ArticleEnvironmental research2022
The association between urban greenspace and psychological health among young adults in Addis Ababa, Ethiopia.
Article in Environmental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- Mobility, mental well-being and Neighborhood walkability among older adults in Nigeria: an urban perspective.Archives of public health = Archives belges de sante publique · 2025Article
- Impact of Urban Green on Population Health in Sub-Saharan Africa: A Scoping Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Urban green spaces and mental health: Findings from Uganda.Hygiene and environmental health advances · 2025Article
- Spatiotemporal variability of the association between greenspace exposure and depression in older adults in South Korea.BMC public health · 2024Article
- Proximity to public green spaces and depressive symptoms among South African residents: a population-based study.BMC public health · 2024Article
- Neighborhood Physical and Social Environments and Social Inequalities in Health in Older Adolescents and Young Adults: A Scoping Review.International journal of environmental research and public health · 2023Article
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Authors and funding
11 authors at 3 institutions in 1 country.
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Abstract
introductionPsychological disorders are emerging as health priorities in Sub-Saharan Africa, specifically Ethiopia. Urban greenspace - parks, trees, and other vegetation integrated into urban form - may facilitate population psychological health, but is largely understudied outside high-income countries. We explore greenspace in relation to psychological health among young adults in Addis Ababa, Ethiopia.
methodGreenspace exposure was calculated using the normalized difference vegetation index (NDVI) derived from publicly available satellite imagery (2018-2019). We used tests of spatial clustering to characterize greenspace distribution. Derived NDVI values were linked to Positive Outcomes for Orphans study participants to explore cross-sectional associations between greenspace exposure and psychological health (measured 2019-2021). Two continuous scores of psychological health were examined: total difficulties from the Strengths and Difficulties Questionnaire and depressive symptoms from the 8-item Patient Health Questionnaire. Multilevel generalized linear regression, nested by administrative units, was used to estimate the association between greenspace and psychological health. We also explored effect modification by gender and having income.
resultsWe found greenspace is spatially clustered in Addis Ababa, with high greenspace density in the northeast region and low greenspace density in the center of the city. Our findings suggest residing in greener areas is associated with fewer emotional and behavioral difficulties (β = -1.89; 95% CI: -3.50, -0.29), but not significantly associated with depressive symptomology (β = -0.61; 95% CI: -2.33, 1.11). We observed stronger associations between greenspace and total difficulties among those reporting any income and among males, and for the association between greenspace and depression symptomology among males.
conclusionWe offer initial exploration into the role of greenspace in psychological well-being in Addis Ababa, with potential implications for urban communities across Sub-Saharan Africa. Further research should continue to explore how the built and natural environment could be leveraged in similar settings to promote population psychological health.
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