Greenspace and health, wellbeing, physical activity, and development in children and adolescents: An overview of the systematic reviews

Sakhvidi, Mohammad Javad Zare; Mehrparvar, Amir Houshang; Sakhvidi, Fariba Zare; Dadvand, Payam

doi:10.1016/j.coesh.2023.100445

Cited by 11 publications

(6 citation statements)

References 43 publications

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“…Another study found greenspace exposure to be associated with improved self‐determination, self‐regulation, lower frequency of peer and conduct problems, and decreased odds of an ADHD diagnosis (Sakhvidi et al, 2022). Exposure to greenspace is associated with reduced ADHD symptoms and behavioral difficulties, as well as improved prosocial behavior and emotions for adolescents (Sakhvidi et al, 2023). In addition, schoolyard greening has reduced bullying (Bates et al, 2018).…”

Section: A Greening Theory Of Changementioning

confidence: 99%

A greening theory of change: How neighborhood greening impacts adolescent health disparities

Kondo,

Locke,

Hazer

et al. 2024

American J of Comm Psychol

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Neighborhoods are one of the key determinants of health disparities among young people in the United States. While neighborhood deprivation can exacerbate health disparities, amenities such as quality parks and greenspace can support adolescent health. Existing conceptual frameworks of greening‐health largely focus on greenspace exposures, rather than greening interventions. In this paper, we develop and propose a Greening Theory of Change that explains how greening initiatives might affect adolescent health in deprived neighborhoods. The theory situates greening activities and possible mechanisms of change in the context of their ability to modify distal social determinants of health factors, stemming from macrostructural and historical processes that lead to resource inequalities, affecting both the social and built environment in which adolescents live and develop. The framework illustrates both short‐ and long‐term health, economic, and security effects of greening. We also describe how the theory informed the development of Project VITAL (Vacant lot Improvement to Transform Adolescent Lives) in Baltimore, MD, which aims to (1) build a citywide sharable database on vacant lot restoration activities, (2) evaluate the impact of greening initiatives on adolescent health outcomes, (3) conduct cost‐effectiveness analyses, and (4) develop best practices for greening programs for improved adolescent health.

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Section: A Greening Theory Of Changementioning

confidence: 99%

A greening theory of change: How neighborhood greening impacts adolescent health disparities

Kondo,

Locke,

Hazer

et al. 2024

American J of Comm Psychol

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“…In our search, we used OR between exposure and outcome keywords while joining exposures with outcomes using AND. Example keywords for 'green space exposure' included built environment, urban environment, urbanization, green space, greenness, greenery, normalized difference vegetation index, NDVI, MSAVI, SAVI, vegetation, park, natural environments, land use, land cover, exposure to nature, nature exposure, and nature contact selected from prior reviews (de Keijzer, Bauwelinck and Dadvand, 2020;Zhang et al, 2020;Vella-Brodrick and Gilowska, 2022;Buczyłowska et al, 2023;Zare Sakhvidi et al, 2023). Example keywords for 'healthcare prescriptions and expenditures' included healthcare expenditure, healthcare cost, healthcare saving, healthcare spending, prescription, medication, Medicare spending, and prescribing, based on past work (Taylor et al, 2015;Sato et al, 2019;Kabaya, 2020;Anwar, Madni and Yasin, 2021;Cerletti et al, 2021;Aerts et al, 2022).…”

Section: Search Queriesmentioning

confidence: 99%

The economics of nature’s healing touch: A systematic review and conceptual framework of green space, pharmaceutical prescriptions, and healthcare expenditure associations

Patwary,

Bardhan,

Browning

et al. 2023

Preprint

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Green spaces play a crucial role in promoting sustainable and healthy lives. Recent evidence shows that green space also may reduce the need for healthcare, prescription medications, and associated costs. This systematic review provides the first comprehensive assessment of the available literature examining green space exposure and its associations with healthcare prescriptions and expenditures. We applied Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to search MEDLINE, Scopus, and Web of Science for observational studies published in English through May 6, 2023. A quality assessment of the included studies was conducted using the Office of Health Assessment and Translation (OHAT) tool, and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) assessment was used to evaluate the overall quality of evidence. Our search retrieved 26 studies that met the inclusion criteria and were included in our review. Among these, 20 studies (77% of the total) showed beneficial associations of green space exposure with healthcare prescriptions or expenditures. However, most studies had risks of bias, and the overall strength of evidence for both outcomes was limited. Based on our findings and related bodies of literature, we present a conceptual framework to explain the possible associations and complex mechanisms underlying green space and healthcare outcomes. The framework differs from existing green space and health models by including upstream factors related to healthcare access (i.e., rurality and socioeconomic status), which may flip the direction of associations. Additional research with lower risks of bias is necessary to validate this framework and better understand the potential for green space to reduce healthcare prescriptions and expenditures.

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“…There has been a growing interest in the impact of GBSs on maternal and new-born health outcomes since 2010, supported by a number of reviews that have already been published [10][11][12]. Furthermore, a recent overview of systematic reviews on the association between green and blue spaces and pregnancy outcomes [13], found that living in greener areas was associated with healthier pregnancy outcomes. In contrast, their findings relating to blue space exposure were inconclusive.…”

Section: Introductionmentioning

confidence: 99%

Evidence Gap Map of the Relationship between Blue and Green Spaces and Pregnancy Outcomes

Akaraci,

Tate,

Valson

et al. 2024

Preprint

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Greenspace and health, wellbeing, physical activity, and development in children and adolescents: An overview of the systematic reviews

Cited by 11 publications

References 43 publications

A greening theory of change: How neighborhood greening impacts adolescent health disparities

A greening theory of change: How neighborhood greening impacts adolescent health disparities

The economics of nature’s healing touch: A systematic review and conceptual framework of green space, pharmaceutical prescriptions, and healthcare expenditure associations

Evidence Gap Map of the Relationship between Blue and Green Spaces and Pregnancy Outcomes

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