ArticleInternational journal for equity in health2019
Residential exposure to natural outdoor environments and general health among older adults in Shanghai, China.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review on the associations between built environment and mental health among older people.Frontiers in public health · 2025Pooled it
- Green Space and Health in Mainland China: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Association between neighborhood socionatural environments and health satisfaction: a longitudinal mediation analysis.Scientific reports · 2026Article
- 3D built virtual arctic environment increase vigor through connectedness in older people.Scientific reports · 2024Article
- Internet Use as a Moderator of the Relationship Between Personal Resources and Stress in Older Adults: Cross-Sectional Study.JMIR aging · 2024Article
- Sea swimming and snorkeling in tropical coastal blue spaces and mental well-being: Findings from Indonesian island communities during the COVID-19 pandemic.Journal of outdoor recreation and tourism · 2023Article
- A Cross-sectional Analysis of Socio-spatial Patterning of Tobacco Retail in Shanghai, China.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Article
- Greenspace and mortality in the U.K. Biobank: Longitudinal cohort analysis of socio-economic, environmental, and biomarker pathways.SSM - population health · 2022Article
- Association of Residential Proximity to the Coast With Incident Myocardial Infarction: A Prospective Cohort Study.Frontiers in cardiovascular medicine · 2022Article
- Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey.International journal of environmental research and public health · 2021Article
- The Beneficial Effects of Short-Term Exposure to Scuba Diving on Human Mental Health.International journal of environmental research and public health · 2020Article
- A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics.Frontiers in public health · 2020Review
- Predicting 30-day readmissions in pneumonia patients using machine learning and residential greenness.Digital healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExposure to natural outdoor environments (NOE) has been shown to be beneficial to older adults' health and functioning, yet this assertion has rarely been tested in China. We investigated the relationships between exposure to NOE and older adults' self-rated health in Shanghai, China and examined whether these relationships varied by sex, age, education and hukou status.
methodThis cross-sectional study used micro-data sample of the 2010 Shanghai population census, including 7962 older adults nested within 3345 neighbourhoods. Self-rated health was the outcome variable. Four NOE exposure indicators were calculated for each neighbourhood: the amount of surrounding greenness/blueness and proximity to large green/blue spaces. Multilevel logistic regression was employed to explore the association between natural outdoor environment exposure and self-rated health, adjusting for individual-level and neighbourhood-level covariates. Stratified analyses were used to examine variations by sex, age, education and hukou status.
resultsOlder adults living in neighbourhoods with higher surrounding greenness and higher proximity to both green spaces and blue spaces were more likely to report good health. Residential surrounding blueness was not significantly related to self-rated health. Females, those aged 60-69 years, those who had elementary school or junior high school education and those with non-local hukou benefit more from residential surrounding greenness, and those aged 70-79 years and who had elementary school or junior high school education benefit more from residential proximity to blue spaces.
conclusionsHigher residential greenness and proximity to both green spaces and blue spaces were associated with better self-rated health, particularly for females, younger older adults, the low educated and non-local hukou holders. Our findings suggest that urban green spaces and urban blue spaces have different effects on health among Chinese older adults and that the assessment of exposure matters to the investigation of NOE-health relationships.
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