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Exploring pathways linking greenspace to health: theoretical and methodological guidance
Ludwig Maximilians Univ Munchen, Inst Occupat Social & Environm Med, Ziemssenstr 1, D-80336 Munich, Germany.;Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Epidemiol 1, Neuherberg, Germany..
Ludwig Maximilians Univ Munchen, Inst Occupat Social & Environm Med, Ziemssenstr 1, D-80336 Munich, Germany..
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0001-9970-9164
Tel Aviv Univ, Sch Geosci, Dept Geog & Human Environm, AIRO Lab, Tel Aviv, Israel..
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2017 (English)In: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 158, 301-317 p.Article, review/survey (Refereed) Published
Abstract [en]

Background: In a rapidly urbanizing world, many people have little contact with natural environments, which may affect health and well-being. Existing reviews generally conclude that residential greenspace is beneficial to health. However, the processes generating these benefits and how they can be best promoted remain unclear.

Objectives: During an Expert Workshop held in September 2016, the evidence linking greenspace and health was reviewed from a transdisciplinary standpoint, with a particular focus on potential underlying biopsychosocial pathways and how these can be explored and organized to support policy-relevant population health research.

Discussions: Potential pathways linking greenspace to health are here presented in three domains, which emphasize three general functions of greenspace: reducing harm (e.g. reducing exposure to air pollution, noise and heat), restoring capacities (e.g. attention restoration and physiological stress recovery) and building capacities (e.g. encouraging physical activity and facilitating social cohesion). Interrelations between among the three domains are also noted. Among several recommendations, future studies should: use greenspace and behavioural measures that are relevant to hypothesized pathways; include assessment of presence, access and use of greenspace; use longitudinal, interventional and (quasi)experimental study designs to assess causation; and include low and middle income countries given their absence in the existing literature. Cultural, climatic, geographic and other contextual factors also need further consideration.

Conclusions: While the existing evidence affirms beneficial impacts of greenspace on health, much remains to be learned about the specific pathways and functional form of such relationships, and how these may vary by context, population groups and health outcomes. This Report provides guidance for further epidemiological research with the goal of creating new evidence upon which to develop policy recommendations.

Place, publisher, year, edition, pages
2017. Vol. 158, 301-317 p.
Keyword [en]
Greenness, Green spaces, Greenspace, Pathways, Mediation analysis
National Category
Environmental Sciences
Identifiers
URN: urn:nbn:se:uu:diva-335011DOI: 10.1016/j.envres.2017.06.028ISI: 000408184700033PubMedID: 28672128OAI: oai:DiVA.org:uu-335011DiVA: diva2:1161348
Available from: 2017-11-29 Created: 2017-11-29 Last updated: 2017-11-29Bibliographically approved

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