ArticleEnvironmental health perspectives2019
Greenness and Depression Incidence among Older Women.
Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- Residential green spaces and neurodegenerative diseases in middle-aged and older adults: a systematic review and dose-response meta-analysis.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Relationship between Green and Blue Spaces with Mental and Physical Health: A Systematic Review of Longitudinal Observational Studies.International journal of environmental research and public health · 2021Pooled it
- Long-Term Exposure to Residential Greenspace and Healthy Ageing: a Systematic Review.Current environmental health reports · 2020Pooled it
- The Green Heart Project: objectives, design, and methods.American journal of epidemiology · 2026Article
- A Network Analysis of Built Environment Features and Depressive Symptoms over an 18-year period.medRxiv : the preprint server for health sciences · 2026Article
- Evaluating Microclimate Modification and Acute Cardiovascular Stress Responses to a Dense Urban Microforest: The Green Oasis (GRO) Protocol.International journal of environmental research and public health · 2026Article
- A systematic review investigating the relationship between green and blue spaces and depression in older adults via DNA methylation.Environmental epigenetics · 2026Review
- The global, regional, and national preventable burden of depression attributable to greenness and inequalities: a scenario-based health impact analysis.Journal of global health · 2025Article
- Harnessing Geospatial Artificial Intelligence (GeoAI) for Environmental Epidemiology: A Narrative Review.Current environmental health reports · 2025Review
- Urban mental health: a position paper of the European psychiatric association.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
- The mitigation effects of residential green space and low air pollution on socioeconomic inequalities in depression.Npj mental health research · 2025Article
- The Association of Exposure to Urban Greenspace and Depression in Women.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- The Association between Multiple Environmental Exposures and Symptoms of Generalized Anxiety Disorder in a Prospective, US-Based Cohort Study.Environmental health perspectives · 2025Article
- Laparoscopically confirmed endometriosis and the risk of incident NAFLD: a prospective cohort study.Reproductive biology and endocrinology : RB&E · 2025Article
- Greenspace and depression incidence in the US-based nationwide Nurses' Health Study II: A deep learning analysis of street-view imagery.Environment international · 2025Article
- Assessing the restorative effects of campus greeness on student depression: a comparative study across three distinct university campus type in Macau.BMC public health · 2025Article
- Residential greenness and reduced depression during COVID-19: Longitudinal evidence from the Canadian Longitudinal Study on Aging.PloS one · 2025Article
- Residential air pollution, greenspace, and adverse mental health outcomes in the U.S. Gulf Long-term Follow-up Study.The Science of the total environment · 2024Article
- Spatiotemporal variability of the association between greenspace exposure and depression in older adults in South Korea.BMC public health · 2024Article
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Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRecent evidence suggests that higher levels of residential greenness may contribute to better mental health. Despite this, few studies have considered its impact on depression, and most are cross-sectional.
objectiveThe objective of this study was to examine surrounding residential greenness and depression risk prospectively in the Nurses' Health Study.
methodsA total of 38,947 women (mean age throughout follow-up 70 y [range 54–91 y]) without depression in 2000 were followed to 2010. Residential greenness was measured using the satellite-based Normalized Difference Vegetation Index (NDVI) and defined as the mean greenness value within [Formula: see text] and [Formula: see text] radii of the women's residences in July of each year. Incidence of depression was defined according to the first self-report of either physician-diagnosed depression or regular antidepressant use. We used Cox proportional hazards models to examine the relationship between greenness and depression incidence and assessed physical activity as a potential effect modifier and mediator.
resultsOver 315,548 person-years, 3,612 incident depression cases occurred. In multivariable-adjusted models, living in the highest quintile of residential greenness within [Formula: see text] was associated with a 13% reduction in depression risk ([Formula: see text] [95% confidence interval (CI): 0.78, 0.98]) compared with the lowest quintile. The association between greenness and depression did not appear to be mediated by physical activity, nor was there evidence of effect modification by physical activity.
conclusionsIn this population of mostly white women, we estimated an inverse association between the highest level of surrounding summer greenness and the risk of self-reported depression. https://doi.org/10.1289/EHP1229.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.