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Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being - Results from the PHENOTYPE project

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dc.contributor.author Kruize, Hanneke
dc.contributor.author van Kamp, Irene
dc.contributor.author Berg, Magdalena van den
dc.contributor.author Kempen, Elise van
dc.contributor.author Wendel-Vos, Wanda
dc.contributor.author Ruijsbroek, Annemarie
dc.contributor.author Swart, Wim
dc.contributor.author Maas, Jolanda
dc.contributor.author Gidlow, Christopher J.
dc.contributor.author Smith, Graham
dc.contributor.author Ellis, Naomi
dc.contributor.author Hurst, Gemma
dc.contributor.author Masterson, Daniel
dc.contributor.author Triguero Mas, Margarita, 1985-
dc.contributor.author Cirach, Marta
dc.contributor.author Gražulevičienė, Regina
dc.contributor.author Hazel, Peter van den
dc.contributor.author Nieuwenhuijsen, Mark J.
dc.date.accessioned 2020-01-27T07:52:42Z
dc.date.available 2020-01-27T07:52:42Z
dc.date.issued 2020
dc.identifier.citation Kruize H, van Kamp I, van den Berg M, van Kempen E, Wendel-Vos W, Ruijsbroek A, Swart W, Maas J, Gidlow C, Smith G, Ellis N, Hurst G, Masterson D, Triguero-Mas M, Cirach M, Gražulevičienė R, van den Hazel P, Nieuwenhuijsen M. Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being - Results from the PHENOTYPE project. Environ Int. 2020; 134:105173. DOI 10.1016/j.envint.2019.105173
dc.identifier.issn 0160-4120
dc.identifier.uri http://hdl.handle.net/10230/43416
dc.description.abstract Background: Despite the large number of studies on beneficial effects of the natural outdoor environment (NOE) on health, the underlying mechanisms are not fully understood. Objective: This study explored the relations between amount, quality, use and experience of the NOE; and physical activity, social contacts and mental well-being. Methods: In this cross-sectional study, data on GIS-derived measures of residential surrounding greenness (NDVI), NOE within 300 m, and audit data on quality of the streetscape were combined with questionnaire data from 3947 adults in four European cities. These included time spent in NOE (use); and perceived greenness, and satisfaction with and importance given to the NOE (experience). Physical activity, social contacts and mental health were selected as key outcome indicators. Descriptive and multilevel analyses were conducted both on pooled data and for individual cities. Results: More minutes spent in the NOE were associated with more minutes of physical activity, a higher frequency of social contacts with neighbors, and better mental well-being. Perceived greenness, satisfaction with and importance of the NOE, were other strong predictors of the outcomes, while GIS measures of NOE and streetscape quality were not. We found clear differences between the four cities. Conclusions: Use and experience of the natural outdoor environment are important predictors for beneficial effects of the natural outdoor environment and health. Future research should focus more on these aspects to further increase our understanding of these mechanisms, and needs to take the local context into account.
dc.description.sponsorship The research leading to these results has received funding from the European Commission’s Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 282996.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Environ Int. 2020; 134:105173
dc.rights © 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
dc.rights.uri http://creativecommons.org/licenses/BY-NC-ND/4.0/
dc.title Exploring mechanisms underlying the relationship between the natural outdoor environment and health and well-being - Results from the PHENOTYPE project
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2019.105173
dc.subject.keyword GIS
dc.subject.keyword Health
dc.subject.keyword Mechanism
dc.subject.keyword Nature
dc.subject.keyword Perception
dc.subject.keyword Use
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/282996
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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