PMID- 34561801 OWN - NLM STAT- MEDLINE DCOM- 20220131 LR - 20230217 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 29 IP - 8 DP - 2022 Feb TI - Association of residential greenness with geriatric depression among the elderly covered by long-term care insurance in Shanghai. PG - 12054-12064 LID - 10.1007/s11356-021-16585-5 [doi] AB - Residential greenness exposure has been linked to a number of physical and mental disorders. Nevertheless, evidence on the association between greenness and geriatric depression was limited and focused on developed countries. This study was aimed to investigate whether the relationship between residential greenness exposure and geriatric depression exists among the elderly with long-term care insurance (LTCI) in Shanghai, China. In 2018, a total of 1066 LTCI elderly from a cross-sectional survey completed a questionnaire in Shanghai. Residential greenness indicators, including normalized difference vegetation index (NDVI) and soil-adjusted vegetation index (SAVI), were calculated from the Landsat 8 imagery data in different buffers (100-m, 300-m, and 500-m). Mediation analysis by perceived social support was conducted to explore potential mechanisms underlying the associations. In the fully adjusted model, one IQR increase of NDVI and SAVI in the 300-m buffer size was associated with an 11.9% (PR: 0.881, 95% CI: 0.795, 0.977) and 14.7% (PR: 0.853, 95% CI: 0.766, 0.949) lower prevalence of geriatric depression, respectively. Stronger association was observed in the elderly with lower education level, living in non-central area, and lower family monthly income. Perceived social support significantly mediated 40.4% of the total effect for NDVI 300-m buffer and 40.3% for SAVI 300-m buffer to the greenness-depression association, respectively. Our results indicate the importance of residential greenness exposure to geriatric depression, especially for the elderly with lower education level, living in non-central area, and lower family monthly income. Perceived social support might mediate the association. Well-designed longitudinal studies are warranted to confirm our findings and investigate the underlying mechanisms. CI - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Peng, Wenjia AU - Peng W AD - School of Public Health, Fudan University, Shanghai, People's Republic of China. FAU - Shi, Hengyuan AU - Shi H AD - Epidemiology and Health Statistics, School of Public Health, Bengbu Medical College, Bengbu, Anhui, People's Republic of China. FAU - Li, Mengying AU - Li M AD - School of Public Health, Fudan University, Shanghai, People's Republic of China. FAU - Li, Xinghui AU - Li X AD - School of Public Health, Fudan University, Shanghai, People's Republic of China. FAU - Liu, Ting AU - Liu T AD - Epidemiology and Health Statistics, School of Public Health, Bengbu Medical College, Bengbu, Anhui, People's Republic of China. FAU - Wang, Ying AU - Wang Y AD - School of Public Health, Fudan University, Shanghai, People's Republic of China. wangying1013@fudan.edu.cn. AD - School of Public Health/Key Lab of Health Technology Assessment, National Health and Family Planning Commission of the People's Republic of China, Fudan University, Shanghai, 200433, People's Republic of China. wangying1013@fudan.edu.cn. LA - eng GR - 71974034/National Natural Science Foundation of China/ PT - Journal Article DEP - 20210924 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 SB - IM MH - Aged MH - China/epidemiology MH - Cross-Sectional Studies MH - *Depression/epidemiology MH - Humans MH - Insurance, Long-Term Care MH - Longitudinal Studies MH - *Parks, Recreational MH - *Residence Characteristics OTO - NOTNLM OT - Cross-sectional study OT - Geriatric depression OT - Greenness OT - Long-term care insurance OT - Perceived social support OT - The elderly EDAT- 2021/09/26 06:00 MHDA- 2022/02/01 06:00 CRDT- 2021/09/25 06:23 PHST- 2021/03/04 00:00 [received] PHST- 2021/09/13 00:00 [accepted] PHST- 2021/09/26 06:00 [pubmed] PHST- 2022/02/01 06:00 [medline] PHST- 2021/09/25 06:23 [entrez] AID - 10.1007/s11356-021-16585-5 [pii] AID - 10.1007/s11356-021-16585-5 [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2022 Feb;29(8):12054-12064. doi: 10.1007/s11356-021-16585-5. Epub 2021 Sep 24.