space use, but 26% reduced it, indicating a great deal of flux. Furthermore, 45% of the previous non-users of urban green space began using it for the first time during the restrictions period. Older people were less likely to increase their green space use and those with a backyard were more likely to increase their use of green spaces.Participants' change in use occurred regardless of the amount of green space available in close proximity to their households. In addition, we did not find a relationship between nature-relatedness and change in use.People's reasons for green space use shifted during the pandemic-related restrictions period, with many emphasising improvement of personal well-being rather than consolidating community capital. Most participants indicated an increase in the importance of the psychological and physical benefits obtained from urban green spaces.We conclude that increased urban green space use during moments of stress such as the COVID-19 pandemic has the potential to ameliorate some of the negative effects of the stressor, but that the capacity and desire to spend more time in green space varies markedly across society. Sufficient urban green space provision for all sections of society will maximise the opportunity to employ a nature-based coping mechanism during times of personal or community stress.