Green spaces and general health: roles of mental health status, social support, and physical activity

Dadvand, Payam; Bartoll, Xavier; Basagaña Flores, Xavier; Dalmau Bueno, Albert; Martínez Muriano, David; Ambros, Albert; Cirach, Marta; Triguero Mas, Margarita, 1985-; Gascon Merlos, Mireia, 1984-; Borrell i Thió, Carme; Nieuwenhuijsen, Mark J.

Green spaces and general health: roles of mental health status, social support, and physical activity

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dc.contributor.author Dadvand, Payamca
dc.contributor.author Bartoll, Xavierca
dc.contributor.author Basagaña Flores, Xavierca
dc.contributor.author Dalmau Bueno, Albertca
dc.contributor.author Martínez Muriano, Davidca
dc.contributor.author Ambros, Albertca
dc.contributor.author Cirach, Martaca
dc.contributor.author Triguero Mas, Margarita, 1985-ca
dc.contributor.author Gascon Merlos, Mireia, 1984-ca
dc.contributor.author Borrell i Thió, Carmeca
dc.contributor.author Nieuwenhuijsen, Mark J.ca
dc.date.accessioned 2016-05-20T17:11:24Z
dc.date.issued 2016
dc.description.abstract Green spaces are associated with improved health, but little is known about mechanisms underlying such association. We aimed to assess the association between greenness exposure and subjective general health (SGH) and to evaluate mental health status, social support, and physical activity as mediators of this association. This cross-sectional study was based on a population-based sample of 3461 adults residing in Barcelona, Spain (2011). We characterized outcome and mediators using the Health Survey of Barcelona. Objective and subjective residential proximity to green spaces and residential surrounding greenness were used to characterize greenness exposure. We followed Baron and Kenny's framework to establish the mediation roles and we further quantified the relative contribution of each mediator. Residential surrounding greenness and subjective residential proximity to green spaces were associated with better SGH. We found indications for mediation of these associations by mental health status, perceived social support, and to less extent, by physical activity. These mediators altogether could explain about half of the surrounding greenness association and one-third of the association for subjective proximity to green spaces. We observed indications that mental health and perceived social support might be more relevant for men and those younger than 65years. The results for objective residential proximity to green spaces were not conclusive. In conclusion, our observed association between SGH and greenness exposure was mediated, in part, by mental health status, enhanced social support, and physical activity. There might be age and sex variations in these mediation roles.ca
dc.description.sponsorship This study was conducted as part of PHENOTYPE project (Positive Health Effects of the Natural Outdoor Environment in Typical Populations in Different Regions in Europe) (www.phenotype.eu) funded by the European Commission Seventh Framework Programme (Grant No. 282996). Payam Dadvand is funded by a Ramón y Cajal fellowship (RYC-2012-10995) awarded by the Spanish Ministry of Economy and Finance. Margarita Triguero-Mas is funded by a pre-doctoral grant from the Catalan Government (AGAUR FI-DGR-2013).
dc.format.mimetype application/pdfca
dc.identifier.citation Dadvand P, Bartoll X, Basagaña X, Dalmau-Bueno A, Martinez D, Ambros A et al. Green spaces and general health: roles of mental health status, social support, and physical activity. Environment international. 2016; 91: 161-167. DOI 10.1016/j.envint.2016.02.029ca
dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2016.02.029
dc.identifier.issn 0160-4120
dc.identifier.uri http://hdl.handle.net/10230/26311
dc.language.iso engca
dc.publisher Elsevierca
dc.relation.ispartof Environment international. 2016;91:161-7
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/282996
dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/RYC-2012-10995
dc.rights.accessRights info:eu-repo/semantics/embargoedAccessca
dc.subject.keyword Built environment
dc.subject.keyword Ecosystem services
dc.subject.keyword Mental health
dc.subject.keyword Natural environment
dc.subject.keyword Park
dc.subject.keyword Wellbeing
dc.subject.other Salut mentalca
dc.subject.other Medi ambientca
dc.title Green spaces and general health: roles of mental health status, social support, and physical activityca
dc.type info:eu-repo/semantics/articleca
dc.type.version info:eu-repo/semantics/acceptedVersionca

Col·leccions

Articles (Barcelona Institute for Global Health (ISGlobal) – Campus Mar)
Articles (Departament de Medicina i Ciències de la Vida)
Documents OpenAIRE (Open Access Infrastructure for Research in Europe)