Gonzales-Inca Carlos, Pentti Jaana, Stenholm Sari, Suominen Sakari, Vahtera Jussi, Käyhkö Niina
Department of Geography and Geology, University of Turku, 20014, Finland.
Department of Public Health, University of Turku and Turku University Hospital, 20014, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, 20014, Finland.
Health Place. 2022 Mar;74:102760. doi: 10.1016/j.healthplace.2022.102760. Epub 2022 Feb 5.
We carried out a longitudinal study on the associations between residential greenness and depression risk in urban areas in Finland. Residential greenness indicators were estimated within various buffer sizes around individuals' home locations (selected n = 14424) using time-series of normalized differential vegetation index (NDVI) and CORINE land cover data (CLC). We estimated individuals' cumulative exposure to residential greenness over a 5-years and 14-years follow-up. We used doctor-diagnosed depression and Beck Depression Inventory for depression assessment. Our multi-logistic model showed an inverse association between residential greenness and depression, implying lowered depression risk for individuals with higher residential greenness. The association was particularly evident when using NDVI-based residential greenness (within a buffer of 100 m radius) and doctor-diagnosis depression data, adjusted with individual-level covariates. The odds ratio was 0.56 (95% CI 0.33 to 0.96) for the 5-years follow-up, and 0.54 (95% CI 0.30 to 0.98) for the 14-years follow-up. The associations between CLC-based total residential green space and depression varied across the different buffer sizes. In general, all the associations depended on the type of depression assessment, quality of greenness indicators, and the spatial scale of analysis. The associations also varied across the socio-demographic groups and neighborhood socioeconomic disadvantage level.
我们针对芬兰城市地区居住环境绿化程度与抑郁风险之间的关联开展了一项纵向研究。利用归一化植被指数(NDVI)的时间序列和欧盟土地覆盖数据(CLC),在个体家庭住址周围不同缓冲半径范围内(选取n = 14424)估算居住环境绿化指标。我们估算了个体在5年和14年随访期间对居住环境绿化的累积暴露量。我们使用医生诊断的抑郁症以及贝克抑郁量表进行抑郁评估。我们的多元逻辑模型显示居住环境绿化程度与抑郁之间存在负相关,这意味着居住环境绿化程度较高的个体患抑郁症的风险较低。当使用基于NDVI的居住环境绿化指标(半径100米的缓冲范围内)以及医生诊断的抑郁数据,并对个体层面的协变量进行调整时,这种关联尤为明显。5年随访的优势比为0.56(95%置信区间0.33至0.96),14年随访的优势比为0.54(95%置信区间0.30至0.98)。基于CLC的居住绿地总面积与抑郁之间的关联在不同缓冲半径范围内有所不同。总体而言,所有关联均取决于抑郁评估类型、绿化指标质量以及分析的空间尺度。这些关联在社会人口群体和邻里社会经济劣势水平方面也存在差异。