The association between natural outdoor environments and common somatic symptoms

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• dc.contributor.author Watson, C.
• dc.contributor.author Nieuwenhuijsen, Mark J.
• dc.contributor.author Triguero Mas, Margarita, 1985-
• dc.contributor.author Cirach, Marta
• dc.contributor.author Maas, Jolanda
• dc.contributor.author Gidlow, Christopher J.
• dc.contributor.author Kruize, Hanneke
• dc.contributor.author Andrušaitytė, Sandra
• dc.contributor.author Gražulevičienė, Regina
• dc.contributor.author Zijlema, Wilma
• dc.date.accessioned 2021-04-27T09:46:35Z
• dc.date.issued 2020
• dc.description.abstract There is growing evidence that urban natural outdoor environments (NOE) may positively impact health by reducing stress and stress-related symptoms. However, there is limited research investigating this link across a range of NOE indicators. This cross-sectional study investigated the association between neighbourhood NOE (availability, use, and satisfaction with NOE) and common somatic symptoms and the role of potential mediators. Data were analysed from 3481 adults from Barcelona (Spain), Doetinchem (Netherlands), Kaunas (Lithuania) and Stoke-on-Trent (United Kingdom). NOE data were obtained through self-reported data and environmental measurements. Common somatic symptom data were self-reported. Mixed effects regression models were used for analysis, with models adjusted for potential sociodemographic confounders. Higher satisfaction with neighbourhood NOE was associated with lower prevalence of common somatic symptoms (exp(β) 0.97; 95% CI 0.96, 0.98); an association partially mediated by mental health, social cohesion and air quality concern. A longer time spent in NOE was associated with lower prevalence of common somatic symptoms in low socioeconomic status neighbourhoods (exp(β) 0.98; 95% CI 0.96, 1.00). A higher number of neighbourhood green spaces (300m buffer) was associated with higher prevalence of common somatic symptoms (exp(β) 1.03; 95% CI 1.00, 1.05). No statistically significant associations were found for other NOE indicators. Study findings suggest that higher satisfaction with NOE may be associated with lower prevalence of common somatic symptoms, with mental health, social cohesion and concern about air quality playing partial mediating roles. Little evidence was found of an association between objective NOE measurements and common somatic symptoms, underlining the importance of perceptions of NOE for conferring health benefits.
• dc.description.sponsorship The research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/ 2007–2013) under grant agreement no 282996. W.L. Zijlema is supported by a Sara Borrell grant from the Instituto de Salud Carlos III (CD17/00195). We acknowledge support from the Spanish Ministry of Science and Innovation through the “Centro de Excelencia Severo Ochoa 2019–2023” Program (CEX 2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program (ISGlobal)
• dc.format.mimetype application/pdf
• dc.identifier.citation Watson C, Nieuwenhuijsen MJ, Triguero-Mas M, Cirach M, Maas J, Gidlow C et al. The association between natural outdoor environments and common somatic symptoms. Health Place. 2020 Jul;64:102381. DOI: 10.1016/j.healthplace.2020.102381
• dc.identifier.doi https://dx.doi.org/10.1016/j.healthplace.2020.102381
• dc.identifier.issn 1353-8292
• dc.identifier.uri http://hdl.handle.net/10230/47229
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/282996
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.healthplace.2020.102381
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Zones verdes
• dc.subject.other Trastorns psicosomàtics
• dc.subject.other Estrès
• dc.title The association between natural outdoor environments and common somatic symptoms
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion