Relationships between exposure to nature and health and wellbeing benefits in New Zealand

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Relationships between exposure to nature and health and wellbeing benefits in New Zealand Presentation to Population Health Congress Auckland, 6 October 2014 Paul Blaschke, Amber L Pearson Department of Public Health, University of Otago, Wellington, New Zealand Hugh Norriss Mental Health Foundation, Wellington, New Zealand

Nature and health: an old idea? Biophilia hypothesis: suggests there is an innate bond between human beings and other living systems Humans hard-wired through evolution to need connection to nature? More recent research also suggests multiple health and wellbeing (HWB) benefits from contact with nature

HWB Mechanisms Green space seems to influence health and wellbeing in three main ways: by providing opportunities to undertake physical activity; by facilitating the development of social capital; directly, through restorative effects including, for example, recovery from stress, improved moods, mental recharging, (reduced blood sugar levels, immune system)

Review of natural environment / HWB relationships Overall, a large body of recent research suggests that exposure to natural environments has direct, positive effects on human health and wellbeing Many effects appear to hold true when differences in income taken into account HOWEVER Much of the research is either anecdotal or descriptive Few studies rigorously test differences between green/blue and non-green/blue settings Many reported positive effects are not statistically significant or relate to very small sample groups

Private garden Green (and blue) space at Urban street scape different scales Urban park Peri-urban green area Scenic reserve Large wilderness area Private domestic green space Public or private built/managed green space Public wild green space

Urban green spaces Some research suggests relationship between increasing urbanisation, decreasing greenness and resultant health effects Mitchell R, Popham F 2007Journal of Epidemiology and Community Health, 61(8), 681-683 Mitchell R, Popham F 2008. Lancet, 72(9650), 1655-1660 This conclusion may not hold true in New Zealand and possibly not in some other parts of the world Witten et al 2008 Preventive Medicine 47, 299-303 Richardson et al 2010 BMC Public Health 10, 240 especially in areas where much of the population enjoy good access to green areas even when living in large urban centres or in deprived areas.

New Zealand NZ urban urban green green and and blue blue spaces spaces Two recent ecological studies in Auckland and Wellington: Auckland: nearness to useable greenspace and also high proportions of greenspace in a neighbourhood was protective against anxiety/mood disorder Wellington: higher levels of blue space visibility were associated with lower psychological stress. Higher levels of distant green space visibility associated with lower psychological stress Results suggest the possibility that increased visibility and/or nearness of blue and green space could have a salutogenic effect to promote mental wellbeing and reduce stress. (Nutsford et al: https://www.researchgate.net/publication/258827905_an_ec ological_study_investigating_the_association_between_acce ss_to_urban_green_space_and_mental_health; forthcoming)

Large Conservation Areas There is evidence that exposure to large natural green areas (national parks etc) provides direct short term HWB benefits, but it is not clear: if these effects last; If such areas are more beneficial than other types of green space; Which population groups might derive the most benefits; or What extent of exposure is required Issues of accessibility to these areas Shinrin-yoku ( Forest bathing ) - Recognised relaxation and stress management activity in Japan Lee J et al, 2011. Public Health, 125(2), 93-100

Environmental volunteering Cohort study in Alameda County, CA 6200 adults over 20 years environmental volunteering more strongly associated with subsequent physical activity, better self-reported health, fewer symptoms of depression No causal link can be inferred from study design Deakin University studies (Victoria) Qualitative studies participants generally believed that their involvement was beneficial physically, mentally, and socially Documented benefits from community gardening Potential for range of volunteer programmes?

Conclusions and implications Positive nature/hwb associations have particular applicability in New Zealand because of its high accessibility of green and blue spaces Need for integrated approach to HWB between: o o managers and stakeholders in the health and volunteering sectors, and those involved in green/blue space management Next step?: more detailed investigation of activities undertaken in New Zealand green/blue spaces, and their HWB outcomes, would allow better understanding of nature / HWB relationships in New Zealand

The Biophilic City Cities that contain abundant nature cities that care about, seek to protect, restore and grow this nature, and that strive to foster deep connections and daily contact with the natural world bluestemnursery.blogspot.com http://biophiliccities.org/ Colin Meurk http://www.stuff.co.nz/dominion-post/news/

Public conservation estate Risk to DOC: If HWB benefits are derived from all natural areas, could this be a threat to investment in natural areas administered by DOC?

Wellington Regional Park network Reserves Act Managed by Greater Wellington Regional Council Peri-urban rather than urban Why parks seen as valuable: conserve nature, cultural and scenic values provide social and economic benefits and recreational opportunities contribute to healthy lifestyles and wellbeing Tie in with other public and private protected areas http://www.gw.govt.nz/parks/

How to bring HWB benefits of conservation areas to people? Opportunity: How could DOC maximise HWB benefits of its urban and historic areas? Transfer or intensify management of urban areas Manage historic heritage within green spaces Manage urban areas in complementary way with other agencies gns.cri.nz

How to bring all people to natural Opportunity: How could DOC maximise access by all groups to all its natural areas? programmes to bring disadvantaged people to national parks etc collaborations between DOC, other agencies and sponsors areas?

Possible images, we need to cite Source: Daniel Nutsford And possibly Ackowledge?