ArticleEnvironmental research2021
Residential surrounding greenness and self-reported symptoms of anxiety and depression in adolescents.
Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Life Course Nature Exposure and Mental Health Outcomes: A Systematic Review and Future Directions.International journal of environmental research and public health · 2021Pooled it
- Spatial Patterns of Opioid Overdose Mortality Risk Across Urban, Transitional, and Rural Communities Using Satellite-Derived and Socioeconomic Indicators.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Depression in Chinese adolescents: prevalence, symptoms, risk factors, affected brain, diagnosis, and interventions.Frontiers in psychology · 2026Review
- The land cover paradox: Characteristics of blue- and green spaces within and beyond high-risk suicide clusters.SSM - population health · 2025Article
- The Association between Multiple Environmental Exposures and Symptoms of Generalized Anxiety Disorder in a Prospective, US-Based Cohort Study.Environmental health perspectives · 2025Article
- Neighborhood Characteristics and Mental Health From Childhood to Adolescence.JAMA network open · 2025Article
- Green space and older adults' health: a scoping review.Innovation in aging · 2025Review
- Development of a multimodal geomarker pipeline to assess the impact of social, economic, and environmental factors on pediatric health outcomes.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Increased urban greenspace in childhood associated with lower inattention deficit among adolescents.Social psychiatry and psychiatric epidemiology · 2024Article
- Associations of residential green space with internalizing and externalizing behavior in early childhood.Environmental health : a global access science source · 2024Article
- Short-term exposure sequences and anxiety symptoms: a time series clustering of smartphone-based mobility trajectories.International journal of health geographics · 2023Article
- Elementary Classroom Views of Nature Are Associated with Lower Child Externalizing Behavior Problems.International journal of environmental research and public health · 2023Article
- Is indoor and outdoor greenery associated with fewer depressive symptoms during COVID-19 lockdowns? A mechanistic study in Shanghai, China.Building and environment · 2023Article
- Greenspace and mortality in the U.K. Biobank: Longitudinal cohort analysis of socio-economic, environmental, and biomarker pathways.SSM - population health · 2022Article
- Mortality risk associated with greenness, air pollution, and physical activity in a representative U.S. cohort.The Science of the total environment · 2022Article
- Park access and mental health among parents and children during the COVID-19 pandemic.BMC public health · 2022Article
- Holistic approach to assess the association between the synergistic effect of physical activity, exposure to greenspace, and fruits and vegetable intake on health and wellbeing: Cross-sectional analysis of UK Biobank.Frontiers in public health · 2022Article
- The roles of residential greenness in the association between air pollution and health: a systematic review.Environmental research letters : ERL [Web site] · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundEvidence on the relationship between exposure to greenness and adolescent mental health is limited. The purpose of this study was to examine the association between greenness throughout childhood and mental health at age 12 years.
methodsWe assessed greenness using the satellite-based measure of Normalized Difference Vegetation Index (NDVI) within 200m, 400m, and 800m of home address at birth, age 12 years, and across childhood (averaged for each year from birth to age 12) among the Cincinnati Childhood Allergy and Air Pollution Study (CCAAPS) cohort. Self-reported symptoms of anxiety and depression were assessed at age 12 years using the Spence Children's Anxiety Scale (SCAS) and Children's Depression Inventory 2 (CDI 2), respectively. Associations were estimated using linear regression, adjusting for covariates including traffic-related air pollution, neurological hazard exposure, blood lead level, household income, and community deprivation.
resultsIn adjusted models, NDVI was largely not associated with self-reported anxiety and depression symptoms, except for the SCAS separation anxiety subscale at 400m and 800m (0.1 unit increase mean NDVI 400m: β = -0.97, 95% CI: -1.86, -0.07; 800m: β = -1.33, 95% CI: -2.32, -0.34).
conclusionWhile we found no direct relationship between greenness and overall symptoms of anxiety and depression in adolescents upon adjustment for relevant covariates at the 200m distance, greenness may lesson symptoms of separation anxiety within 400m and 800m distance from the home address at age 12 years. Future research should examine mechanisms for these relationships at the community- and individual-level.
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