Human Health-Environment Interaction Science: An emerging research paradigm

Two- and three-dimensional indicators of green and grey space exposure and psychiatric conditions and medicine use: A longitudinal study in a large population-based Italian cohort

BACKGROUND

Evidence available on the associations between urban greenness and mental health is mainly based on cross-sectional studies and has relied on 2D indicators of greenness. This longitudinal study aimed at investigating the association between 2D and 3D indicators of green and grey spaces and incident mental health-related outcomes in a large population-based cohort.

METHODS

Our study used data from 593,894 Italian adults (≥30 years) from the Rome Longitudinal Study. Mental health outcomes were defined using either drug prescriptions (antidepressants, antipsychotics, lithium and other mood stabilisers, and anxiolytics, hypnotics and sedatives), or hospitalisation records (for schizophrenia spectrum disorder, depression, anxiety, stress-related and somatoform, or substance use disorders). We obtained 2D and 3D indicators of green and grey exposures including Normalized Difference Vegetation Index (NDVI), green volume, grey volume, number of trees, and Normalized Difference Green-Grey Volume Index around participants' homes. Cox proportional hazards regression models were developed to estimate the association of green and grey space exposure and psychiatric conditions and medicine use, adjusted for relevant covariates.

RESULTS

We found beneficial associations of NDVI and the number of trees with antipsychotic and lithium and other mood stabiliser drugs. We also observed detrimental associations between grey volume and lithium and other mood stabilisers and anxiolytic, hypnotic and sedative drugs. Finally, we found a protective association of the NDGG with lithium and other mood stabilisers (HR: 0.977; 95% CI: 0.965-0.990) and anxiolytic, hypnotic and sedative drugs (HR: 0.851; 95% CI: 0.762-0.950). The associations for hospitalisation for psychiatric conditions were less consistent and generally not statistically significant.

CONCLUSIONS

Findings suggested that higher greenness areas around residential addresses are associated with reduced use of drugs for psychiatric conditions, while the opposite is true for higher grey space exposure. The study highlights the importance of accurately characterising green and grey spaces, using novel exposure indicators.

Objective greenness, connectedness to nature and sunlight levels towards perceived restorativeness in urban nature

The beneficial effect of exposure to nature and immersion in natural environments on perceived well-being is well established. Nevertheless, we acknowledge an emerging need to disentangle the role of specific environmental features from individual factors that encourage a positive person-environment interaction. This study aimed at evaluating the associations between four buffer distances of greenness and dimensions of perceived restorativeness, with connectedness towards nature (CTN) as a confounder variable, in a sample of 312 visitors to a large urban park. Variables investigating ecosystem services (ES, e.g., thermal comfort) were included as covariates. Results revealed differentiated effects of greenness level, sunlight intensity, and connectedness to nature in the pathways towards dimensions of restorativeness. Greenness level at 300 m was associated with Fascination, Scope, and Being Away, while at 500 m was associated with Coherence, Scope, and Being Away. ES was found to be associated with Coherence, while CTN with the other three dimensions of restorativeness. The moderating effect of sunlight level in the relationship between NDVI buffer distances and the total score of perceived restorativeness was also confirmed. The present work is intended to offer insights on the interplay between environmental features and individual differences for implications in several contexts, including the opportunity to develop tailor-made planning for urban forestry.

The effectiveness of group-based gardening interventions for improving wellbeing and reducing symptoms of mental ill-health in adults: a systematic review and meta-analysis

BACKGROUND

There is increasing interest in the association between nature, health and wellbeing. Gardening is a popular way in which interaction with nature occurs and numerous gardening projects aim to facilitate wellbeing among participants. More research is needed to determine their effectiveness.

AIM

To systematically evaluate the effectiveness of group-based gardening interventions for increasing wellbeing and reducing symptoms of mental ill-health in adults.

METHODS

A systematic review of Randomised Controlled Trials was conducted following the protocol submitted to PROSPERO (CRD42020162187). Studies reporting quantitative validated health and wellbeing outcomes of the community residing, adult populations (18+) were eligible for inclusion.

RESULTS

24 studies met inclusion criteria: 20 completed and four ongoing trials. Meta-analyses suggest these interventions may increase wellbeing and may reduce symptoms of depression, however, there was uncertainty in the pooled effects due to heterogeneity and unclear risk of bias for many studies. There were mixed results for other outcomes.

RESEARCH LIMITATIONS/IMPLICATIONS

Heterogeneity and small sample sizes limited the results. Poor reporting precluded meta-analysis for some studies. Initial findings for wellbeing and depression are promising and should be corroborated in further studies. The research area is active, and the results of the ongoing trials identified will add to the evidence base.

Long-Term Exposure to Greenspace and Cognitive Function during the Lifespan: A Systematic Review

Recent advances in environmental psychology highlighted the beneficial role of greenspace exposure on cognition. We conducted a systematic review of the available studies on the association of long-term exposure to greenspace and cognitive functions across the lifespan. PRISMA guidelines and the PECOs method were applied to screen for eligible studies. Twenty-five studies from Scopus, PubMed, and PsycINFO met the inclusion criteria. Six studies were longitudinal and nineteen cross-sectional. Fifteen studies focused on schoolchildren, six studies on adults, and four on the elderly. Twenty studies used the NDVI to assess greenspace exposure and the remaining used other indexes. Eight studies employed academic achievement as the outcome, eight studies global cognition, six studies attention/executive functions, and three studies memory. The evidence was inconsistent but suggestive for a beneficial role of greenspace exposure on cognitive functions. Further studies are required, especially among adults and older people, by adopting longitudinal designs.

CTAB-modified carboxymethyl cellulose/bagasse cryogels for the efficient removal of bisphenol A, methylene blue and Cr(VI) ions: Batch and column adsorption studies

The simultaneous removal of organic and inorganic pollutants from water requires multifunctional adsorbents. Cryogels of carboxymethyl cellulose (CMC) and sugarcane bagasse (BG) were modified with cetyltrimethylammonium bromide (CTAB) micelles for the adsorption of methylene blue (MB), Cr(VI) ions and bisphenol A (BPA) separately, in binary or ternary aqueous mixtures. Batch adsorption studies of MB and Cr(VI) and BPA on the CMCBG-CTAB adsorbents indicated removal capacities of 100%, 70% and 95%, respectively. MB adsorbed as multilayers on the CMCBG walls by electrostatic interaction, whereas Cr(VI) and BPA adsorbed on the cationic CTAB micelles surface and hydrophobic core of CTAB micelles, respectively. The breakthrough curves obtained for pure adsorbates and their mixtures showed that the adsorption of Cr(VI) ions increased (i) ~ 3.5 times in binary mixture with BPA or in the ternary mixture, in comparison to pure Cr(VI) solution, and (ii) 1.4 times in binary mixture with MB molecules, due to synergistic effects. In the presence of Cr(VI) ions in binary or ternary mixtures, the adsorption of MB was dramatically reduced due to screening effects. The adsorption of BPA was not significantly affected by the presence of MB or Cr(VI). The adsorbents were recycled five times without significant efficiency loss.

Can the human development level in middle-income regions meet the challenges of natural capital change from the perspective of decoupling? Evidence from Shaanxi Province

Human activities in middle-income regions (MIRs) accelerate the appropriation of natural capital (NC) through production and living activities. The environmental changes caused by these activities in turn have an impact on human development and challenge the human adaptability of MIRs. Therefore, it is very important to realize the decoupling of NC and human development. This study takes China's Shaanxi Province as a case and establishes a research framework that decouples the human development index (HDI) from the perspective of NC stock and flow. Shaanxi is evaluated based on an analysis of the changing HDI and measuring changes in NC indicators from 2005 to 2018. The state of decoupling between the HDI and NC utilization levels is also discussed. The results show that the average annual growth of the HDI and per capita ecological footprint is 1.54% and 3.22%, respectively. The rate of consumption of the NC stock is greater than the rate of NC flow consumption. The HDI and the three-dimensional ecological footprint have not achieved real decoupling, and the changes in the two are the same as those in the left half of the inverted U-shaped environmental Kuznets curve. However, the inflection point has not been reached. This shows that the NC and HDI in Shaanxi have not achieved decoupling, and rapid NC changes hinder the ability to improve human well-being. This discovery helps MIRs focus on the role of restoration ecosystems in supporting regional human development and respond to the challenge of insufficient human adaptability due to excessive consumption of NC.

From an economic crisis to a pandemic crisis: The need for accurate marine monitoring data to take informed management decisions

It is axomatic that a system cannot be managed unless it is measured and that the measurements occur in a rigorous, defendable manner covering relevant spatial and temporal scales. Furthermore, it is not possible to predict the future direction of a system unless any predictive approach or model is supported by empirical evidence from monitoring. The marine system is no different from any other system in these regards. This review indicates the nature and topics of marine monitoring, its constraints in times of economic austerity, the sequence of topics subject to monitoring and the amount of monitoring of various topics carried out as indicated by the number of publications and researchers. We discuss the way in which the nature of monitoring is decided and we use examples to comment on the way monitoring leads to and responds to marine management and governance.

Is Experience the Best Teacher? Knowledge, Perceptions, and Awareness of Wildfire Risk

Wildfires represent a natural phenomenon with detrimental effects on natural resources and human health. A better knowledge, perception, and awareness of wildfire risk may help communities at risk of exposure to prevent future events and safeguard their own lives. The aim of this study is to explore differences between individuals with and without previous wildfire experience, in terms of (1) subjective and advanced wildfire knowledge, (2) self-reported perceptions, (3) level of information, (4) self-protection measures, and (5) importance of community involvement. As a second step, we investigated differences in the same variables, focusing more deeply on a group of individuals with previous wildfire experience, classifying them according to fire-related employment (fire-related workers vs. non-workers) and wildland-urban interface (WUI) proximity (WUI residents vs. non-WUI residents). The Kruskal-Wallis test was applied to establish differences between the pairs of subsamples. Our results partially confirmed our hypothesis, that direct experience leads individuals to have a greater preparedness on the topic of wildfires. Perception of knowledge is reflected only at a shallow level of expertise, and, therefore, no relevant within-group differences related to fire-related employment or to WUI proximity were detected. Moreover, available information was perceived to be insufficient, thus we report a strong need for developing effective communication to high-risk groups, such as homeowners and fire-related workers.

Association between indoor-outdoor green features and psychological health during the COVID-19 lockdown in Italy: A cross-sectional nationwide study

Exposure to public green spaces was shown to be associated with psychological health. Nonetheless, evidence is lacking on the role of different green features within and/or surrounding the home environment when public green spaces are inaccessible or not usable. The overarching goal of this study is to shed light on the associations between the presence of greenness within the home and in the surrounding environment and the detrimental effects of quarantine on psychological health during the COVID-19 pandemic lockdown in Italy. A cross-sectional nationwide study involving an online survey was conducted of an Italian population-based sample of 3886 respondents on the association of indoor and outdoor green features (i.e., presence of plant pots, sunlight, green view and accessibility of private green space and natural outdoor environment) with self-reported increases in anxiety, anger, fear, confusion, moodiness, boredom, irritability, recurrent thoughts and/or dreams, poor concentration and sleep disturbance during the COVID-19 lockdown. Single-exposure regression models were performed to estimate associations between single green features and each psychological health outcome adjusted for relevant covariates. In the adjusted models, the presence of plant pots at home was associated with a lower self-reported increase in anxiety, anger, fear, irritability, and sleep disturbance. A greater amount of sunlight in the home was associated with a lower increase in anger, fear, confusion, moodiness, boredom, irritability, poor concentration, and sleep disturbance. A greater amount of green view and access to private green spaces were both associated with a lower increase in each of the psychological health outcomes except for green view and recurrent thought and/or dreams. Natural outdoor environment was associated with anxiety, fear, boredom, irritability, and sleep disturbance. Significant associations remained robust when adjusted for number of confirmed COVID-19 cases. Insights on future investigations are provided.

The progress and trend of pro-environmental behavior research: a bibliometrics-based visualization analysis

Pro-environmental behavior (PEB) has always been a hot topic in academic and practical, and it is highly necessary to explore the research progress and development trend of PEB. Based on 1038 relevant literatures published and the Web of Science core database, this paper used citation analysis, co-word analysis and cluster analysis methods to systematically analyze the dynamic evolution process of PEB's research topics, knowledge base and subject areas. The results show that PEB research is currently in a period of rapid growth. And PEB research presents typical multidisciplinary characteristics, mainly focuses on Psychology-Education-Social, Economics-Economic-Political, Environmental-Toxicology-Nutrition and other disciplines. Then, this study also finds that the PEB research hotspots mainly concentrated in seven directions such as "Environmental cognition, emotion and motivation process", etc., which can be further classified into three horizontal levels and three vertical levels. This study will provide valuable theoretical and practical reference for the future research of PEB.

Usage of urban green space and related feelings of deprivation during the COVID-19 lockdown: Lessons learned from an Italian case study

This study investigated perceptions and behavioral patterns related to urban green space (UGS) in Italian cities, during the period of national lockdown imposed due to the outbreak of SARS-CoV-2 in the spring of 2020. A survey was used to examine the responses of population groups in different municipal areas, comparing those in government-defined "red zones", mostly in the northern regions of the country, with "non-red zones" in the rest of the country, where the rate of infection was much lower. A total of 2100 respondents participated in the survey. The majority of respondents declared themselves to be habitual users of UGS, especially of parks or green areas outside the town - mainly visiting for relaxation and physical exercise, but also for observing nature. In the northern regions people more commonly reported the adoption of sustainable practices, in terms of the utilization of tools for "green mobility". During the lockdown, habits changed significantly: only one third of respondents reported visiting UGS, with frequent visits made mainly for the purpose of walking the dog. Other motivations included the need for relaxing, mostly in the red zones, and for physical exercise in non-red zones. The reduction in travel to urban parks was accompanied by increased visitation of gardens and other green spaces in close proximity, as social distancing and other regulations imposed restrictions on movement. In all regions, respondents who could not physically access UGS expressed a feeling of deprivation which was exacerbated by living in towns located in red zones, being a usual visitor of UGS and having no green view from the window. The extent to which these visitors missed UGS depended on the frequency of visitation before the pandemic and the UGS distance, as well as the type of previous activity. In fact, those activities that were most common before the pandemic were missed the most, reinforcing the importance of green areas for social gathering, sports, and observing nature - but simply "spending time outdoors" was also mentioned, even by those who visited UGS during the lockdown, as the time outdoors was not enough or not fully enjoyed. The feeling of missing UGS was only partially alleviated by the green view from the window - only a more open view to a natural landscape or adaptation to a view with little greenery reduced such feeling.

Green spaces, quality of life, and citizen perception in European cities

Urban green spaces generate a number of perceived benefits toward human health and well-being, including an overall improvement in the quality of life. To date, processes underlying these benefits are mostly investigated at city level, while very little research has been conducted at a larger scale, such as the European level. Evidence is lacking on the association between green spaces and citizens' perceived benefits based on variations among cities with different socio-economic conditions. This study aims to disentangle the relationship between greenness, citizens' perceived quality of life, the environment, social inclusion and urban management in 51 European cities, as well as the role of per capita income in moderating the effects of greenness on overall perceived quality of life. Through structural equation modeling, the effect of greenness was tested on citizens' perceived overall quality of life (i.e., on the environment, social inclusion, and urban management). The role of metropolitan gross domestic product per capita in moderating the relationship between greenness and citizens' perceptions on overall quality of life was investigated. Our findings confirm the influence of greenness on citizens' quality of life. More importantly, the influence of greenness on the overall perception of quality of life was considerably more marked in lower-income cities. This study represents one of the first attempts at exploring the complex mechanisms underlying the association between green space and citizens' well-being at continent level. Practical implications for European urban planners and policy makers are discussed.

Infrastructure policy and public health: Evidence from OECD countries

When making infrastructure policies, decision makers insufficiently consider negative consequences for the environment or health. This lack of multi-sectorial awareness in policymaking triggers poor public health outcomes. To illustrate this issue, this interdisciplinary work presents evidence for the association of road infrastructure investment (as infrastructure policy) with the incidences of deaths due to transport accidents, chronic obstructive pulmonary disease, and pneumonia using nationally aggregated data from the Organisation for Economic Co-operation and Development for 27 countries over an 18-year period (1995-2012). We conduct an explorative analysis using descriptive statistics and fixed-effects panel-data regression models that include the interaction of the policy variable with the Environmental Policy Stringency Index, which proxies the awareness of negative consequences of policies. We show that countries which never achieved a score of 3 or higher for the Environmental Policy Stringency Index had higher levels of standardized death rates. This is supported by Pearson's correlation coefficients and by the results of t-tests for deaths due to transport accidents. Following the fixed-effects analysis, we find that an increase in road infrastructure investment of 1% of gross domestic product is associated, on average, with about three additional deaths per 100,000 population due to transport accidents and about 18 fewer deaths per 100,000 population due to chronic obstructive pulmonary disease using standardized death rates. A one unit increase in the Environmental Policy Stringency Index is related to about 7 fewer deaths per 100,000 population due to chronic obstructive pulmonary diseases. Marginal effects of the interaction of road infrastructure investment and the Environmental Policy Stringency Index are significant for standardized death rates due to transport accidents and chronic obstructive pulmonary disease. Multi-sectorial awareness in infrastructure policy mediates health effects for deaths due to transport accidents and chronic obstructive pulmonary disease.

Nature Reappraisers, Benefits for the Environment: A Model Linking Cognitive Reappraisal, the "Being Away" Dimension of Restorativeness and Eco-Friendly Behavior

In the last decades, an increasingly prominent role has been given to the motivational factors that can promote pro-environmental behavior. In this contribution, we focus on the role of the individual’s ability to shape the emotions originating from nature in engaging in pro-environmental behavior. In particular, we expect that an emotion regulation strategy as cognitive reappraisal should positively predict pro-environmental behavior, through enhanced perceived restorativeness attributed to the natural environment in terms of the experience of “being away.” One-hundred and fifteen visitors to an urban park (Parco Nord Milano) filled out a questionnaire including measures of cognitive reappraisal, the experience of “being away,” and pro-environmental behavior while in the park. Results confirmed that cognitive reappraisal was positively and significantly related to pro-environmental behavior. Importantly, the indirect effect of cognitive reappraisal on pro-environmental behavior through the experience of “being away” was significant. Findings suggest the importance of implementing interventions aimed at promoting the habitual use of cognitive reappraisal to enhance the experience of “being away” and, thus, sustain pro-environmental behavior.

Are Community Gardening and Horticultural Interventions Beneficial for Psychosocial Well-Being? A Meta-Analysis

Recent literature has revealed the positive effect of gardening on human health; however, empirical evidence on the effects of gardening-based programs on psychosocial well-being is scant. This meta-analysis aims to examine the scientific literature on the effect of community gardening or horticultural interventions on a variety of outcomes related to psychosocial well-being, such as social cohesion, networking, social support, and trust. From 383 bibliographic records retrieved (from 1975 to 2019), seven studies with a total of 22 effect sizes were selected on the basis of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Meta-analytic findings on 11 comparisons indicate a positive and moderate effect of horticultural or gardening interventions on psychosocial well-being. Moderation analysis shows a greater effect size in individualistic than collectivistic cultures. A greater effect size was also observed in studies involving community gardening compared to horticultural intervention. Nevertheless, an effect of publication bias and study heterogeneity has been detected. Despite the presence of a large number of qualitative studies on the effect of horticulture/gardening on psychosocial well-being, quantitative studies are lacking. There is a strong need to advance into further high-quality studies on this research topic given that gardening has promising applied implications for human health, the community, and sustainable city management.