Martin, LeanneWhite, Mathew P.Pahl, SabineMay, JonNewton, John N.Elliott, Lewis R.Cirach, MartaGrellier, JamesBratman, Gregory N.Gascon Merlos, Mireia, 1984-Lima, Maria L.Nieuwenhuijsen, Mark J.Ojala, AnnRoiko, Annevan den Bosch, Matilda A.Fleming, Lora E.2025-06-262025-06-262025Martin L, White MP, Pahl S, May J, Newton JN, Elliott LR, et al. Nature contact and health risk Behaviours: Results from an 18 country study. Health Place. 2025 Jul;94:103479. DOI: 10.1016/j.healthplace.2025.1034791353-8292http://hdl.handle.net/10230/70764Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace could be a promising strategy for reducing multiple health risk behaviours, whilst visit-based interventions may be a more appropriate target for smoking cessation.application/pdfeng© 2025 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).info:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.healthplace.2025.103479AlcoholGreenspaceHealth risk behavioursNature visitsSmokinginfo:eu-repo/semantics/openAccess