- freely available
Int. J. Environ. Res. Public Health 2016, 13(7), 681; doi:10.3390/ijerph13070681
1.1. Differences in Use and Perceptions of Green Space
1.2. Ethnicity Trends in the UK
1.3. Background to the Study
1.4. Research Questions
2. Materials and Methods
2.1. Choice of Sample Locations
- Wards classed among the most deprived 20% in England (Index of Multiple Deprivation (IMD) of 1 or 2) .
- Wards with a minimum of 9% of the population from black and minority ethnic (BME) groups (according to the 2001 Census) .
- Wards with not less than 20% and not more than 45% land use classified as areas of green space (derived from 2005 Generalised Land Use Database (GLUD) .
- Wards with varying quality indicators for green space (e.g., Local Authority (LA) performance in relation to green space) (2005 GLUD) .
2.2. Sampling Strategy
2.3.1. Individual Measures
- Demographic measures: In addition to age, gender, ethnicity, and religion, self-report data were collected on socio-economic indicators that included indicators of income coping, type of housing tenure, educational attainment, current work status, number of children, car access and disability.
- Self-Reported Health Measures:
- General Health: the primary outcome measure in our study, was a single-item scale asking participants to rate their general health, ranked on a 5-category Likert scale from 1 (very good health) to 5 (very poor health). This is a valid and reliable measure of subjective health .
- Physical activity level: measured using one item asking for the number of days on which physical activity (of sufficient exertion to raise breathing rate) reached or exceeded 30 min, recalled over the past 4 weeks, based on 2008 recommendations from the British Heart Foundation National Centre .
2.3.2. Social Environment
- Perceptions of Loneliness: a 3-item loneliness scale  comprising measures of companionship, feeling left out, and isolation, each rated on a 3-category scale from 1 (low level of loneliness etc.) to 3 (high level of loneliness etc.);
- Perceptions of Place belonging: one item scale  rated using a 5-category scale (i.e., from 1 ”strongly disagree” to 5 ”strongly agree” on belonging);
- Perceptions of Neighbourhood Trust: two items on trust , one item measuring general levels of trust in the wider neighbourhood, the other levels of trust in leaving a key with a neighbour, each ranked on a 3-category scale (1 = high levels of trust to 3 = low levels of trust).
2.3.3. Neighbourhood Environment
- Perceptions of the overall neighbourhood: measured using two items, one item on general Satisfaction with the neighbourhood as a place to live (ranked on a 5-item scale from high satisfaction (1) to poor (5)); the other item on the likelihood of recommending the area to a friend as a place to live (ranked from ”yes definitely” (1) to ”no, definitely not” (5)), which we have labelled Liveability of the neighbourhood.
2.3.4. Local Green Space
- Perceptions of local green space quality: measured using three items (i.e., safety, attractiveness, satisfaction with urban green space), with quality on all questions ranked on a 5-item Likert scale from high (1) to poor (5).
- Self-reported use of local green space: current usage of nearest neighbourhood green space was measured using self-reported frequency of visits over summer and winter. We also asked about the social dimension of these visits, i.e., ”with whom” visits were made (alone or with friends/family). In addition we asked about how the nearest neighbourhood green space was accessed (i.e., walking, car, public transport) and the availability of a 2nd local urban green space.
2.4. Approach to Statistical Analysis
4.1. Individual Characteristics
4.2. Place Characteristics: Social
4.3. Place Characteristics: Environment
Conflicts of Interest
|AUC||Area under the curve|
|CCR||Correlated component regression|
|BME||Black and minority ethnic group|
Appendix A. Sampling Structure
|Location||Indian||Pakistani||Bangladeshi||African-Caribbean||White British||Other BME||Total|
|North West: Oldham||43||45||88|
|North West: Rochdale||43||44||87|
Appendix B. CCR Regressions Predicting General Health for Each Health Segment
|Model Fit||Cross Validation||Standard Error|
|Predictor Variables in Rank Order||Standard Co-Efficient||Contribution to Model (Pratt %)|
|Access to GS||0.29||1|
|Satisfaction with area||5.18||18|
|Model Fit||Cross Validation||Standard Error|
|Predictor Variables in Rank Order||Standard Co-Efficient||Contribution to Model (Pratt %)|
|Liveability of Area||0.44||10|
|Feeling left out||0.40||9|
|Means to GS||0.34||6|
|Presence of another GS||0.34||6|
|Model Fit||Cross Validation||Standard Error|
|Predictor Variables in Rank Order||Standard Co-Efficient CC1||Contribution to Model (Pratt %)|
|Satisfaction with area||1.12||7|
|Visit GS with someone||−1.24||2|
|GS frequency visits (Winter)||−0.86||7|
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|Characteristics||Total n = 523||White British n = 114||Indian n = 57||African-Caribbean n = 63||Bangladeshi n = 89||Pakistani n = 115||Other BME n = 85||Between Group Statistical Difference|
|Demographics measures||Age (years) n%||≤44||70%||66%||64%||75%||70%||70%||83%||ns|
|Gender (m = male, f = female) n%||M = 40% |
F = 60%
|M = 53% |
F = 47%
|M = 31% |
F = 69%
|M = 44% |
F = 56%
|M = 30% |
F = 70%
|M = 38% |
F = 62%
|M = 38% |
F = 62%
|Income coping a M (SD)||2.66 (1.24)||2.44 (1.19)||2.36 (1.20)||2.68 (1.35)||2.76 (1.25)||3.01 (1.15)||2.60 (1.25)||**|
|Current work status: n% not in work for any reason||51%||50%||34%||40%||68%||51%||40%||**|
|Health measures||General Health b M (SD)||2.10 (0.92)||2.08 (0.93)||1.63 (0.69)||2.22 (0.99)||2.27 (0.86)||2.26 (0.98)||2.23 (0.84)||***|
|Physical Activity M (SD) (days/month)||7.4 (7.4)||8.2 (6.8)||9.0 (7.83)||3.6 (3.9)||7.0 (7.32)||7.8 (8.5)||7.7 (8.08)||***|
|Environmental Indicators||Total n = 523 M (SD)||White British n = 114 M (SD)||Indian n = 57 M (SD)||African-Caribbean n = 63 M (SD)||Bangladeshi n = 89 M (SD)||Pakistani n = 115 M (SD)||Other BME n = 85 M (SD)||Between Group Statistical Difference|
|Social Environment||Loneliness a M (SD)||1.37 (0.49)||1.35 (0.46)||1.26 (0.42)||1.51 (0.53)||1.45 (0.51)||1.32 (0.47)||1.40 (0.53)||***|
|Place belonging a M (SD)||2.04 (0.94)||1.77 (0.82)||1.58 (0.75)||2.18 (1.04)||2.46 (0.87)||2.09 (0.91)||2.25 (1.06)||***|
|Neighbourhood Trust a M (SD)||2.30 (0.88)||2.22 (0.73)||1.86 (0.68)||2.41 (1.19)||2.49 (0.66)||2.40 (0.75)||2.30 (1.08)||***|
|Neighbourhood Environment||Satisfaction with the area a M (SD)||2.02 (0.92)||1.77 (0.07)||1.76 (0.12)||2.38 (0.13)||2.18 (0.09)||1.98 (0.81)||2.26 (0.13)||***|
|Liveability a M (SD)||2.00 (0.99)||1.69 (0.7)||1.75 (0.15)||2.11 (0.13)||2.24 (0.09)||2.21 (0.09)||2.10 (0.13)||***|
|Local Green Space (GS)||GS Satisfaction a M (SD)||2.10 (0.88)||1.82 (0.06)||1.83 (0.09)||2.11 (0.10)||2.61 (0.11)||2.24 (0.96)||1.99 (0.09)||***|
|GS attractiveness a M (SD)||2.06 (0.85)||1.74 (0.64)||1.81 (1.60)||2.11 (0.68)||2.49 (0.99)||2.2 (1.02)||1.99 (0.72)||***|
|GS Safety a M (SD)||2.25 (0.88)||2.13 (0.07)||2.14 (0.09)||2.03 (0.10)||2.55 (0.10)||2.39 (0.87)||2.13 (0.12)||**|
|GS Access: n% walking||72.3%||75.1%||81.5%||75.1%||70.8%||80.5%||85.9%||ns|
|GS Social use: n% visiting with someone||74.8%||81.4%||89.9%||73.02%||71.91%||83.2%||84.1%||*|
|GS availability: n% with access to a 2nd local GS||43.2%||55.58%||55.9%||28.6%||31.5%||39.1%||43.4%||***|
|GS frequency visits (winter) b M (SD)||5.27 (1.63)||4.71 (0.14)||5.12 (0.19)||5.35 (0.20)||6.19 (0.15)||5.42 (0.15)||4.97 (0.20)||***|
|GS frequency visits (summer) b M (SD)||3.83 (1.74)||3.07 (0.12)||3.29 (0.19)||3.62 (0.20)||5.18 (0.19)||4.15 (0.18)||3.68 (0.20)||***|
|Predictors||Group 1 Indian Very Good Health (n = 57) 7 Predictors||Group 2 White British Good Health (n = 114) 11 Predictors||Group 3 Mixed BME Worst Health (n = 352) 9 Predictors (African-Caribbean, Bangladeshi, Pakistani and Other BME)||Direction of Relationship between Variables Better Health is Associated with:|
|Individual Characteristics||Physical Activity (1)||Physical Activity (1)||Physical activity (1)||Higher physical activity levels per week|
|Age (2)||Age (7)||Age (2)||Younger in age|
|-||Disability (6)||Disability (3)||Not having a disability|
|-||Gender (8)||Being female|
|Work Status (6)||Work Status (11)||Being in work|
|Social Environment||Trust (4)||Trust (8)||-||Greater levels of trust|
|-||Companionship (2)||Greater companionship|
|-||Feeling left out (4)||-||Not feeling left out|
|-||Isolated (5)||-||Being less isolated|
|-||Place Belonging (9)||Place Belonging (10)||Belonging to the neighbourhood|
|Neighbourhood Environment||Liveability (3)||Liveability (3)||-||Higher liveability of neighbourhood|
|Satisfaction with area (7)||-||Satisfaction with area (4)||Higher satisfaction with neighbourhood|
|Local Green Space (GS)||-||-||GS Satisfaction (6)||Higher GS satisfaction|
|-||-||GS Safety (7)||Higher GS safety|
|Access to GS (5)||Access to GS (10)||-||Walking to GS|
|-||-||Visit GS with someone (5)||Visiting GS with someone|
|-||-||GS frequency visits (Winter) (9)||Visiting GS more frequently in winter|
|-||Presence of another GS (11)||-||The presence of another local GS in neighbourhood|
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