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Do physical activity, social cohesion, and loneliness mediate the association between time spent visiting green space and mental health?
Berg, Magdalena van den; van Poppel, Mireille; van Kamp, Irene; Ruijsbroek, Annemarie; Triguero Mas, Margarita, 1985-; Gidlow, Christopher J.; Nieuwenhuijsen, Mark J.; Gražulevičiene, Regina; van Mechelen, Willem; Kruize, Hanneke; Maas, Jolanda
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.
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by European Community’s Seventh Framework Programme (FP7/2007-2013; Grant/Award Number: 282996).
-Cross-sectional study
-loneliness
-Mediation analysis
-Mental health
-Physical activity
-Social cohesion
-Time spent visiting green space
-Vitality
© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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