Preuß, MyriamNieuwenhuijsen, Mark J.Márquez, SandraCirach, MartaDadvand, PayamTriguero Mas, Margarita, 1985-Gidlow, Christopher J.Gražulevičienė, ReginaKruize, HannekeZijlema, Wilma2020-02-072020-02-072019Preuß M, Nieuwenhuijsen M, Marquez S, Cirach M, Dadvand P, Triguero-Mas M et al. Low childhood nature exposure is associated with worse mental health in adulthood. Int J Environ Res Public Health. 2019;16(10):1809. DOI: 10.3390/ijerph161018091661-7827http://hdl.handle.net/10230/43521Exposure to natural outdoor environments (NOE) is associated with health benefits; however, evidence on the impact of NOE exposure during childhood on mental health (MH) and vitality in adulthood is scarce. This study was based on questionnaire data collected from 3585 participants, aged 18-75, in the PHENOTYPE project (2013) in four European cities. Mixed models were used to investigate associations between childhood NOE exposure and (i) MH; (ii) vitality (perceived level of energy and fatigue); and (iii) potential mediation by perceived amount, use, satisfaction, importance of NOE, and residential surrounding greenness, using pooled and city-level data. Adults with low levels of childhood NOE exposure had, when compared to adults with high levels of childhood NOE exposure, significantly worse mental health (coef. -4.13; 95% CI -5.52, -2.74). Childhood NOE exposure was not associated with vitality. Low levels of childhood NOE exposure were associated with lower importance of NOE (OR 0.81; 95% CI 0.66, 0.98) in adulthood. The association with perceived amount of NOE differed between cities. We found no evidence for mediation. Childhood NOE exposure might be associated with mental well-being in adulthood. Further studies are needed to confirm these findings and to identify mechanisms underlying long-term benefits of childhood NOE exposure.application/pdfeng© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).info:eu-repo/semantics/articlehttp://dx.doi.org/10.3390/ijerph16101809Childhood nature exposureGreen spaceGreennessMental healthNatural outdoor environmentsNature perceptionVitalityinfo:eu-repo/semantics/openAccess