Nichani Vikram, Dirks Kim, Burns Bruce, Bird Amy, Grant Cameron
Section of Epidemiology and Statistics, School of Population Health, University of Auckland, Auckland 1142, New Zealand.
School of Biological Sciences, University of Auckland, Auckland 1142, New Zealand.
Int J Environ Res Public Health. 2017 Sep 18;14(9):1083. doi: 10.3390/ijerph14091083.
: Antenatal depression is an important contributor to poor maternal health experienced by some women. This study aimed to determine whether exposure to green space during pregnancy is associated with less depression, and whether this association is moderated by relevant factors, such as age, education, self-identified ethnicity, physical activity, residential rurality, and socioeconomic status. : Health data were sourced from the cohort study "" comprised of 6772 participants. Green space was estimated based on the proportion of green space within the Census Area Unit. Adjusted logistic mixed effect models were used to investigate the association between green space and antenatal depression after controlling for confounding variables. : Maternal exposure to green space were not associated with lower odds of antenatal depression. Indications of effect modifications due to relevant factors were not observed. : This study did not determine an association between access to green space (measured based on the distance to the nearest green space) and antenatal depression. Therefore, a link between green space and antenatal depression was not established. For that reason, ensuring residential areas contain adequate green space may or may not be helpful in preventing antenatal depression and adverse health outcomes associated with this depression. More studies focusing on pregnant women in a range of social contexts, and considering both exposure and access to green space, are warranted to determine the relationships between green space and antenatal depression.
产前抑郁是一些女性孕产妇健康状况不佳的一个重要因素。本研究旨在确定孕期接触绿地是否与较少的抑郁相关,以及这种关联是否受到年龄、教育程度、自我认定的种族、体育活动、居住的农村地区以及社会经济地位等相关因素的调节。健康数据来自于一项有6772名参与者的队列研究。根据人口普查区域单元内绿地的比例来估算绿地情况。在控制混杂变量后,使用调整后的逻辑混合效应模型来研究绿地与产前抑郁之间的关联。孕产妇接触绿地与较低的产前抑郁几率无关。未观察到因相关因素导致效应修正的迹象。本研究未确定接近绿地(根据到最近绿地的距离衡量)与产前抑郁之间的关联。因此,未确立绿地与产前抑郁之间的联系。基于此,确保居住区有足够的绿地可能无助于预防产前抑郁以及与此抑郁相关的不良健康后果,也可能会有帮助。有必要开展更多针对不同社会背景下孕妇的研究,并同时考虑接触绿地和接近绿地的情况,以确定绿地与产前抑郁之间的关系。