Longitudinal association between change in the neighbourhood built environment and the wellbeing of local residents in deprived areas: an observational study

Foley, L., Coombes, E., Hayman, D., Humphreys, D., Jones, A., Mitchell, R. and Ogilvie, D. (2018) Longitudinal association between change in the neighbourhood built environment and the wellbeing of local residents in deprived areas: an observational study. BMC Public Health, 18, 545. (doi:10.1186/s12889-018-5459-9) (PMID:29699544) (PMCID:PMC5921539)

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Abstract

Background: Features of the urban neighbourhood influence the physical, social and mental wellbeing of residents and communities. We explored the longitudinal association between change to the neighbourhood built environment and the wellbeing of local residents in deprived areas of Glasgow, Scotland. Methods: A cohort of residents (n = 365; mean age 50 years; 44% male; 4.1% of the 9000 mailed surveys at baseline) responded to a postal survey in 2005 and 2013. Wellbeing was assessed with the mental (MCS-8) and physical (PCS-8) components of the SF-8 scale. We developed software to aid identification of visible changes in satellite imagery occurring over time. We then used a Geographical Information System to calculate the percentage change in the built environment occurring within an 800 m buffer of each participant’s home. Results: The median change in the neighbourhood built environment was 3% (interquartile range 6%). In the whole sample, physical wellbeing declined by 1.5 units on average, and mental wellbeing increased by 0.9 units, over time. In multivariable linear regression analyses, participants living in neighbourhoods with a greater amount of change in the built environment (unit change = 1%) experienced significantly reduced physical (PCS-8: -0.13, 95% CI -0.26 to 0.00) and mental (MCS-8: -0.16, 95% CI -0.31 to − 0.02) wellbeing over time compared to those living in neighbourhoods with less change. For mental wellbeing, a significant interaction by baseline perception of financial strain indicated a larger reduction in those experiencing greater financial strain (MCS-8: -0.22, 95% CI -0.39 to − 0.06). However, this relationship was reversed in those experiencing lower financial strain, whereby living in neighbourhoods with a greater amount of change was associated with significantly improved mental wellbeing over time (MCS-8: 0.38, 95% CI 0.04 to 0.72). Conclusions: Overall, we found some evidence that living in neighbourhoods experiencing higher levels of physical change worsened wellbeing in local residents. However, we found a stronger negative relationship in those with lower financial security and a positive relationship in those with higher financial security. This is one of few studies exploring the longitudinal relationship between the environment and health.

Item Type:Articles
Additional Information:LF is supported by the National Institute for Health Research Public Health Research programme (NIHR PHR; project number 11/3005/07) and the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged (087636/Z/08/Z, ES/G007462/1, MR/K023187/1). DO is supported by the Medical Research Council (MC_UU_12015/6). The baseline phase of the M74 study was developed by David Ogilvie, Richard Mitchell, Nanette Mutrie, Mark Petticrew and Stephen Platt and supported by a Medical Research Council Special Training Fellowship in Health of the Public Research (award number G106/1203). The follow-up phase of the study was developed by David Ogilvie, Lyndal Bond, Fiona Crawford, Simon Griffin, Shona Hilton, David Humphreys, Andrew Jones, Richard Mitchell, Nanette Mutrie, Shannon Sahlqvist and Hilary Thomson. This article presents independent research funded by the NIHR (project number 11/3005/07).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Mitchell, Professor Richard and Ogilvie, David
Authors: Foley, L., Coombes, E., Hayman, D., Humphreys, D., Jones, A., Mitchell, R., and Ogilvie, D.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
Journal Name:BMC Public Health
Publisher:BioMed Central
ISSN:1471-2458
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in BMC Public Health 18:545
Publisher Policy:Reproduced under a Creative Commons License
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727621SPHSU Core Renewal: Neighbourhoods and Communities Research ProgrammeAnne EllawayMedical Research Council (MRC)MC_UU_12017/10IHW - MRC/CSO SPHU