Examining the spatially varying and interactive effects of green and blue space on health outcomes in Northern Ireland using multiscale geographically weighted regression modeling

Previous studies have mainly examined the independent effects of green or blue space on health from a perspective of spatial homogeneity, which neglects their interactive or spatially varying effects. Here, we examined the spatially varying and interactive effects of green and blue space on health using open access data in Northern Ireland (NI). Aggregate health data was collected from 2017 Northern Ireland Multiple Deprivation Measure at the Super Output Area (SOA) level. Green and blue spaces were extracted from Land Cover Map data. The proportion of grassland and the proportion of woodland for each SOA were calculated as proxies for green space, while the proportion of water bodies was calculated for measuring blue space. Spatially varying effects of green and blue space were modelled using multiscale Geographic Weighted Regression (MGWR). Interaction terms between green and blue spaces were added into the MGWR models to test the interactive association of green and blue space on different health outcomes (e.g., preventable death ratio and cancer registrations). Results indicate that associations were distributed zonally, with green and blue spaces in eastern areas of NI more strongly associated with health outcomes than in western areas. Within these large regional zones, further spatially varying effects of different green and blue spaces were observed. Grassland was generally positively associated with some health outcomes (e.g., less preventable death ratio, cancer registrations ratio, multiple prescriptions ratio, and long-term health problem or disability ratio), while the results of woodland and water body were mixed. Water bodies were found to strengthen the effect of woodland and grassland. The above results indicate that green and blue space have independently and interactive spatially varying associations with different health outcomes in NI. It is also important to combine both green and blue space elements to enhance health impacts in future interventions.

[1]  M. Helbich,et al.  Living near coasts is associated with higher suicide rates among females but not males: A register-based linkage study in the Netherlands. , 2022, The Science of the total environment.

[2]  J. Bolliger,et al.  Reconciling cities with nature: Identifying local Blue-Green Infrastructure interventions for regional biodiversity enhancement. , 2022, Journal of environmental management.

[3]  R. Ryan,et al.  Attitudes and preferences towards plants in urban green spaces: Implications for the design and management of Novel Urban Ecosystems. , 2022, Journal of environmental management.

[4]  S. K. Van Den Eeden,et al.  Association between residential green cover and direct healthcare costs in Northern California: An individual level analysis of 5 million persons. , 2022, Environment international.

[5]  Yimeng Ma,et al.  Restorative benefits of urban green space: Physiological, psychological restoration and eye movement analysis. , 2022, Journal of environmental management.

[6]  Wenjun Ma,et al.  Quantifying spatial associations between effective green spaces and cardiovascular and cerebrovascular diseases by applying volunteered geo-referenced data , 2021, Environmental Research Letters.

[7]  Johanna Lykke Sörensen,et al.  A data management framework for strategic urban planning using blue-green infrastructure. , 2021, Journal of environmental management.

[8]  Xiaoqi Feng,et al.  Health promoting green infrastructure associated with green space visitation , 2021 .

[9]  J. A. P. D. Oliveira,et al.  Urban green and blue infrastructure: A critical analysis of research on developing countries , 2021 .

[10]  J. Pearce,et al.  Are greenspace quantity and quality associated with mental health through different mechanisms in Guangzhou, China: A comparison study using street view data. , 2021, Environmental pollution.

[11]  J. Aerts,et al.  Residential green space types, allergy symptoms and mental health in a cohort of tree pollen allergy patients , 2021 .

[12]  R. Remme,et al.  The effect of urban nature exposure on mental health—a case study of Guangzhou , 2021, Journal of Cleaner Production.

[13]  P. Grahn,et al.  Perceived sensory dimensions: An evidence-based approach to greenspace aesthetics , 2021 .

[14]  Gerhard Reese,et al.  Seeing nature from low to high levels: Mechanisms underlying the restorative effects of viewing nature images , 2021, Journal of Environmental Psychology.

[15]  S. Chastin,et al.  Mechanisms of Impact of Blue Spaces on Human Health: A Systematic Literature Review and Meta-Analysis , 2021, International journal of environmental research and public health.

[16]  George Grekousis,et al.  Greenness-air pollution-physical activity-hypertension association among middle-aged and older adults: Evidence from urban and rural China. , 2021, Environmental research.

[17]  J. Regnaux,et al.  Relationship between Urban Green Spaces and Cancer: A Scoping Review , 2021, International journal of environmental research and public health.

[18]  Jun Wu,et al.  Examining the joint effects of heatwaves, air pollution, and green space on the risk of preterm birth in California , 2020, Environmental research letters : ERL [Web site].

[19]  L. Fleming,et al.  Blue space, health and well-being: A narrative overview and synthesis of potential benefits. , 2020, Environmental research.

[20]  G. Calogiuri,et al.  Proposing a Framework for the Restorative Effects of Nature through Conditioning: Conditioned Restoration Theory , 2020, International journal of environmental research and public health.

[21]  M. Nieuwenhuijsen,et al.  Greenery exposure and suicide mortality later in life: A longitudinal register-based case-control study. , 2020, Environment international.

[22]  Hossein Malakooti,et al.  Numerical assessment of the urban green space scenarios on urban heat island and thermal comfort level in Tehran Metropolis , 2020 .

[23]  Jialong Zhong,et al.  The spatial equilibrium analysis of urban green space and human activity in Chengdu, China , 2020, Journal of Cleaner Production.

[24]  David N. Barton,et al.  Urban nature in a time of crisis: recreational use of green space increases during the COVID-19 outbreak in Oslo, Norway , 2020, Environmental Research Letters.

[25]  Chih-Da Wu,et al.  Green space structures and schizophrenia incidence in Taiwan: is there an association? , 2020, Environmental Research Letters.

[26]  Yao Yao,et al.  Residential greenness, air pollution and psychological well-being among urban residents in Guangzhou, China. , 2020, The Science of the total environment.

[27]  Zhaowu Yu,et al.  Links between green space and public health: a bibliometric review of global research trends and future prospects from 1901 to 2019 , 2020, Environmental Research Letters.

[28]  S. Jarvis,et al.  A spatial analysis of proximate greenspace and mental wellbeing in London , 2019, Applied Geography.

[29]  Yao Yao,et al.  Urban greenery and mental wellbeing in adults: Cross-sectional mediation analyses on multiple pathways across different greenery measures. , 2019, Environmental research.

[30]  S. V. D. Eeden,et al.  Is green land cover associated with less health care spending? Promising findings from county-level Medicare spending in the continental United States , 2019, Urban Forestry & Urban Greening.

[31]  C. Domegan,et al.  Blue care: a systematic review of blue space interventions for health and wellbeing , 2018, Health promotion international.

[32]  A. Stewart Fotheringham,et al.  mgwr: A Python Implementation of Multiscale Geographically Weighted Regression for Investigating Process Spatial Heterogeneity and Scale , 2018, ISPRS Int. J. Geo Inf..

[33]  Paul Brindley,et al.  Domestic gardens and self-reported health: a national population study , 2018, International Journal of Health Geographics.

[34]  Marco Helbich,et al.  More green space is related to less antidepressant prescription rates in the Netherlands: A Bayesian geoadditive quantile regression approach , 2018, Environmental research.

[35]  B. Brunekreef,et al.  Green Space Visits among Adolescents: Frequency and Predictors in the PIAMA Birth Cohort Study , 2018, Environmental health perspectives.

[36]  P. Groenewegen,et al.  Natural environments and suicide mortality in the Netherlands: a cross-sectional, ecological study , 2018, The Lancet. Planetary health.

[37]  R. Gražulevičienė,et al.  Do Physical Activity, Social Cohesion, and Loneliness Mediate the Association Between Time Spent Visiting Green Space and Mental Health? , 2017, Environment and behavior.

[38]  L. Kubzansky,et al.  Is All Urban Green Space the Same? A Comparison of the Health Benefits of Trees and Grass in New York City , 2017, International journal of environmental research and public health.

[39]  K. de Hoogh,et al.  More than clean air and tranquillity: Residential green is independently associated with decreasing mortality. , 2017, Environment international.

[40]  M. Brauer,et al.  Exploring pathways linking greenspace to health: Theoretical and methodological guidance , 2017, Environmental research.

[41]  C. Thompson,et al.  Edinburgh Research Explorer Accessibility and use of peri-urban green space for inner-city dwellers , 2016 .

[42]  S. Broadmeadow,et al.  Opportunity mapping for woodland creation to reduce flood risk in Northern Ireland , 2017 .

[43]  Geoffrey Paterson,et al.  Annals of the American association of geographers , 2016 .

[44]  F. Laden,et al.  Exposure to Greenness and Mortality in a Nationwide Prospective Cohort Study of Women , 2016, Environmental health perspectives.

[45]  J. Pearce,et al.  Neighborhood Environments and Socioeconomic Inequalities in Mental Well-Being. , 2015, American journal of preventive medicine.

[46]  M. Depledge,et al.  Beyond greenspace: an ecological study of population general health and indicators of natural environment type and quality , 2015, International Journal of Health Geographics.

[47]  D. Nowak,et al.  Tree and forest effects on air quality and human health in the United States. , 2014, Environmental pollution.

[48]  Eckart Lange,et al.  Scenario-visualization for the assessment of perceived green space qualities at the urban-rural fringe. , 2008, Journal of environmental management.

[49]  P. Groenewegen,et al.  Urban—Rural Health Differences and the Availability of Green Space , 2008 .

[50]  R. Mitchell,et al.  EVIDENCE BASED PUBLIC HEALTH POLICY AND PRACTICE Greenspace, urbanity and health: relationships in England , 2007 .

[51]  C. Gibson,et al.  Degradation of water quality in Lough Neagh, Northern Ireland, by diffuse nitrogen flux from a phosphorus‐rich catchment , 2007 .

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

[53]  D. Clark,et al.  Place of death: preferences among cancer patients and their carers. , 2004, Social science & medicine.

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

[55]  Stephen Kaplan,et al.  The restorative benefits of nature: Toward an integrative framework , 1995 .

[56]  R. Simons,et al.  Stress recovery during exposure to natural and urban environments , 1991 .

[57]  A S Fotheringham,et al.  The Modifiable Areal Unit Problem in Multivariate Statistical Analysis , 1991 .

[58]  Ian Mell,et al.  Aligning fragmented planning structures through a green infrastructure approach to urban development in the UK and USA , 2014 .

[59]  Joanne C. Demmler,et al.  Protecting health data privacy while using residence-based environment and demographic data. , 2012, Health & place.

[60]  R. Lyons,et al.  Residential Anonymous Linking Fields (RALFs): a novel information infrastructure to study the interaction between the environment and individuals' health. , 2009, Journal of public health.