Evidence map›Paper›PMID 32415773›Full record

ArticleSchizophrenia bulletin2020

Association Between Childhood Green Space, Genetic Liability, and the Incidence of Schizophrenia.

Kristine Engemann, Carsten Bøcker Pedersen, Esben Agerbo, Lars Arge, Anders Dupont Børglum, Christian Erikstrup, Ole Hertel, David Michael Hougaard, John J McGrath, Ole Mors and 9 more

Open access · goldAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Life Course Nature Exposure and Mental Health Outcomes: A Systematic Review and Future Directions.International journal of environmental research and public health · 2021
    Pooled it
  3. Schizophrenia: from mechanism to therapy.Science China. Life sciences · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Urban mental health: a position paper of the European psychiatric association.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Review
  9. Perspectives on environment and health research in Denmark.Scandinavian journal of public health · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Urbanicity and psychotic disorders: Facts and hypotheses.Dialogues in clinical neuroscience · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 2 countries.

Kristine EngemannSection for Ecoinformatics and Biodiversity, Department of Bioscience, Aarhus University, 8000 Aarhus C, Denmark.
Carsten Bøcker PedersenCentre for Integrated Register-Based Research, CIRRAU, Aarhus University, 8210 Aarhus V, Denmark.
Esben AgerboCentre for Integrated Register-Based Research, CIRRAU, Aarhus University, 8210 Aarhus V, Denmark.
Lars ArgeCenter for Massive Data Algorithmics, MADALGO, and Department of Computer Science, Aarhus University, 8200 Aarhus N, Denmark.
Anders Dupont BørglumThe Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus University, 8210 Aarhus V, Denmark.
Christian ErikstrupBig Data Centre for Environment and Health, Aarhus University, 8210 Aarhus V, Denmark.
Ole HertelBig Data Centre for Environment and Health, Aarhus University, 8210 Aarhus V, Denmark.
David Michael HougaardThe Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus University, 8210 Aarhus V, Denmark.
John J McGrathNational Centre for Register-Based Research, Aarhus BSS, Department of Economics and Business Economics, Aarhus University, 8210 Aarhus V, Denmark.
Ole MorsThe Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus University, 8210 Aarhus V, Denmark.
Preben Bo MortensenCentre for Integrated Register-Based Research, CIRRAU, Aarhus University, 8210 Aarhus V, Denmark.
Merete NordentoftThe Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus University, 8210 Aarhus V, Denmark.
Clive Eric SabelBig Data Centre for Environment and Health, Aarhus University, 8210 Aarhus V, Denmark.
Torben SigsgaardBig Data Centre for Environment and Health, Aarhus University, 8210 Aarhus V, Denmark.
Constantinos TsirogiannisCenter for Massive Data Algorithmics, MADALGO, and Department of Computer Science, Aarhus University, 8200 Aarhus N, Denmark.
Bjarni Jóhann VilhjálmssonNational Centre for Register-Based Research, Aarhus BSS, Department of Economics and Business Economics, Aarhus University, 8210 Aarhus V, Denmark.
Thomas WergeThe Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus University, 8210 Aarhus V, Denmark.
Jens-Christian SvenningSection for Ecoinformatics and Biodiversity, Department of Bioscience, Aarhus University, 8000 Aarhus C, Denmark.
Henriette Thisted HorsdalBig Data Centre for Environment and Health, Aarhus University, 8210 Aarhus V, Denmark.
Aarhus University · DKStatens Serum Institut · DKThe University of Queensland · AUUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood exposure to green space has previously been associated with lower risk of developing schizophrenia later in life. It is unclear whether this association is mediated by genetic liability or whether the 2 risk factors work additively. Here, we investigate possible gene-environment associations with the hazard ratio (HR) of schizophrenia by combining (1) an estimate of childhood exposure to residential-level green space based on the normalized difference vegetation index (NDVI) from Landsat satellite images, with (2) genetic liability estimates based on polygenic risk scores for 19 746 genotyped individuals from the Danish iPSYCH sample. We used information from the Danish registers of health, residential address, and socioeconomic status to adjust HR estimates for established confounders, ie, parents' socioeconomic status, and family history of mental illness. The adjusted HRs show that growing up surrounded by the highest compared to the lowest decile of NDVI was associated with a 0.52-fold (95% confidence interval [CI]: 0.40 to 0.66) lower schizophrenia risk, and children with the highest polygenic risk score had a 1.24-fold (95% CI: 1.18 to 1.30) higher schizophrenia risk. We found that NDVI explained 1.45% (95% CI: 1.07 to 1.90) of the variance on the liability scale, while polygenic risk score for schizophrenia explained 1.01% (95% CI: 0.77 to 1.46). Together they explained 2.40% (95% CI: 1.99 to 3.07) with no indication of a gene-environment interaction (P = .29). Our results suggest that risk of schizophrenia is associated additively with green space exposure and genetic liability, and provide no support for an environment-gene interaction between NDVI and schizophrenia.

Indexed as

SchizophreniaDenmarkGene-Environment InteractionHumansIncidenceMultifactorial InheritanceParks, RecreationalRegistriesecosystem servicesepidemiologygenetic riskmental healthremote sensingurbanization

Identifiers

PMID32415773
PMCPMC8496913
OpenAlexW3028399632

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.