ArticleBMJ open2018
Greenness and job-related chronic stress in young adults: a prospective cohort study in Germany.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Socioeconomic inequalities in exposure to neighbourhood environments for physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- The Association between Green Space and Adolescents' Mental Well-Being: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Article
- Urban Nature and Public Health: How Nature Exposure and Sociocultural Background Relate to Depression Risk.International journal of environmental research and public health · 2021Article
- The association between neighborhood greenness and incidence of lethal prostate cancer: A prospective cohort study.Environmental epidemiology (Philadelphia, Pa.) · 2020Article
- A Smartphone App for Improving Mental Health through Connecting with Urban Nature.International journal of environmental research and public health · 2019Article
- Predicting Chronic Stress among Healthy Females Using Daily-Life Physiological and Lifestyle Features from Wearable Sensors.Chronic stress (Thousand Oaks, Calif.)Article
Corrections and comments
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Authors and funding
14 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to prospectively study the association between normalised difference vegetation index (NDVI) as a measure of greenness around homes and occupational stress.
settingA population-based cohort in Munich and Dresden cities was followed from age 16-18 years to age 20-23 years (n=1632).
participantsAt baseline, all participants attended high-school while at follow-up some had started working and others studying at university. At baseline and in each follow-up, we assigned NDVI based on participants' residential geocoded addresses and categorised it by quartiles. OUTCOME MEASURES: School-related, university-related or job-related self-reported chronic stress was assessed at the two follow-ups by the Trier Scale for Assessment of Chronic Stress using work discontent and work overload as outcomes. We modelled the association employing ordinal generalised estimating equations model accounting for changes in sociodemographics, non-job-related stress, job history and environmental covariates. Stratified analysis by each city was performed.
resultsNVDI at baseline was higher for participants from Dresden (median=0.36; IQR 0.31-0.41) than Munich (0.31; 0.26-0.34). At follow-up, it decreased only for participants in Dresden (0.34; 0.30-0.40). Higher greenness (quartile 4 vs quartile 1) was associated with less work discontent (OR 0.89; 95% CI 0.80 to 0.99) and less work overload (OR 0.87; 95% CI 0.78 to 0.96). In stratified analyses, results were more consistent for Munich than for Dresden.
conclusionsOur results suggest that residential green spaces, using the vegetation index as a proxy for exposure, are inversely associated with two types of job-related chronic stress in German young adults transitioning from school to university or working life.
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Registered trials
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