Evidence map›Paper›PMID 39300384›Full record

ArticleBMC public health2024

Spatiotemporal variability of the association between greenspace exposure and depression in older adults in South Korea.

Eun-Hye Yoo, Jin-Young Min, Baek-Yong Choi, Seung-Woo Ryoo, Kyoung-Bok Min, John E Roberts

Abstract read
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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Eun-Hye Yoo *Department of Geography, University of Buffalo, The State University of New York, NY, USA.
Jin-Young Min *Veterans Medical Research Institute, Veterans Health Service Medical Center, Seoul, Republic of Korea.
Baek-Yong ChoiDepartment of Preventive Medicine, College of Medicine, Seoul National University, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
Seung-Woo RyooDepartment of Preventive Medicine, College of Medicine, Seoul National University, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
Kyoung-Bok MinDepartment of Preventive Medicine, College of Medicine, Seoul National University, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea. minkb@snu.ac.kr.
John E RobertsDepartment of Psychology, University of Buffalo, The State University of New York, NY, USA.

Funding

Korea Health Industry Development Institute HU20C0487National Research Foundation of Korea 2022R1A2C2010463National Research Foundation of Korea RS-2024-00338688
6 · The paper itself

Abstract

backgroundA number of studies based on young to middle aged adult and child samples have found that exposure to greenspace and bluespace can have a positive impact on mental health and well-being. However, there is limited research among older adults and the extant studies have provided mixed results. The present study was designed to examine how the association between these forms of exposure and depressive symptoms among older adults varies as a function of different spatially and temporally resolved exposure metrics.

methodsThe sample consisted of 617 individuals (46.19% female) aged ≥ 60 years of age. Depressive symptoms were measured using the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Individuals' greenspace exposure was quantified using spatially and temporally resolved metrics, including monthly and annual averaged satellite-derived normalized difference vegetation index (NDVI) across multiple buffer distances (250 m to 2,000 m) centered at participants' home address. We also quantified exposure to blue-greenspace from a highly detailed land use and land cover dataset. A multivariable logistic regression model assessed the association between greenspace and blue-greenspace exposure and depressive symptoms, adjusting for age, sex, income, education, marital status, current smoking, alcohol status, medical conditions, temperature, crime rate, population density, and per capita park area.

resultsWe found a significant association between exposures to greenspace and blue-greenspace and depressive symptoms (CES-D cutoff ≥ 4) among older adults. After adjusting for confounding variables, the odds of depressive symptoms were significantly decreased by an IQR increment in residential exposure to greenspace [odds ratio (OR) = 0.67; 95% confidence interval (95% CI), 0.49 ~ 0.91] and blue-greenspace (OR = 0.59; 95% CI, 0.41 ~ 0.84) measured nearby their home address (i.e., as close as 250 m). When stratified by household income level, the association was only significant among low-income individuals. We also found temporal variation in the association between depressive symptoms and monthly NDVI-based greenspace exposure, in which the odds of depressive symptoms were the lowest for greenspace in cold months (i.e., January, February, and March).

conclusionsOur findings suggest that neighborhood greenspace may serve as a protective factor against depression among older adults, but the benefits may depend on the spatial and temporal context. More investigation is needed to replicate our findings on the spatial and temporal variations of greenspace exposure metrics and their effects on depressive symptoms.

Indexed as

DepressionAgedAged, 80 and overFemaleHumansMaleMiddle AgedParks, RecreationalRepublic of KoreaResidence CharacteristicsSpatio-Temporal AnalysisGreenspaceMental healthOlder adultsSeasonalitySpatial resolution

Identifiers

PMID39300384
PMCPMC11414157

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