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Do Physical Activity, Social Cohesion, and Loneliness Mediate the Association Between Time Spent Visiting Green Space and Mental Health?

Abstract

This cross-sectional study investigated whether physical activity, social cohesion, and loneliness mediate the association between time spent visiting green spaces and perceived mental health and vitality. Questionnaire data were collected from 3,948 residents from 124 neighborhoods across four European cities. Multilevel linear regression analysis revealed positive, but weak, associations between time spent visiting green space and Medical Outcome Study Short Form (SF-36) mental health and vitality score, which suggest small mental health benefits. Single mediation analyses showed that different indicators of physical activity (total, during leisure time, and walking during leisure time), social cohesion, and loneliness were mediators. Multiple mediation analyses showed that physical activity during leisure time and loneliness may explain about 25% of the relationship. The unmediated part of the association suggests that other mediators may explain the association.

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References
1.
Ware Jr J . SF-36 health survey update. Spine (Phila Pa 1976). 2000; 25(24):3130-9. DOI: 10.1097/00007632-200012150-00008. View

2.
Wendel-Vos G, Schuit A, de Niet R, Boshuizen H, Saris W, Kromhout D . Factors of the physical environment associated with walking and bicycling. Med Sci Sports Exerc. 2004; 36(4):725-30. DOI: 10.1249/01.mss.0000121955.03461.0a. View

3.
Ware Jr J, Sherbourne C . The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6):473-83. View

4.
Nielsen T, Hansen K . Do green areas affect health? Results from a Danish survey on the use of green areas and health indicators. Health Place. 2007; 13(4):839-50. DOI: 10.1016/j.healthplace.2007.02.001. View

5.
Sugiyama T, Leslie E, Giles-Corti B, Owen N . Associations of neighbourhood greenness with physical and mental health: do walking, social coherence and local social interaction explain the relationships?. J Epidemiol Community Health. 2008; 62(5):e9. DOI: 10.1136/jech.2007.064287. View