The geospatial and conceptual configuration of the natural environment impacts the association with health outcomes and behavior in children and adolescents.

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Carina Nigg, Claudia Niessner, Alexander Burchartz, Alexander Woll, Jasper Schipperijn
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引用次数: 2

Abstract

Background: Studies investigating associations between natural environments and health outcomes or health behaviors in children and adolescents yielded heterogenous results to date. This may be the result of different geospatial configurations of the natural environment and confounding characteristics of the study population. Thus, we investigated how the relationship between the natural environment and mental health, muscular fitness, and physical activity varies depending on the geospatial configuration of nature and children's and adolescents' characteristics.

Methods: Data were derived from the German Motorik-Modul (MoMo) cohort study (2018-2020) that investigates physical activity, muscular fitness, and health parameters in a national sample of children and adolescents (N = 2843) between four and 17 years (Mage = 10.46 ± 3.49 years; 48.3% girls). Mental health was assessed via questionnaire, muscular fitness via standing long jump, and physical activity with 7-day accelerometer measurement. Using geographic information systems, land cover, and land use data, three different nature definitions were applied. Both circular buffers (100-1000 m) and street-network buffers (1000-5000 m) were created for each of the nature definitions. Associations were explored with linear regression models, and interaction analysis was used to investigate how those relationships vary by gender, age, and socio-economic status.

Results: The relationship between the three outcomes and the natural environment varied considerably depending on the nature definition, buffer size, and buffer type, as well as socio-demographic characteristics. Specifically, when comparing youth with a high socio-economic status to those with a medium socio-economic status, smaller circular buffer distances were related to less physical activity, but larger street-network buffer distances were related to greater mental health problems. Distinct relationships also occurred for youth with low socio-economic status in those relationships, with the pattern being less clear.

Conclusions: For future health research studies that investigate the role of the natural environment, we argue for the development of an a-priori model that integrates both geospatial considerations (nature definition, buffer type, and buffer size) and conceptual considerations (health outcome/behavior, sample characteristics) based on potentially underlying mechanisms that link the natural environment and the health outcome or behavior under investigation to theoretically underpin the geospatial configuration of the natural environment.

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自然环境的地理空间和概念结构影响与儿童和青少年健康结果和行为的关联。
背景:迄今为止,调查自然环境与儿童和青少年健康结果或健康行为之间关系的研究得出了不同的结果。这可能是自然环境的不同地理空间配置和研究人群的混杂特征的结果。因此,我们研究了自然环境与心理健康、肌肉健康和身体活动之间的关系如何根据自然地理空间结构和儿童和青少年的特征而变化。方法:数据来源于德国motorik - module (MoMo)队列研究(2018-2020),该研究调查了4至17岁(年龄= 10.46±3.49岁;48.3%的女孩)。通过问卷调查评估心理健康状况,通过立定跳远评估肌肉健康状况,并通过7天加速度计测量身体活动。利用地理信息系统、土地覆盖和土地利用数据,应用了三种不同的自然定义。每个自然定义都创建了圆形缓冲区(100-1000米)和街道网络缓冲区(1000-5000米)。我们使用线性回归模型来探讨这些关联,并使用交互分析来研究这些关系如何因性别、年龄和社会经济地位而变化。结果:这三种结果与自然环境之间的关系因自然定义、缓冲区大小、缓冲区类型以及社会人口特征而有很大差异。具体来说,当比较高社会经济地位的青年和中等社会经济地位的青年时,较小的环形缓冲距离与较少的身体活动有关,但较大的街道网络缓冲距离与较大的心理健康问题有关。在这些关系中,社会经济地位较低的年轻人也出现了明显的关系,但模式不太清楚。结论:对于未来调查自然环境作用的健康研究,我们主张开发一种先验模型,该模型集成了地理空间因素(自然定义、缓冲类型和缓冲大小)和概念因素(健康结果/行为,样本特征)基于将自然环境与被调查的健康结果或行为联系起来的潜在潜在机制,从理论上支持自然环境的地理空间配置。
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来源期刊
International Journal of Health Geographics
International Journal of Health Geographics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
10.20
自引率
2.00%
发文量
17
审稿时长
12 weeks
期刊介绍: A leader among the field, International Journal of Health Geographics is an interdisciplinary, open access journal publishing internationally significant studies of geospatial information systems and science applications in health and healthcare. With an exceptional author satisfaction rate and a quick time to first decision, the journal caters to readers across an array of healthcare disciplines globally. International Journal of Health Geographics welcomes novel studies in the health and healthcare context spanning from spatial data infrastructure and Web geospatial interoperability research, to research into real-time Geographic Information Systems (GIS)-enabled surveillance services, remote sensing applications, spatial epidemiology, spatio-temporal statistics, internet GIS and cyberspace mapping, participatory GIS and citizen sensing, geospatial big data, healthy smart cities and regions, and geospatial Internet of Things and blockchain.
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