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Exploring pathways linking greenspace to health : theoretical and methodological guidance

Markevych, Iana (author)
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.
Schoierer, Julia (author)
Ludwig Maximilians Univ Munchen, Inst Occupat Social & Environm Med, Ziemssenstr 1, D-80336 Munich, Germany.
Hartig, Terry, 1959- (author)
Uppsala universitet,Institutet för bostads- och urbanforskning (IBF)
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Chudnovsky, Alexandra (author)
Tel Aviv Univ, Sch Geosci, Dept Geog & Human Environm, AIRO Lab, Tel Aviv, Israel.
Hystad, Perry (author)
Oregon State Univ, Coll Publ Hlth & Human Sci, Corvallis, OR 97331 USA.
Dzhambov, Angel M. (author)
Med Univ Plovdiv, Fac Publ Hlth, Dept Hyg & Ecomed, Plovdiv, Bulgaria.
de Vries, Sjerp (author)
Wageningen Univ & Res Environm Res, Wageningen, Netherlands.
Triguero-Mas, Margarita (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
Brauer, Michael (author)
Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada.
Nieuwenhuijsen, Mark J. (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
Lupp, Gerd (author)
Tech Univ Munich, Strateg Landscape Planning & Management, Munich, Germany.
Richardson, Elizabeth A. (author)
Univ Edinburgh, CRESH, Edinburgh, Midlothian, Scotland.
Astell-Burt, Thomas (author)
Univ Wollongong, Fac Social Sci, Populat Wellbeing & Environm Res Lab, PowerLab, Wollongong, NSW, Australia.;Univ Wollongong, Fac Social Sci, Early Start, Wollongong, NSW, Australia.
Dimitrova, Donka (author)
Med Univ Plovdiv, Fac Publ Hlth, Dept Hlth Management & Healthcare Econ, Plovdiv, Bulgaria.
Feng, Xiaoqi (author)
Univ Wollongong, Fac Social Sci, Populat Wellbeing & Environm Res Lab, PowerLab, Wollongong, NSW, Australia.;Univ Wollongong, Fac Social Sci, Early Start, Wollongong, NSW, Australia.
Sadeh, Maya (author)
Tel Aviv Univ, Sch Publ Hlth, Tel Aviv, Israel.
Standl, Marie (author)
Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Epidemiol 1, Neuherberg, Germany.
Heinrich, Joachim (author)
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.
Fuertes, Elaine (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
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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. (creator_code:org_t)
Elsevier BV, 2017
2017
English.
In: Environmental Research. - : Elsevier BV. - 0013-9351 .- 1096-0953. ; 158, s. 301-317
  • Research review (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

NATURVETENSKAP  -- Geovetenskap och miljövetenskap -- Miljövetenskap (hsv//swe)
NATURAL SCIENCES  -- Earth and Related Environmental Sciences -- Environmental Sciences (hsv//eng)

Keyword

Greenness
Green spaces
Greenspace
Pathways
Mediation analysis

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