Greenspace exposure and children behavior: A systematic review

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  • dc.contributor.author Zare Sakhvidi, Mohammad Javad
  • dc.contributor.author Knobel, Pablo
  • dc.contributor.author Bauwelinck, Mariska
  • dc.contributor.author Keijzer, Carmen de, 1992-
  • dc.contributor.author Boll, Lilian Marie
  • dc.contributor.author Spano, Giuseppina
  • dc.contributor.author Ubalde López, Mònica, 1972-
  • dc.contributor.author Sanesi, Giovanni
  • dc.contributor.author Mehrparvar, Amir Houshang
  • dc.contributor.author Jacquemin Leonard, Bénédicte
  • dc.contributor.author Dadvand, Payam
  • dc.date.accessioned 2022-06-02T06:02:30Z
  • dc.date.available 2022-06-02T06:02:30Z
  • dc.date.issued 2022
  • dc.description.abstract We systematically reviewed the existing evidence (until end of November 2021) on the association between long-term exposure to greenspace and behavioral problems in children according to the PRISMA 2020. The review finally reached 29 relevant studies of which, 17 were cross-sectional, 11 were cohort, and one was a case-control. Most of the studies were conducted in Europe (n = 14), followed by the USA (n = 8), and mainly (n = 21) from 2015 onwards. The overall quality of the studies in terms of risk of bias was "fair" (mean quality score = 5.4 out of 9) according to the Newcastle-Ottawa Scale. Thirteen studies (45%) had good or very good quality in terms of risk of bias. The strength and difficulty questionnaire was the most common outcome assessment instrument. Exposure to the greenspace in the reviewed studies was characterized based on different indices (availability, accessibility, and quality), mostly at residential address locations. Association of exposure to different types of greenspace were reported for nine different behavioral outcomes including total behavioral difficulties (n = 16), attention deficit hyperactivity disorder (ADHD) symptoms and severity (n = 15), ADHD diagnosis (n = 10), conduct problems (n = 10), prosocial behavior (n = 10), emotional symptoms (n = 8), peer-relationship problems (n = 8), externalizing disorders (n = 6), and internalizing disorders (n = 5). Most of the reported associations (except for conduct problems) were suggestive of beneficial association of greenspace exposure with children's behaviors; however, the studies were heterogeneous in terms of their exposure indicators, study design, and the outcome definition.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Zare Sakhvidi MJ, Knobel P, Bauwelinck M, de Keijzer C, Boll LM, Spano G, Ubalde-Lopez M, Sanesi G, Mehrparvar AH, Jacquemin B, Dadvand P. Greenspace exposure and children behavior: A systematic review. Sci Total Environ. 2022 Jun 10;824:153608. DOI: 10.1016/j.scitotenv.2022.153608
  • dc.identifier.doi http://dx.doi.org/10.1016/j.scitotenv.2022.153608
  • dc.identifier.issn 0048-9697
  • dc.identifier.uri http://hdl.handle.net/10230/53355
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Sci Total Environ. 2022 Jun 10;824:153608
  • dc.rights © 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Child development
  • dc.subject.keyword Mental health
  • dc.subject.keyword Nature
  • dc.subject.keyword Neurodevelopmental disorders
  • dc.subject.keyword Psychology
  • dc.subject.keyword Urbanization
  • dc.title Greenspace exposure and children behavior: A systematic review
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion