Advertisement
Review Article| Volume 37, P3-7, November 2017

Does Access to Green Space Impact the Mental Well-being of Children: A Systematic Review

Published:September 04, 2017DOI:https://doi.org/10.1016/j.pedn.2017.08.027

      Highlights

      • Regular access to green space has mental health benefits for children.
      • Barriers exist to accessing nature for children.
      • Exploring benefits and barriers to green space access can guide health policy.

      Abstract

      Problem

      An increasing body of research is showing associations between green space and overall health. Children are spending more time indoors while pediatric mental and behavioral health problems are increasing. A systematic review of the literature was done to examine the association between access to green space and the mental well-being of children.

      Eligibility Criteria

      Articles were limited to English language, ages 0–18 years, and publish date 2012–2017.

      Sample

      The search yielded 341 articles in Ovid, 81 in Pub Med and 123 in Scopus. Articles that were not original research and that were not a pediatric population were excluded. Twelve articles fit the selection criteria.

      Results

      Twelve articles relating to green space and the mental well-being of children were reviewed. Three articles outside the date criteria were included as they are cited often in the literature as important early research on this topic.

      Conclusions

      Access to green space was associated with improved mental well-being, overall health and cognitive development of children. It promotes attention restoration, memory, competence, supportive social groups, self-discipline, moderates stress, improves behaviors and symptoms of ADHD and was even associated with higher standardized test scores.

      Implications

      Scientific evidence demonstrating the mental health benefits of access to nature for children can guide policy and urban planning, while nursing interventions and initiatives can enhance health by promoting outdoor play, educating patients and families, advocating for recess times and green environments at school as well as healing gardens in hospital settings.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Aggio D.
        • Smith L.
        • Fisher A.
        • Hamer M.
        Mothers' perceived proximity to green space is associated with TV viewing time in children: The Growing Up in Scotland study.
        Preventative Medicine. 2015, January; 70: 46-49https://doi.org/10.1016/j.ypmed.2014.11.018
        • Akpinar A.
        How is high school greenness related to students' restoration and health?.
        Urban Forestry & Urban Greening. 2016; 16: 1-8https://doi.org/10.1016/j.ufug.2016.01.007
        • American Academy of Pediatrics
        Policy statement: The crucial role of recess in school.
        Pediatrics. 2013, January; : 183-188https://doi.org/10.1542/peds.2012-2993
        • Amoly E.
        • Dadvand P.
        • López-Vicente M.
        • Basagana V.
        • Julvez J.
        • Alvarez-Pedrerol M.
        • J., S.
        Green and blue spaces and behavioral development in barcelona schoolchildren: the BREATHE Project.
        Environmental Health Perspectives. 2014, December; 122: 1351-1358
        • Arundell L.
        • Fletcher E.
        • Salmon J.
        • Veitch J.
        • Hinkley T.
        A systematic review of the prevalence of sedentary behavior during the after-school period among children aged 5–18 years.
        International Journal of Behavioral Nutrition and Physical Activity. 2016; 13: 93-102https://doi.org/10.1186/s12966-016-0419-1
        • Barton J.
        • Pretty J.
        What is the best dose of nature and green exercise for improving mental health? A multi-study analysis.
        Environmental Science & Technology. 2010; 44: 3947-3955https://doi.org/10.1021/es903183r
        • Beyer K.
        • Kaltenbach A.
        • Szabo A.
        • Bogar S.
        • Nieto J.
        • Malecki K.
        Exposure to neighborhood green space and mental health: evidence from the survey of the health of Wisconsin.
        International Journal of Environmental Research and Public Health. 2014; 11: 3453-3472https://doi.org/10.3390/ijerph110303453
        • Bitsko R.
        • Holbrook J.
        • Kaminski J.
        • Robinson L.
        • Ghandour R.
        • Smith C.
        • Peacock G.
        Health-care, family and community factors associated with mental, behavioral and developmental disorders in early childhood - United States, 2011–2012.
        Morbidity and Mortality Weekly Report. 2016, March 11; 65: 221-226
        • Bogar S.
        • Beyer K.
        Green space, violence, and crime: A systematic review.
        Trauma, Violence & Abuse. 2016; 17: 160-171
        • Brulle R.
        • Pellow D.
        Environmental Justice: Human Health and Environmental Inequalities.
        Annual Review of Public Health. 2006; : 103-124
        • Butler A.
        • Kowalkowski M.
        • Jones H.
        • Raphael J.
        The relationship of reported neighborhood conditions with child mental health.
        Academic Pediatric Association. 2012, Nov–Dec; 12: 523-531https://doi.org/10.1016/j.acap.2012.06.005
        • Cairns K.
        Connecting to food: Cultivating children in the school garden.
        Children's Geographies. 2017, May; 3: 304-318https://doi.org/10.1080/14733285.2016.1221058
        • Chawla L.
        • Keena K.
        • Pevec I.
        • Stanley E.
        Green schoolyards as havens from stress and resources for resilience in childhood and adolescence.
        Health & Place. 2014, July; 28: 1-13
        • Christiana R.
        • Battista R.
        • James J.
        • Bergman S.
        Pediatrician prescriptions for outdoor physical activity among children: A pilot study.
        Preventive Medicine Reports. 2017; 5: 100-105
        • Clements R.
        An investigation of the status of outdoor play.
        Contemporary Issues in Early Childhood. 2004; 5: 68-80
        • Coffey J.
        • Gauderer L.
        When pediatric primary care providers prescribe nature engagement at a state park, do children “fill” the prescription.
        Ecopsychology. 2016, December; 8: 207-214https://doi.org/10.1089/eco.2016.0019
        • Cox D.
        • Shanahan D.
        • Hudson H.
        • Fuller R.
        • Anderson K.
        • Hancock S.
        • Gaston K.
        Doses of nearby nature simultaneously associated with multiple health benefits.
        International Journal of Environmental Research and Public Health. 2017; 14https://doi.org/10.3390/ijerph14020172
        • Crawford D.
        • Timperio A.
        • Giles-Corti B.
        • Ball K.
        • Hume C.
        • Roberts R.
        • Salmon J.
        Do features of public open spaces vary according to neighbourhood socio-economic status?.
        Health & Place. 2008, November; 14: 889-893https://doi.org/10.1016/j.healthplace.2007.11.002
        • Dadvanda P.
        • Nieuwenhuijsena M.
        • Esnaolaa M.
        • Fornsa J.
        • Basagañaa X.
        • Alvarez-Pedrerola M.
        • Sunyera J.
        Green spaces and cognitive development in primary schoolchildren.
        Proceedings of the National Academy of Sciences of the United States of America. 2015; 112: 7937-7942https://doi.org/10.1073/pnas.1503402112
        • Downey L.
        • Hawkins B.
        Race, Income and Environmental Inequality in the United States.
        Sociological Perspectives. 2008, December; 51: 759-781https://doi.org/10.1525/sop.2008.51.4.759
        • Feng X.
        • Astell-Burt T.
        The relationship between neighbourhood green space and child mental wellbeing depends upon whom you ask: Multilevel evidence from 3083 children aged 12–13 years.
        International Houral of Environmental Research and Public Health. 2017; 14https://doi.org/10.3390/ijerph14030235
        • Kuo F.
        • Faber Taylor A.
        A potential natural treatment for attention-deficit/hyperactivitiy disorder: Evidence from a national study.
        American Journal of Public Health. 2004; 94: 1580-1586
        • Markevych I.
        • Teisler C.
        • Fuertes E.
        • Romanos M.
        • Dadvand P.
        • Nieuwenhuijsen M.
        • Heinrich J.
        Access to urban green spaces and behavioural problems in children.
        Environment International. 2014; 71: 29-35https://doi.org/10.1016/j.envint.2014.06.002
        • McCurdy L.
        • Winterbottom K.
        • Mehta S.
        • Roberts J.
        Using nature and outdoor activity to improve children's health.
        Current Problems in Pediatric and Adolescent Healthcare. 2010; 40: 102-117
        • Mitchell R.
        • Popham F.
        Effect of exposure to natural environment on health inequalities: an observational population study.
        The Lancet. 2008, November; 732: 1655-1660https://doi.org/10.1016/S0140-6736(08)61689-X
        • Ou J.
        • Levy J.
        • Peters J.
        • Bongiovanni R.
        • Garcia-Soto J.
        • Medina R.
        • Skammell M.
        A walk in the park: The influence of urban parks and community violence on physical activity in Chelsea, MA.
        International Journal of Environmental Research and Public Health. 2016, January; 13: 97https://doi.org/10.3390/ijerph13010097
        • Oxford University Press
        Green space.
        2017 (Retrieved from Oxford Living Dictionaries: https://en.oxforddictionaries.com/definition/green_space)
        • Pastor M.
        • Sadd J.
        • Hipp J.
        Which came first? Toxic facilities, minority move-in and environmental justice.
        Journal of Urban Affairs. 2001; : 1-21
        • Rideout V.
        • Foehr U.
        • Roberts D.
        Generation M2: Media in the lives of 8–18-year-olds.
        Kaiser Family Foundation, Menlo Park, CA2010
        • Rudolph K.
        • Stuart E.
        • Glass T.
        • Merikangas K.
        Neighborhood disadvantage in context: The influence of urbanicity on the association between neighborhood disadvantage and adolescent emotional disorders.
        Social Psychiatry and Psychiatric Epidemiology. 2014, March; 49: 467-475https://doi.org/10.1007/s00127-013-0725-8
        • Schutte A.
        • Turquati J.
        • Beattie H.
        Impact of urban nature on executive functioning in early and middle childhood.
        Environment and Behavior. 2017, January; 49: 3-30https://doi.org/10.1177/0013916515603095
        • Slater S.
        • Nicholson L.
        • Chriqui J.
        • Turner L.
        • Chaloupka F.
        The impact of state laws and district policies on physical education and recess practices in a nationally representative sample of us public elementary schools.
        Archives of Pediatrics & Adolescent Medicine. 2012, April; 166: 311-316
        • Tang I.
        • Tsai Y.
        • Lin Y.
        • Chen J.
        • Hsieh C.
        • Hung S.
        • Chang C.
        Using functional Magnetic Resonance Imaging (fMRI) to analyze brain region activity when viewing landscapes.
        Landscape and Urban Planning. 2017, June; 162: 137-144https://doi.org/10.1016/j.landurbplan.2017.02.007
        • Taylor A.
        • Kuo F.
        • Sullivan W.
        Views of nature and self-discipline: evidence from inner city children.
        Journal of Environmental Psychology. 2002, March; 22: 49-63https://doi.org/10.1006/jevp.2001.0241
        • Timperio A.
        • Ball K.
        • Salmon J.
        • Roberts R.
        • Crawford C.
        Is availability of public open space equitable across areas?.
        Health & Place. 2007, June; 13: 335-340https://doi.org/10.1016/j.healthplace.2006.02.003
        • US Department of Health and Human Services
        Physial activity guidelines for Americans.
        US Dept of Health and Human Services, Washington, DC2009
        • Ward Thompson C.
        • Roe J.
        • Aspinall P.
        • Mitchell R.
        • Clow A.
        • Miller D.
        More green space in linked to less stress in deprived communities: Evidence from salivary cortisol patterns.
        Landscape and Urban Planning. 2012; 105: 221-229https://doi.org/10.1016/j.landurbplan.2011.12.015
        • Weimann H.
        • Rylander L.
        • Van Den Bosch M.
        • Albin M.
        • Skarbak E.
        • Grahn P.
        • Bjork J.
        Perception of safety is a prerequisite for the association between neighbourhood green qualities and physical activity: Results from a cross-sectional study in Sweden.
        Health & Place. 2017, May; 45: 124-130https://doi.org/10.1016/j.healthplace.2017.03.011
        • Wells N.
        • Evans G.
        Nearby nature: A buffer of lie stresses among rural children.
        Environement and Behavior. 2003, May; 35: 311-330https://doi.org/10.1177/0013916503251445
        • World Health Organization
        Social determinants of health.
        2017 (Retrieved from World Health Organization: http://www.who.int/social_determinants/en/)
        • Wu C.
        • McNeely E.
        • Cedeño-Laurent J.
        • Pan W.
        • Adamkiewicz G.
        • Dominici F.
        • Spengler J.
        Linking student performance in massachusetts elementary schools with the “greenness” of school surroundings using remote sensing.
        PloS One. 2014; 9https://doi.org/10.1371/journal.pone.0108548