This study examines the relationship between neighbourhood green space, the neighbourhood social environment (social cohesion, neighbourhood attachment, social contacts), and mental health in four European cities.
The PHENOTYPE study was carried out in 2013 in Barcelona (Spain), Stoke-on-Trent (United Kingdom), Doetinchem (The Netherlands), and Kaunas (Lithuania). 3771 adults living in 124 neighbourhoods answered questions on mental health, neighbourhood social environment, and amount and quality of green space. Additionally, audit data on neighbourhood green space were collected. Multilevel regression analyses examined the relation between neighbourhood green space and individual mental health and the influence of neighbourhood social environment.
Mental health was only related to green (audit) in Barcelona. The amount and quality of neighbourhood green space (audit and perceived) were related to social cohesion in Doetinchem and Stoke-on-Trent and to neighbourhood attachment in Doetinchem. In all four cities, mental health was associated with social contacts.
Neighbourhood green was related to mental health only in Barcelona. Though neighbourhood green was related to social cohesion and attachment, the neighbourhood social environment seems not the underlying mechanism for this relationship.
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Alcock I, White MP, Wheeler BW, Fleming LE, Depledge MH (2014) Longitudinal effects on mental health of moving to greener and less green urban areas. Environ Sci Technol 48:1247–1255
Arnberger A, Eder R (2012) The influence of green space on community attachment of urban and suburban residents. Urban Forestry Urban Greening 11:41–49
Van den Berg M, Wendel-Vos W, van Poppel M, Kemper H, van Mechelen W, Maas J (2015) Health benefits of green spaces in the living environment: a systematic review of epidemiological studies. Urban Forestry Urban Greening 14:806–816
Brown B, Perkins DD, Brown G (2003) Place attachment in a revitalizing neighborhood: Individual and block levels of analysis. J Environ Psychol 23:259–271
Cohen S (2004) Social relationships and health American psychologist 59:676
Coley RL, Sullivan WC, Kuo FE (1997) Where does community grow? The social context created by nature in urban public housing Environment behavior 29:468–494
Di Nardo F, Saulle R, La Torre G (2012) Green areas and health outcomes: a systematic review of the scientific literature Italian. J Publ Health 7
de Vries S, van Dillen SM, Groenewegen PP, Spreeuwenberg P (2013) Streetscape greenery and health: Stress, social cohesion and physical activity as mediators. Soc Sci Med 94:26–33
Van Dillen SM, de Vries S, Groenewegen PP, Spreeuwenberg P (2012) Greenspace in urban neighbourhoods and residents’ health: adding quality to quantity. J Epidemiol Commun Health 66:e8–e8
Dunstan F, Fone DL, Glickman M, Palmer S (2013) Objectively measured residential environment and self-reported health: a multilevel analysis of UK census data. PloS One 8:e69045
Francis J, Wood LJ, Knuiman M, Giles-Corti B (2012) Quality or quantity? Exploring the relationship between public open space attributes and mental health in Perth, Western Australia. Soc Sci Med 74:1570–1577
Galster G (2008) Quantifying the effect of neighbourhood on individuals: challenges, alternative approaches, and promising directions. Schmollers jahrbuch 128:7–48
Hagerty BM, Williams A (1999) The effects of sense of belonging, social support, conflict, and loneliness on depression. Nurs Res 48:215–219
Hartig T, Mitchell R, De Vries S, Frumkin H (2014) Nature and health. Annu Rev Public Health 35:207–228
Hox J (2010) Multilevel analysis: techniques and applications. Routledge, UK
de Jong K, Albin M, Skärbäck E, Grahn P, Wadbro J, Merlo J, Björk J (2011) Area-aggregated assessments of perceived environmental attributes may overcome single-source bias in studies of green environments and health: results from a cross-sectional survey in southern Sweden. Environ Health 10:4
Kaplan R (2001) The nature of the view from home psychological benefits. Environ Behav 33:507–542
Kawachi I, Berkman L (2000) Social cohesion, social capital, and health. In: Berkman L, Kawachi I (eds) Social Epidemiology. Oxford University Press, New York, pp 174–190
Kuo FE, Sullivan WC, Coley RL, Brunson L (1998) Fertile ground for community: inner-city neighborhood common spaces. Am J Commun Psychol 26:823–851
Leslie E, Sugiyama T, Ierodiaconou D, Kremer P (2010) Perceived and objectively measured greenness of neighbourhoods: are they measuring the same thing? Landsc Urban Plann 95:28–33
Maas J, Van Dillen SM, Verheij RA, Groenewegen PP (2009) Social contacts as a possible mechanism behind the relation between green space and health. Health Place 15:586–595
Mitchell R, Popham F (2008) Effect of exposure to natural environment on health inequalities: an observational population study. Lancet 372:1655–1660
Nieuwenhuijsen MJ Kruize H, Gidlow C et al. (2014) Positive health effects of the natural outdoor environment in typical populations in different regions in Europe (PHENOTYPE): a study programme protocol. BMJ Open 4:e004951
Pickett KE, Pearl M (2001) Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Commun Health 55:111–122
Pretty GM, Andrewes L, Collett C (1994) Exploring adolescents’ sense of community and its relationship to loneliness. J Commun Psychol 22:346–358
Raudenbush SW, Sampson RJ (1999) Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol 29:1
Sampson RJ, Raudenbush SW, Earls F (1997) Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 277:918–924
Sugiyama T, Leslie E, Giles-Corti B, Owen N (2008) Associations of neighbourhood greenness with physical and mental health: do walking, social coherence and local social interaction explain the relationships? J Epidemiol Commun Health 62:e9–e9
Triguero-Mas M, Dadvand P, Cirach M et al (2015) Natural outdoor environments and mental and physical health: relationships and mechanisms. Environ Int 77:35–41
Ware JE Jr (2000) SF-36 health survey update. Spine 25:3130–3139
Ware Jr JE, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A (1995) Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Medical Care AS264–AS279
Ware Jr JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 473–483
Weisberg S (2005) Applied linear regression vol 528. Wiley, USA
Wheaton B, Nisenbaum R, Glazier RH, Dunn JR, Chambers C (2015) The neighbourhood effects on health and well-being (NEHW) study. Health Place 31:65–74
On behalf of the PHENOTYPE Consortium, the field workers Magdalena van den Berg, Gemma Hurst, Margarita Triguero-Mas and Sandra Andrusaityte, are gratefully acknowledged. We thank Peter Spreeuwenberg (NIVEL) for his advice on the statistical analysis.
The work was supported by the European Community’s Seventh Framework Programme (FP7/2007–2013) [Grant Agreement No: 282,996].
This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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The authors declare that they have no conflict of interest.
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Ruijsbroek, A., Mohnen, S.M., Droomers, M. et al. Neighbourhood green space, social environment and mental health: an examination in four European cities. Int J Public Health 62, 657–667 (2017). https://doi.org/10.1007/s00038-017-0963-8
- Social environment
- Mental health