Determining the health benefits of green space: Does gentrification matter?

Cole, Helen; Triguero-Mas, Margarita; Connolly, James J.; Anguelovski, Isabelle

doi:10.1016/j.healthplace.2019.02.001

Cited by 157 publications

(112 citation statements)

References 60 publications

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“…The results of EMA intrasession provided preliminary evidence of the positive effect of the psychical activities practiced in nature. Consistent with previous research, interventions based on physical activity in nature yielded a positive effect on emotional, cognitive and behavioral functioning [ 29 , 30 , 31 , 32 , 33 , 34 , 37 ].…”

Section: Discussionsupporting

confidence: 87%

“…At the same time, therapeutic programs based on activities in nature have shown promise for improving mental health [ 28 , 29 , 30 , 31 ] in various clinical populations [ 32 , 33 ]. A growing number of studies suggest that exposure to nature directly produces effects in the affective (positive and negative emotions, and stress) and cognitive (attention, memory, etc.)…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a Multicomponent Treatment for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): A Pragmatic Randomized Controlled Trial

Serrat

Almirall

Musté

et al. 2020

JCM

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A recent study (FIBROWALK has supported the effectiveness of a multicomponent treatment based on pain neuroscience education (PNE), exercise therapy (TE), cognitive behavioral therapy (CBT), and mindfulness in patients with fibromyalgia. The aim of the present RCT was: (a) to analyze the effectiveness of a 12-week multicomponent treatment (nature activity therapy for fibromyalgia, NAT-FM) based on the same therapeutic components described above plus nature exposure to maximize improvements in functional impairment (primary outcome), as well as pain, fatigue, anxiety-depression, physical functioning, positive and negative affect, self-esteem, and perceived stress (secondary outcomes), and kinesiophobia, pain catastrophizing thoughts, personal perceived competence, and cognitive emotion regulation (process variables) compared with treatment as usual (TAU); (b) to preliminarily assess the effects of the nature-based activities included (yoga, Nordic walking, nature photography, and Shinrin Yoku); and (c) to examine whether the positive effects of TAU + NAT-FM on primary and secondary outcomes at post-treatment were mediated through baseline to six-week changes in process variables. A total of 169 FM patients were randomized into two study arms: TAU + NAT-FM vs. TAU alone. Data were collected at baseline, at six-week of treatment, at post-treatment, and throughout treatment by ecological momentary assessment (EMA). Using an intention to treat (ITT) approach, linear mixed-effects models and mediational models through path analyses were computed. Overall, TAU + NAT-FM was significantly more effective than TAU at posttreatment for the primary and secondary outcomes evaluated, as well as for the process variables. Moderate-to-large effect sizes were achieved at six-weeks for functional impairment, anxiety, kinesiophobia, perceived competence, and positive reappraisal. The number needed to treat (NNT) was 3 (95%CI = 1.6–3.2). The nature activities yielded an improvement in affective valence, arousal, dominance, fatigue, pain, stress, and self-efficacy. Kinesiophobia and perceived competence were the mediators that could explain a significant part of the improvements obtained with TAU + NAT-FM treatment. TAU + NAT-FM is an effective co-adjuvant multicomponent treatment for improving FM-related symptoms.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Multicomponent Treatment for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): A Pragmatic Randomized Controlled Trial

Serrat

Almirall

Musté

et al. 2020

JCM

View full text Add to dashboard Cite

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“…The first approach was a probit model that included respondents in low‐ and middle‐ to high‐income neighborhoods. Middle‐ to high‐income or “non‐gentrifiable” neighborhoods were often included in previous gentrification studies . Model misspecification, multicollinearity, calibration, and predictive accuracy were assessed using the Tukey and Pregibon link test, variance inflation factors, receiver operating characteristic curve, and Hosmer‐Lemeshow goodness‐of‐fit test.…”

Section: Methodsmentioning

confidence: 99%

Impact of gentrification on adult mental health

Tran

Rice

Ong

et al. 2020

Health Services Research

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Objective: To estimate the net effect of living in a gentrified neighborhood on probability of having serious psychological distress. Data Sources:We pooled 5 years of secondary data from the California Health Interview Survey (2011)(2012)(2013)(2014)(2015) and focused on southern California residents. Study Design:We compared adults (n = 43 815) living in low-income and gentrified, low-income and not gentrified, middle-to high-income and upscaled, and middle-to high-income and not upscaled neighborhoods. We performed a probit regression to test whether living in a gentrified neighborhood increased residents' probabilities of having serious psychological distress in the past year and stratified analyses by neighborhood tenure, homeownership status, and low-income status. Instrumental variables estimation and propensity scores were applied to reduce bias arising from residential selection and simultaneity. An endogenous treatment effects model was also applied in sensitivity analyses. Data Collection/Extraction Methods:Adults who completed the survey on their own and lived in urban neighborhoods with 500 or more residents were selected for analyses. Survey respondents who scored 13 and above on the Kessler 6 were categorized as having serious psychological distress in the past year. We used eight neighborhood change measures to classify respondents' neighborhoods.Principal Findings: Living in a gentrified and upscaled neighborhood was associated with increased likelihood of serious psychological distress relative to living in a lowincome and not gentrified neighborhood. The average treatment effect was 0.0141 (standard error = 0.007), which indicates that the prevalence of serious psychological distress would have been 1.4 percentage points less if none of the respondents lived in gentrified neighborhoods. Gentrification appears to have a negative impact on the mental health of renters, low-income residents, and long-term residents. This effect was not observed among homeowners, higher-income residents, and recent residents. Conclusions: Gentrification levies mental health costs on financially vulnerable community members and can worsen mental health inequities. K E Y W O R D S gentrification, mental health, psychological, residence characteristics, social determinants of health, stress | 433 Health Services Research TRAN eT Al.

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“…According to the literature (Hartig et al, 2014;Helbich, 2018;Cole et al, 2019), six main parameters are effective in producing spatial health accessibility including: (i) travel distance to HCMCs (on foot), (ii) travel time to HCMCs (using a vehicle), (iii) level of the nearest service, (iv) distance to main roads, (v) distance to green spaces and (vi) distance to public transport stations. All these parameters are described in Table 1.…”

Section: Health Accessibility Mapmentioning

confidence: 99%

Developing an Approach for Generating a Spatial Urban Health Equity Map and Validating via Volunteered Geographic Information

samani

Karimi

Alesheikh

et al. 2020

Preprint

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Spatial urban health equity assessment is of vital importance, relating closely to quality of life standards and level of urban development. Generally, spatial health equity can be assessed according to spatial accessibility to health care and medical centers (HCMCs), green spaces, public transportation stations and main roads. The density and distribution of HCMCs are also important factors in spatial health equity assessment and air pollution level can also affect the health of citizens. This paper aims to model the spatial urban health equity map by aggregating all these criteria using reference data. Then, it compares the health equity map generated from reference data to one generated by volunteered geographic information (VGI) by citizens. The main contributions of this paper include i) aggregating spatial accessibility criteria, density and distribution of HCMCs and air pollution levels, based on the Mamdani fuzzy inference system (FIS), ii) comparing the spatial equity map with a health equity map achieved using VGI. Health equity status of citizens was categorized into five levels from ‘very appropriate’ to ‘very inappropriate’ and collected by citizens using a VGI website. The proposed method was implemented in District 6 of Tehran, Iran. Our findings showed for the resulting map with the reference data that almost 62% of the study area, was reported as ‘appropriate or ‘very appropriate’, 20% as ‘good’ and about 18% as ‘inappropriate’ or ‘very inappropriate’. The collected VGI from citizens achieved results with 72% compatibility. Furthermore, according to the precision, recall and F-score measures, most accuracy was attributed to the ‘appropriate’ level of spatial health equity and the least accuracy to the ‘very inappropriate’ level.

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Determining the health benefits of green space: Does gentrification matter?

Cited by 157 publications

References 60 publications

Effectiveness of a Multicomponent Treatment for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): A Pragmatic Randomized Controlled Trial

Effectiveness of a Multicomponent Treatment for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): A Pragmatic Randomized Controlled Trial

Impact of gentrification on adult mental health

Developing an Approach for Generating a Spatial Urban Health Equity Map and Validating via Volunteered Geographic Information

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