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Does time spent on visits to green space mediate the associations between the level of residential greenness and mental health?
Institution:1. Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain;2. Universitat Pompeu Fabra (UPF), Barcelona, Spain;3. CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain;4. Agència de Salut Pública de Barcelona, Barcelona, Spain;5. Institut de Recerca Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain;6. ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain;1. Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, The Netherlands;2. Centre for Sustainability, Environment and Health, National Institute of Public Health and the Environment, The Netherlands;3. Alterra, Wageningen UR, Wageningen, The Netherlands;4. Cultural Geography, Wageningen UR, Wageningen, The Netherlands
Abstract:ObjectiveThe objective of the current study was to explore whether time spent visiting green space near home acts as a mediator in the association between level of residential greenness and perceived mental health.MethodsQuestionnaire data and satellite data of residential greenness were gathered in four European cities (total n = 3748): Barcelona (SP), Doetinchem (NL), Kaunas (LT) and Stoke-on-Trent (UK).ResultsMediation analyses showed that time spent visiting green space near home was a weak, but statistically significant, mediator in the pooled data and in the Dutch sample only.ConclusionsThe findings provide little support for the hypothesis that purposeful visits are a mediator linking indirectly greenness with mental health. More research is needed to explore other mediators related to different exposure pathways, such as visual exposure, and alternative mechanisms, such as (perceived) safety.
Keywords:Cross-sectional study  Green space  Mental health  Mediation  Residential greenness  Time spent on visits
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