Exposure to green and blue spaces and depression among older adults from the EPIPorto cohort: examining environmental, social, and behavioral mediators and varied space types

可能性 归一化差异植被指数 调解 萧条(经济学) 队列 逻辑回归 地理 优势比 人口学 心理学 老年学 环境卫生 医学 生态学 社会学 气候变化 生物 宏观经济学 病理 内科学 经济 社会科学
作者
Ana Isabel Ribeiro,Marieke Behlen,Ana Henriques,Mílton Severo,Cláudia Jardim Santos,Henrique Barros
出处
期刊:Cities & health [Informa]
卷期号:: 1-14 被引量:1
标识
DOI:10.1080/23748834.2024.2381965
摘要

This study investigated the associations between exposure to different types of natural spaces and depression among urban older adults and explored the potential mediators. We used data on 631 participants aged ≥60 from the EPIPorto cohort (Porto, Portugal). Depressive symptoms were measured using the Geriatric Depression Scale. We assessed greenness in residential surroundings using the Normalized Difference Vegetation Index (NDVI) and evaluated accessibility to green and blue spaces. Metrics were calculated separately for agricultural, natural, and urban green spaces. We used logistic regression to estimate associations and mediation analysis to examine the mediating effects of air pollution, temperature, physical exercise, social support, and social activities. Living near urban green spaces was associated with lower odds of depression (OR = 0.21, 95% CI 0.03–0.74). Contrastingly, natural and agricultural green spaces were associated with higher odds of depression (OR = 1.69, 1.02–2.79 and OR = 1.80, 1.23–2.64, respectively). No associations were found for NDVI, accessibility to blue spaces, or green space size. Social support explained a significant proportion (33.9%, p = 0.044) of the total effect between the type of nearest green space and depression. These findings suggest that enhancing the accessibility of urban green spaces holds promise as a strategy for mitigating depression among older adults.
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