Beyer Kirsten M M, Szabo Aniko, Nattinger Ann B
Division of Epidemiology and Center for Patient Care and Outcomes Research, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Am J Prev Med. 2016 Sep;51(3):281-90. doi: 10.1016/j.amepre.2016.05.004. Epub 2016 Jun 16.
Numerous studies have explored neighborhood environmental correlates of mental illnesses, presuming that the time individuals spend in their environment can confer benefit or harm based on environmental characteristics. However, few population-based studies have directly examined the relationship between time spent outdoors and mental health, and little work has been done to explore how experiences differ by race and ethnicity. Though some have proposed "doses of outdoor time" to improve health, the absence of information about the benefits conferred by particular "doses," and expected baseline levels of outdoor time, are needed to inform the development of recommendations and interventions.
This study examined the relationship between time spent outdoors and depression among a population-based sample of American adults, characterized current levels of time spent outdoors by race and ethnicity, and examined how the relationship between time spent outdoors and depression varies by race and ethnicity. Descriptive statistics and survey regression models were used to examine data from the National Health and Nutrition Examination Survey for 2009-2012.
Findings provide evidence that time spent outdoors is associated with fewer depressive symptoms, but this benefit may not be equally distributed by race and ethnicity. Descriptive analyses also reveal differences in time spent outdoors among different racial and ethnic groups.
Study findings support the notion that increasing time spent outdoors may result in mental health benefits. However, this study questions whether that benefit is experienced equally among different groups, particularly given differences in occupational experiences and environmental characteristics of neighborhoods.
众多研究探讨了邻里环境与精神疾病的关联,假定个体在其环境中度过的时间会根据环境特征带来益处或危害。然而,很少有基于人群的研究直接考察户外时间与心理健康之间的关系,并且几乎没有研究探讨不同种族和族裔的体验差异。尽管一些人提出“户外时间剂量”以改善健康,但为了为建议和干预措施的制定提供依据,仍需要有关特定“剂量”所带来的益处以及户外时间预期基线水平的信息。
本研究考察了美国成年人基于人群样本中户外时间与抑郁之间的关系,按种族和族裔对当前户外时间水平进行了特征描述,并考察了户外时间与抑郁之间的关系如何因种族和族裔而异。使用描述性统计和调查回归模型来分析2009 - 2012年国家健康与营养检查调查的数据。
研究结果表明,户外时间与较少的抑郁症状相关,但这种益处可能在不同种族和族裔中分布不均。描述性分析还揭示了不同种族和族裔群体在户外时间上的差异。
研究结果支持增加户外时间可能有益于心理健康这一观点。然而,本研究质疑不同群体是否能平等地体验到这种益处,特别是考虑到职业经历和邻里环境特征的差异。