The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Original Article

Access and Use of Green and Blue Spaces for Memory and Physical Health

Authors: Julia Kay Wolf, PhD, Jeralynn S. Cossman, PhD

Abstract

Objectives: The coronavirus disease 2019 pandemic exacerbated mental and physical health issues in the United States. Due to various lockdown procedures to curb the spread of the virus, indoor gatherings were severely restricted, intensifying stress and anxiety.

Methods: We used nationally representative data from the 2021 Crime, Health, and Politics Survey sampled from the National Opinion Research Center’s AmeriSpeak panel. To explore pandemic-safe options to relieve negative health outcomes, we studied how access to and use of green and blue spaces were related to self-rated physical and mental health (ie, memory) during the pandemic.

Results: Most of the logistic regressions show no relationships between access to green or blue spaces and the health outcomes (except for access to blue spaces and physical health), but we find positive associations between use of green and blue spaces with overall physical health and memory.

Conclusions: Access to green or blue spaces is not necessarily enough to create a relationship with overall physical health and memory—actually using these areas is a key component to their association with positive health outcomes.
Posted in: Mental Health47

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References

1. American Psychological Association. Stress in America 2020: A National Mental Health Crisis. Washington, DC: American Psychological Association; 2020.
 
2. Khubchandani J, Sharma S, Webb FJ, et al. Post-lockdown depression and anxiety in the USA during the COVID-19 pandemic. J Public Health 2021;43:246–253.
 
3. Kujawa A, Green H, Compas BE, et al. Exposure to COVID-19 pandemic stress: associations with depression and anxiety in emerging adults in the United States. Depress Anxiety 2020;37: 1280–1288.
 
4. Schwabe L. Memory under stress: from single systems to network changes. Eur J Neurosci 2017;45:478–489.
 
5. Thoits PA. Stress and health: major findings and policy implications. J Health Soc Behav 2010;51(1 Suppl):S41–S53.
 
6. Umberson D, Montez JK. Social relationships and health: a flashpoint for health policy. J Health Soc Behav 2010;51(1 Suppl):S54–S66.
 
7. Foley R, Garrido-Cumbrera M. Why green and blue spaces matter more than ever. In: Andrews GJ, Crooks VA, Pearce JR, et al, eds. COVID-19 and Similar Futures: Pandemic Geographies. New York: Springer International Publishing; 2021: 281–289.
 
8. Maury-Mora M, Gómez-Villarino MT, Varela-Martínez C. Urban green spaces and stress during COVID-19 lockdown: a case study for the City of Madrid. Urban Forestry Urban Greening 2022;69:127492. .
 
9. Wolf JK, Cossman JS. Neighborhood characteristics and feelings of control or distress. Sociol Imagin 2022;58:27–39.
 
10. Gascon M, Triguero-Mas M, Martínez D, et al. Mental health benefits of long-term exposure to residential green and blue spaces: a systematic review. Int J Environ Res Public Health 2015;12:4354–4379.
 
11. Gascon M, Zijlema W, Vert C, et al. Outdoor blue spaces, human health and well-being: a systematic review of quantitative studies. Int J Hyg Environ Health 2017;220:1207–1221.
 
12. Kondo MC, Fluehr JM, McKeon T, et al. Urban green space and its impact on human health. Int J Environ Res Public Health 2018;15:445.
 
13. White MP, Elliott LR, Gascon M, et al. Blue space, health and well-being: a narrative overview and synthesis of potential benefits. Environ Res 2020;191:110169.
 
14. Hartig T, Mitchell R, de Vries S, et al. Nature and health. Annu Rev Public Health 2014;35: 207–228.
 
15. Hill TD, Burdette AM, Hale L. Neighborhood disorder, sleep quality, and psychological distress: testing a model of structural amplification. Health Place 2009;15:1006–1013.
 
16. Dadvand P, Bartoll X, Basagaña X, et al. Green spaces and general health: roles of mental health status, social support, and physical activity. Environ Int 2016;91:161–167.
 
17. Smith N, Georgiou M, King AC, et al. Urban blue spaces and human health: a systematic review and meta-analysis of quantitative studies. Cities 2021;119:103413.
 
18. Dadvand P, Nieuwenhuijsen M. Green space and health. In: Nieuwenhuijsen M, Khreis H, eds. Integrating Human Health into Urban and Transport Planning: A Framework. New York: Springer; 2019: 409–423.
 
19. Wong S, Rush J, Bailey F, et al. Accessible green spaces? Spatial disparities in residential green space among people with disabilities in the United States. Ann Am Assoc Geographers 2023;113:527–548.
 
20. McCormack GR, Rock M, Toohey AM, et al. Characteristics of urban parks associated with park use and physical activity: a review of qualitative research. Health Place 2010;16: 712–726.
 
21. McDowell CP, Herring MP, Lansing J, et al. Working from home and job loss due to the COVID-19 pandemic are associated with greater time in sedentary behaviors. Front Public Health 2020;8:597619.
 
22. Jennings V, Baptiste AK, Osborne Jelks N, et al. Urban green space and the pursuit of health equity in parts of the United States. Int J Environ Res Public Health 2017;14:1432.