Linking green space to health: a comparative study of two urban neighbourhoods in Ghent, Belgium

This paper investigates the nature of the relationship between the greenness of the local environment and the health and well-being of its inhabitants by looking at a number of possible mediators within the same study: physical activity, perceived stress, ability to concentrate, social cohesion and neighbourhood satisfaction. Data were collected through a survey of residents in two neighbourhoods that differ objectively in green space provision, but which are largely similar in demographics, socio-economic factors, housing conditions and other environmental characteristics, apart from green space. Of the three dependent variables of interest: self-reported general health, bodily functioning and general well-being (happiness), it was self-reported happiness that differed significantly between the two neighbourhoods, with greater happiness in the greener neighbourhood. Amongst the possible mediators, people’s satisfaction with their neighbourhood differed significantly: those living in the greener neighbourhood were more satisfied. Mediation analysis indicated that neighbourhood satisfaction fully mediates the relationship between neighbourhood greenness and happiness. Among the specific (environmental and social) neighbourhood qualities asked about, perception of neighbourhood greenness was found to be the most important predictor of neighbourhood satisfaction. Additional analysis showed that the view from the living room—green or not green—fully mediates the relationship between neighbourhood greenness and neighbourhood satisfaction. This study underscores the importance of nearby green space for people’s overall well-being and suggests the need for green space to be evaluated in terms of visual proximity, that is, whether and how it is experienced from the street and the home.

[1]  R. Kaplan The Nature of the View from Home , 2001 .

[2]  Fuzhong Li,et al.  Neighborhood-level influences on physical activity among older adults: a multilevel analysis. , 2004, Journal of aging and physical activity.

[3]  I. Kawachi Social cohesion, social capital and health , 2000 .

[4]  P. Travlou,et al.  Measuring the Quality of the Outdoor Environment Relevant to Older People's Lives , 2007 .

[5]  A. Abdel-Khalek Measuring happiness with a single-item scale , 2006 .

[6]  N. Owen,et al.  Environmental factors associated with adults' participation in physical activity: a review. , 2002, American journal of preventive medicine.

[7]  J. Mackenbach,et al.  Self-assessed health and mortality: could psychosocial factors explain the association? , 2002, International journal of epidemiology.

[8]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[9]  W. Sullivan,et al.  The Fruit of Urban Nature , 2004 .

[10]  K. Leyden Social capital and the built environment: the importance of walkable neighborhoods. , 2003, American journal of public health.

[11]  Byoung-Suk Kweon,et al.  Retail land use, neighborhood satisfaction and the urban forest : an investigation into the moderating and mediating effects of trees and shrubs , 2006 .

[12]  R. Mitchell,et al.  Greenspace, urbanity and health: relationships in England , 2007, Journal of Epidemiology and Community Health.

[13]  P. Groenewegen,et al.  Morbidity is related to a green living environment , 2009, Journal of Epidemiology & Community Health.

[14]  R. Brownson,et al.  Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults , 2005, Journal of Epidemiology and Community Health.

[15]  P. Groenewegen,et al.  EVIDENCE BASED PUBLIC HEALTH POLICY AND PRACTICE Green space, urbanity, and health: how strong is the relation? , 2006 .

[16]  W. A. Arrindell,et al.  SCL-90. Handleiding bij een multidimensionele psychopathologie-indicator , 2003 .

[17]  A. V. D. Berg,et al.  Health benefits of nature experience: Psychological, social and cultural processes , 2011 .

[18]  A. Kaczynski A Walk in the Park: Exploring the Impact of Parks and Recreation Amenities as Activity-Promoting Features of the Built Environment , 2007 .

[19]  Hendriek C Boshuizen,et al.  Factors of the physical environment associated with walking and bicycling. , 2004, Medicine and science in sports and exercise.

[20]  A. Bauman,et al.  Understanding environmental influences on walking; Review and research agenda. , 2004, American journal of preventive medicine.

[21]  Jan Gehl,et al.  Life Between Buildings: Using Public Space , 2003 .

[22]  Jolanda Maas,et al.  Physical activity as a possible mechanism behind the relationship between green space and health: A multilevel analysis , 2008, BMC public health.

[23]  Marino Bonaiuto,et al.  Indexes of perceived residential environment quality and neighbourhood attachment in urban environments: A confirmation study on the city of Rome , 2003 .

[24]  Steven Shea,et al.  Associations of neighborhood problems and neighborhood social cohesion with mental health and health behaviors: the Multi-Ethnic Study of Atherosclerosis. , 2008, Health & place.

[25]  M Hillsdon,et al.  The relationship between access and quality of urban green space with population physical activity. , 2006, Public health.

[26]  Thomas Sick Nielsen,et al.  Do green areas affect health? Results from a Danish survey on the use of green areas and health indicators. , 2007, Health & place.

[27]  A. Kaczynski,et al.  Environmental Correlates of Physical Activity: A Review of Evidence about Parks and Recreation , 2007 .

[28]  I. Kawachi,et al.  A Multilevel Analysis of Key Forms of Community- and Individual-Level Social Capital as Predictors of Self-Rated Health in the United States , 2006, Journal of Urban Health.

[29]  N. Owen,et al.  Associations of neighbourhood greenness with physical and mental health: do walking, social coherence and local social interaction explain the relationships? , 2008, Journal of Epidemiology & Community Health.

[30]  M. Jerrett,et al.  Linking perceptions of neighbourhood to health in Hamilton, Canada , 2004, Journal of Epidemiology and Community Health.

[31]  Nancy M. Wells,et al.  At Home with Nature , 2000 .

[32]  Dominique Vanneste,et al.  Woning en woonomgeving in België , 2007 .

[33]  J. Sallis,et al.  Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[34]  M. Townsend,et al.  Healthy nature healthy people: 'contact with nature' as an upstream health promotion intervention for populations. , 2006, Health promotion international.

[35]  R. Mitchell,et al.  Effect of exposure to natural environment on health inequalities: an observational population study , 2008, The Lancet.

[36]  Anneli Frelin A Relational Approach , 2013 .

[37]  Anne Ellaway,et al.  Graffiti, greenery, and obesity in adults: secondary analysis of European cross sectional survey , 2005, BMJ : British Medical Journal.

[38]  Takemi Sugiyama,et al.  Associations Between Neighborhood Open Space Attributes and Quality of Life for Older People in Britain , 2009 .

[39]  A. Kearney Residential Development Patterns and Neighborhood Satisfaction , 2006 .

[40]  K. Stronks,et al.  The association of neighbourhood psychosocial stressors and self-rated health in Amsterdam, The Netherlands , 2007, Journal of Epidemiology & Community Health.

[41]  Ed Diener,et al.  The Satisfaction With Life Scale and the emerging construct of life satisfaction , 2008 .

[42]  P. Schantz,et al.  Contributions of Natural Environments to Physical Activity : Theory and Evidence Base , 2009 .

[43]  F. E. Kuo,et al.  Coping with Poverty , 2001 .

[44]  R. Hansmann,et al.  Making friends in Zurich's urban forests and parks: The role of public green space for social inclusion of youths from different cultures , 2009 .

[45]  Steven Cummins,et al.  Understanding and representing 'place' in health research: a relational approach. , 2007, Social science & medicine.

[46]  T. Hartig,et al.  Does the outdoor environment matter for psychological restoration gained through running , 2003 .

[47]  Emily White,et al.  Reliability and Validity of 2 Single-Item Measures of Psychosocial Stress , 2006, Epidemiology.

[48]  Lr Derogatis,et al.  SCL-90-R, Administration, Scoring, and Procedures Manual-II for the R(evised) Version and Other Instruments of the Psychopathology Rating Scale Series , 1983 .

[49]  P. Grahn,et al.  Landscape planning and stress , 2003 .

[50]  Y. Benyamini,et al.  Self-rated health and mortality: a review of twenty-seven community studies. , 1997, Journal of health and social behavior.

[51]  P. Dolan,et al.  Do we really know what makes us happy A review of the economic literature on the factors associated with subjective well-being , 2008 .

[52]  A. Herzele,et al.  A monitoring tool for the provision of accessible and attractive urban green spaces , 2003 .

[53]  Anne Ellaway,et al.  Perceptions of Place and Health in Socially Contrasting Neighbourhoods , 2001 .

[54]  S. Cummins,et al.  Place effects on health: how can we conceptualise, operationalise and measure them? , 2002, Social science & medicine.

[55]  P. Groenewegen,et al.  Natural Environments—Healthy Environments? An Exploratory Analysis of the Relationship between Greenspace and Health , 2003 .

[56]  R. Atkinson,et al.  What Makes People Dissatisfied with their Neighbourhoods? , 2002 .

[57]  Kerry Mummery,et al.  Psychosocial and environmental factors associated with physical activity among city dwellers in regional Queensland. , 2005, Preventive medicine.

[58]  Ruut Veenhoven,et al.  Happy life-expectancy , 1996 .

[59]  Alison L Marshall,et al.  Changes in neighborhood walking are related to changes in perceptions of environmental attributes , 2004, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[60]  B. Giles-Corti,et al.  Increasing walking: how important is distance to, attractiveness, and size of public open space? , 2005, American journal of preventive medicine.

[61]  William C. Sullivan,et al.  Green Common Spaces and the Social Integration of Inner-City Older Adults , 1998 .

[62]  P. Groenewegen,et al.  Social contacts as a possible mechanism behind the relation between green space and health. , 2009, Health & place.

[63]  M. Fried,et al.  Residential Attachment: Sources of Residential and Community Satisfaction , 1982 .

[64]  P. Gobster,et al.  Shades of Green: Measuring the Ecology of Urban Green Space in the Context of Human Health and Well-Being , 2010 .

[65]  K Nakamura,et al.  Urban residential environments and senior citizens’ longevity in megacity areas: the importance of walkable green spaces , 2002, Journal of epidemiology and community health.

[66]  Sung-Kwon Hong,et al.  Relationship between landscape structure and neighborhood satisfaction in urbanized areas , 2008 .

[67]  E. Cerin,et al.  Are perceptions of the local environment related to neighbourhood satisfaction and mental health in adults? , 2008, Preventive medicine.

[68]  T. Hartig Three steps to understanding restorative environments as health resources , 2007 .

[69]  Patrick Bergman,et al.  The association between health enhancing physical activity and neighbourhood environment among Swedish adults – a population-based cross-sectional study , 2009, The international journal of behavioral nutrition and physical activity.

[70]  William C. Sullivan,et al.  Fertile Ground for Community: Inner-City Neighborhood Common Spaces , 1998 .

[71]  A. Bauman,et al.  Residents' perceptions of walkability attributes in objectively different neighbourhoods: a pilot study. , 2005, Health & place.