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Streetscape greenery and health: Stress, social cohesion and physical activity as mediators

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TLDR
This study focuses on three mechanisms through which greenery might exert its positive effect on health: stress reduction, stimulating physical activity and facilitating social cohesion.
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This article is published in Social Science & Medicine.The article was published on 2013-10-01 and is currently open access. It has received 644 citations till now. The article focuses on the topics: Public space & Health promotion.

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Nature and Health

TL;DR: This work focuses on nature as represented by aspects of the physical environment relevant to planning, design, and policy measures that serve broad segments of urbanized societies and considers research on pathways between nature and health involving air quality, physical activity, social cohesion, and stress reduction.
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Exploring pathways linking greenspace to health: Theoretical and methodological guidance.

TL;DR: In this article, potential pathways linking greenspace to health are presented in three domains, which emphasize three general functions of greenspace: reducing harm (e.g., reducing exposure to air pollution, noise and heat), restoring capacities (i.e., attention restoration and physiological stress recovery), and encouraging physical activity and facilitating social cohesion). Interrelations between among the three domains are also noted.
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Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review

TL;DR: It is found limited evidence for a causal relationship between surrounding greenness and mental health in adults, whereas the evidence was inadequate in children, and recommendations are provided in order to provide consistent and evidence-based recommendations for policy makers.
References
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The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.

TL;DR: This article seeks to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating the many ways in which moderators and mediators differ, and delineates the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena.
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A global measure of perceived stress.

TL;DR: The Perceived Stress Scale showed adequate reliability and, as predicted, was correlated with life-event scores, depressive and physical symptomatology, utilization of health services, social anxiety, and smoking-reduction maintenance and was a better predictor of the outcome in question than were life- event scores.
Journal ArticleDOI

Neighborhoods and Violent Crime: A Multilevel Study of Collective Efficacy

TL;DR: Multilevel analyses showed that a measure of collective efficacy yields a high between-neighborhood reliability and is negatively associated with variations in violence, when individual-level characteristics, measurement error, and prior violence are controlled.
Journal Article

Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study

TL;DR: Results suggest that the two summary measures may be useful in most studies and that their empiric validity, relative to the best SF-36 scale, will depend on the application.
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Frequently Asked Questions (4)
Q1. What have the authors contributed in "Streetscape greenery and health: stress, social cohesion and physical activity as mediators" ?

This study focuses on three mechanisms through which greenery might exert its positive effect on health: stress reduction, stimulating physical activity and facilitating social cohesion. This study builds on Van Dillen et al. ( 2012 ), which showed that especially the quantity and quality of streetscape greenery is associated with health, more so than the quantity and quality of nearby green areas. This follow-up study investigates to what extent stress, physical activity, and social cohesion mediate the relationship between streetscape greenery and health. In this study, the authors use it as an equivalent of sense of community, with a focus on trust, shared norms and values, positive and friendly relationships, and feelings of being accepted and belonging ( Forrest & Kearns, 2001 ). The present study extends the work of Sugiyama et al. ( 2008 ) ; to begin, the authors include stress as a possible mediator. However promising, more detailed knowledge on this association is needed to assess the opportunities it offers for health improvement ( Frumkin, 2013 ). Finally, the authors expect that stress, social cohesion and ( green ) physical activity will mediate the relationship between quantity and quality of greenery in urban neighbourhoods and health to a significant extent. 

One hundred residents per neighbourhood were randomly selected out of a personal mailing addresses database of a commercial agency. 

Although quality was more strongly related to stress than quantity, it did not have significantly added predictive value once quantity was already known. 

The fact that green activity became redundant when stress and social cohesion were also included in the analysis, suggests that this contribution itself may be mediated by stress and/or social cohesion.