The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students

IntroductionAdolescence is a critical period of life, and the level of wellbeing acquired during this stage might have an influence on health status in adulthood. The wellbeing of adolescents is associated with both biological and environmental determinants. To date, few studies have evaluated the e...

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Main Authors: Giacomo Scaioli, Giulia Squillacioti, Michela Bersia, Valeria Bellisario, Alberto Borraccino, Roberto Bono, Paola Dalmasso, Patrizia Lemma
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050533/full
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author Giacomo Scaioli
Giulia Squillacioti
Michela Bersia
Michela Bersia
Valeria Bellisario
Valeria Bellisario
Alberto Borraccino
Roberto Bono
Paola Dalmasso
Patrizia Lemma
author_facet Giacomo Scaioli
Giulia Squillacioti
Michela Bersia
Michela Bersia
Valeria Bellisario
Valeria Bellisario
Alberto Borraccino
Roberto Bono
Paola Dalmasso
Patrizia Lemma
author_sort Giacomo Scaioli
collection DOAJ
description IntroductionAdolescence is a critical period of life, and the level of wellbeing acquired during this stage might have an influence on health status in adulthood. The wellbeing of adolescents is associated with both biological and environmental determinants. To date, few studies have evaluated the effect of exposure to urban green spaces (i.e., greenness) on adolescents' wellbeing. Therefore, the aim of this study is to assess the association between exposure to greenness and the wellbeing of adolescents, accounting for the level of urbanization surrounding schools.MethodsIn the frame of the 2018 Italian Health Behaviour in School-aged Children (HBSC), we analyzed cross-sectional data from the Piedmont Region. Exposure to greenness was quantified by the Normalized Difference Vegetation Index (NDVI). Schools were geocoded, and a fixed buffer (radius 1,500 m) centered on each school was then built to enable average NDVI calculations. Adolescents' wellbeing was assessed by self-reported psychological, somatic, and psychosomatic health complaints as follows. Respondents were asked how often, in the last 6 months, they had experienced: (a) headache, (b) stomachache, (c) backache, (d) dizziness, (e) feeling low, (f) irritability or bad temper, (g) feeling nervous, and (h) difficulties getting to sleep using the HBSC Symptom Checklist (HBSC-SCL), an eight-item tool. Multivariable, multilevel logistic regression models tested the association between exposure to NDVI and psychosomatic, somatic, and psychological health complaints, one at a time, using schools as a random intercept.ResultsIn total, 2065 subjects (47.6% girls) aged 11 (48.4%) and 13 (51.6%) years were involved. Greenness was found to be inversely associated with reported psychosomatic (OR 0.72, 95% CI: 0.53–0.98) and psychological health complaints (OR 0.67, 95% CI: 0.49–0.92) in boys only, adjusting for age, urbanization level, and socioeconomic status, and stratifying by gender.DiscussionOur results support the implementation of future policies for urban environmental design supporting the increase of green spaces, as suggested by the United Nations Sustainable Development Goals. Further studies are needed to confirm our findings.
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spelling doaj.art-898ec57083f046bfb09ba009229f89652023-01-18T07:14:16ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.10505331050533The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian studentsGiacomo Scaioli0Giulia Squillacioti1Michela Bersia2Michela Bersia3Valeria Bellisario4Valeria Bellisario5Alberto Borraccino6Roberto Bono7Paola Dalmasso8Patrizia Lemma9Department of Public Health and Pediatrics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyPost Graduate School of Medical Statistics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyPost Graduate School of Medical Statistics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyDepartment of Public Health and Pediatrics, University of Torino, Torino, ItalyIntroductionAdolescence is a critical period of life, and the level of wellbeing acquired during this stage might have an influence on health status in adulthood. The wellbeing of adolescents is associated with both biological and environmental determinants. To date, few studies have evaluated the effect of exposure to urban green spaces (i.e., greenness) on adolescents' wellbeing. Therefore, the aim of this study is to assess the association between exposure to greenness and the wellbeing of adolescents, accounting for the level of urbanization surrounding schools.MethodsIn the frame of the 2018 Italian Health Behaviour in School-aged Children (HBSC), we analyzed cross-sectional data from the Piedmont Region. Exposure to greenness was quantified by the Normalized Difference Vegetation Index (NDVI). Schools were geocoded, and a fixed buffer (radius 1,500 m) centered on each school was then built to enable average NDVI calculations. Adolescents' wellbeing was assessed by self-reported psychological, somatic, and psychosomatic health complaints as follows. Respondents were asked how often, in the last 6 months, they had experienced: (a) headache, (b) stomachache, (c) backache, (d) dizziness, (e) feeling low, (f) irritability or bad temper, (g) feeling nervous, and (h) difficulties getting to sleep using the HBSC Symptom Checklist (HBSC-SCL), an eight-item tool. Multivariable, multilevel logistic regression models tested the association between exposure to NDVI and psychosomatic, somatic, and psychological health complaints, one at a time, using schools as a random intercept.ResultsIn total, 2065 subjects (47.6% girls) aged 11 (48.4%) and 13 (51.6%) years were involved. Greenness was found to be inversely associated with reported psychosomatic (OR 0.72, 95% CI: 0.53–0.98) and psychological health complaints (OR 0.67, 95% CI: 0.49–0.92) in boys only, adjusting for age, urbanization level, and socioeconomic status, and stratifying by gender.DiscussionOur results support the implementation of future policies for urban environmental design supporting the increase of green spaces, as suggested by the United Nations Sustainable Development Goals. Further studies are needed to confirm our findings.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050533/fullgreennesswellbeingadolescentsurbanizationpsychosomatic health complaints
spellingShingle Giacomo Scaioli
Giulia Squillacioti
Michela Bersia
Michela Bersia
Valeria Bellisario
Valeria Bellisario
Alberto Borraccino
Roberto Bono
Paola Dalmasso
Patrizia Lemma
The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
Frontiers in Public Health
greenness
wellbeing
adolescents
urbanization
psychosomatic health complaints
title The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
title_full The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
title_fullStr The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
title_full_unstemmed The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
title_short The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students
title_sort wellbeing of adolescents and the role of greenness a cross sectional study among italian students
topic greenness
wellbeing
adolescents
urbanization
psychosomatic health complaints
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1050533/full
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