Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection

AimEvidence on the association between natural-built environments and depression is largely derived from the general population and prone to residential self-selection bias because of the nature of cross-sectional research design. Despite emerging adulthood, which includes the university years, is a...

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Main Authors: Haoran Yang, Xiangfen Cui, Martin Dijst, Senlin Tian, Jie Chen, Jianhong Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.844541/full
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author Haoran Yang
Xiangfen Cui
Martin Dijst
Senlin Tian
Jie Chen
Jianhong Huang
author_facet Haoran Yang
Xiangfen Cui
Martin Dijst
Senlin Tian
Jie Chen
Jianhong Huang
author_sort Haoran Yang
collection DOAJ
description AimEvidence on the association between natural-built environments and depression is largely derived from the general population and prone to residential self-selection bias because of the nature of cross-sectional research design. Despite emerging adulthood, which includes the university years, is a critical stage for forming life-long health habits, studies on this topic focusing on undergraduate students are limited. The current study aims to illustrate the underlying mechanisms for how the campus-based environments affect depression in undergraduate students.MethodsBased on a nationwide representative analytical sample of 22,009 Chinese undergraduates in 2018, we examined participants' reports of depression and campus-centered natural/built environments within multiple buffer sizes including 0.5, 1.0, and 2.5 km. After disentangling residential self-selection, we explored the moderating role of the socioeconomic attributes of undergraduates. The depression outcome was measured by the nine-item Patient Health Questionnaire (PHQ9). Indicators of exposure to green and blue space, transportation infrastructure, and food environments were objectively assessed using different circular buffers around each campus address.ResultsModeling results indicated that campus neighborhoods with more scattered trees (0.5 km), water (0.5, 1.0, and 2.5 km), and street intersections (1.0 and 2.5 km) were protective against depression. In contrast, those living near denser distributions of outlets serving take-away sweets and fast food (0.5, 1.0, and 2.5 km) were susceptible to depression. These associations were modified by undergraduates' socioeconomic attributes (e.g., grade, Hukou status, and ethnicity) and varied according to geographical scales and exposure metrics.ConclusionTo deliver effective environmental interventions to curb the prevalence of depression among undergraduate students, further planning policies should focus on the careful conception of the campus-based environment, especially regarding different spatial scales.
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spelling doaj.art-d5bea37e30bb4805bddf9da74d9cda382022-12-21T19:00:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-04-011010.3389/fpubh.2022.844541844541Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-SelectionHaoran Yang0Xiangfen Cui1Martin Dijst2Senlin Tian3Jie Chen4Jianhong Huang5The Centre for Modern Chinese City Studies, Research Center for China Administrative Division, Future City Lab, East China Normal University, Shanghai, ChinaFaculty of Environmental Science and Engineering, Kunming University of Science and Technology, Kunming, ChinaDepartment of Urban Development and Mobility, Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, LuxembourgFaculty of Environmental Science and Engineering, Kunming University of Science and Technology, Kunming, ChinaFaculty of Land Resource Engineering, Kunming University of Science and Technology, Kunming, ChinaFaculty of Environmental Science and Engineering, Kunming University of Science and Technology, Kunming, ChinaAimEvidence on the association between natural-built environments and depression is largely derived from the general population and prone to residential self-selection bias because of the nature of cross-sectional research design. Despite emerging adulthood, which includes the university years, is a critical stage for forming life-long health habits, studies on this topic focusing on undergraduate students are limited. The current study aims to illustrate the underlying mechanisms for how the campus-based environments affect depression in undergraduate students.MethodsBased on a nationwide representative analytical sample of 22,009 Chinese undergraduates in 2018, we examined participants' reports of depression and campus-centered natural/built environments within multiple buffer sizes including 0.5, 1.0, and 2.5 km. After disentangling residential self-selection, we explored the moderating role of the socioeconomic attributes of undergraduates. The depression outcome was measured by the nine-item Patient Health Questionnaire (PHQ9). Indicators of exposure to green and blue space, transportation infrastructure, and food environments were objectively assessed using different circular buffers around each campus address.ResultsModeling results indicated that campus neighborhoods with more scattered trees (0.5 km), water (0.5, 1.0, and 2.5 km), and street intersections (1.0 and 2.5 km) were protective against depression. In contrast, those living near denser distributions of outlets serving take-away sweets and fast food (0.5, 1.0, and 2.5 km) were susceptible to depression. These associations were modified by undergraduates' socioeconomic attributes (e.g., grade, Hukou status, and ethnicity) and varied according to geographical scales and exposure metrics.ConclusionTo deliver effective environmental interventions to curb the prevalence of depression among undergraduate students, further planning policies should focus on the careful conception of the campus-based environment, especially regarding different spatial scales.https://www.frontiersin.org/articles/10.3389/fpubh.2022.844541/fullnatural environmentbuilt environmentmultiple scalesdepressive symptomsmoderating effectundergraduates
spellingShingle Haoran Yang
Xiangfen Cui
Martin Dijst
Senlin Tian
Jie Chen
Jianhong Huang
Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
Frontiers in Public Health
natural environment
built environment
multiple scales
depressive symptoms
moderating effect
undergraduates
title Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
title_full Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
title_fullStr Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
title_full_unstemmed Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
title_short Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection
title_sort association between natural built campus environment and depression among chinese undergraduates multiscale evidence for the moderating role of socioeconomic factors after controlling for residential self selection
topic natural environment
built environment
multiple scales
depressive symptoms
moderating effect
undergraduates
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.844541/full
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