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Relationships between green space quantity and 
perceived stress and mental wellbeing in deprived 
urban communities in Scotland
Lynette Robertson, Catharine Ward Thompson, Jenny Roe, 
Peter Aspinall, Rich Mitchell, David Miller  
Outline 
• Introduction
– Background
– The GreenHealth Project
– Research Questions
• Methodology
– Study Design 
– Data Analysis
• Results
– Green Space Quantity 
– View to Green Space  from Home
• Summary
• Conclusions
Background 
Urban Green Space and Health
Higher levels of residential green space have been associated with 
lower mortality rates, lower blood pressure and obesity levels, 
and better self‐perceived health (e.g. Maas et al, 2006). 
Urban Green Space and Health
Urban green space is more closely associated with health for those 
living in poverty/deprivation (e.g. Mitchell & Popham, 2008)
Deprivation and Health in Scotland
Deprivation/inequality is a 
significant problem in Scotland, 
and is not improving
Deprivation and Health in Scotland
Deprivation/inequality is a 
significant problem in Scotland, 
and is not improving
UK Poverty and Social Exclusion 
(PSE) study: Poverty in Scotland at 
worst levels in 30 years ‐ 1/3 of 
population living in ‘multiple 
deprivation’ (PSE UK, 2013)
Deprivation and Health in Scotland
Deprivation/inequality is a 
significant problem in Scotland, 
and is not improving
UK Poverty and Social Exclusion 
(PSE) study: Poverty in Scotland at 
worst levels in 30 years ‐ 1/3 of 
population living in ‘multiple 
deprivation’ (PSE UK, 2013)
Still the ‘Sick man of Europe’ 
(Glasgow Centre for Population 
Health, 2012) 
Deprivation and Health in Scotland
Image: Greenspace Scotland
Image: Greenspace Scotland
GreenHealth
• ‘The contribution of green and 
open space in public health and 
well‐being’
• Funded by the Scottish 
Government
• April 2008 – March 2012 (2013)
• Led by The James Hutton 
Institute 
www.hutton.ac.uk/projects/green‐health
www.greenspacescotland.org.uk/greenhealth‐conference
Green Health: OPENspace & Heriot Watt 
• Examined the relationship between 
quantity, quality and accessibility of 
green space and health and 
wellbeing in deprived urban 
communities
Green Health: OPENspace & Heriot Watt 
• Examined the relationship between 
quantity, quality and accessibility of 
green space and health and 
wellbeing in deprived urban 
communities
• Two main studies
1. Cortisol  and green space quantity 
(Ward Thompson et al; Roe et al)
Green Health: OPENspace & Heriot Watt 
• Examined the relationship between 
quantity, quality and accessibility of 
green space and health and 
wellbeing in deprived urban 
communities
• Two main studies
1. Cortisol  and green space quantity 
(Ward Thompson et al; Roe et al)
2. Household Survey 
o Perceived health and wellbeing and 
green space quantity and quality
o Green space accessibility and use 
(including Conjoint analysis)
o Perceptions of green space
Household Survey Study: Research Questions
1. Is there a relationship 
between the amount of 
green space in the 
residential environment 
and perceived stress and 
mental wellbeing? 
Household Survey Study: Research Questions
1. Is there a relationship 
between the amount of 
green space in the 
residential environment 
and perceived stress and 
mental wellbeing?
2. Is there a link between 
visual access to green 
space and perceived 
health and wellbeing?
Methodology
Study Design
• Cross‐sectional CAPI‐administered household questionnaire, 
June 2010
• Four deprived urban neighbourhoods, selected using Carstairs
Deprivation Index and amount of green space coverage (low 
and high)
– Edinburgh: Pilton & Craigmillar
– Dundee: Stobswell & Fintry
• All residents > 16 years (Included people in work, cortisol 
study = unemployed only)
• Approximately 100 participants from each site (n = 406)
Study Design
• Cross‐sectional CAPI‐administered household questionnaire, 
June 2010
• Four deprived urban neighbourhoods, selected using Carstairs
Deprivation Index and amount of green space coverage (low 
and high)
– Edinburgh: Pilton & Craigmillar
– Dundee: Stobswell & Fintry
• All residents > 16 years (Included people in work, cortisol 
study = unemployed only)
• Approximately 100 participants from each site (n = 406)
Study Design
• Cross‐sectional CAPI‐administered household questionnaire, 
June 2010
• Four deprived urban neighbourhoods, selected using Carstairs
Deprivation Index and amount of green space coverage (low 
and high)
– Edinburgh: Pilton & Craigmillar
– Dundee: Stobswell & Fintry
• All residents > 16 years (Included people in work, cortisol 
study = unemployed only)
• Approximately 100 participants from each site (n = 406)
Study Design
• Cross‐sectional CAPI‐administered household questionnaire, 
June 2010
• Four deprived urban neighbourhoods, selected using Carstairs
Deprivation Index and amount of green space coverage (low 
and high)
– Edinburgh: Pilton & Craigmillar
– Dundee: Stobswell & Fintry
• All residents > 16 years (Included people in work, cortisol 
study = unemployed only)
• Approximately 100 participants from each site (n = 406)
Questionnaire Data 
• Health and wellbeing measures 
– Perceived Stress Scale, PSS (Cohen & Williamson, 1988)) 
– Mental Wellbeing, SWEMWBS  ‐ Short Warwick‐Edinburgh Mental 
Wellbeing Scale(Steward‐Brown et al., 2009)
– Physical Activity  
– General Health
– Life Satisfaction
• Green space use (frequency, purpose…)
• Green space accessibility (distance, views)
• Green space perceptions (amount, quality, safety…)
• Other e.g. Life Event, Life Conditions
• Demographics (age, work status etc.)
Questionnaire Data 
• Health and wellbeing measures 
– Perceived Stress Scale, PSS (Cohen & Williamson, 1988)) 
– Mental Wellbeing, SWEMWBS  ‐ Short Warwick‐Edinburgh Mental 
Wellbeing Scale(Steward‐Brown et al., 2009)
– Physical Activity  
– General Health
– Life Satisfaction
• Green space use (frequency, purpose…)
• Green space accessibility (distance, views)
• Green space perceptions (amount, quality, safety…)
• Other e.g. Life Event, Life Conditions
• Demographics (age, work status etc.)
Green Space Quantity Data (GIS)
GS Quantity 
(% unit area)
Ward
Hutton 
Land Use 
ClassZone
Green Space Quantity: (1) Ward
• UK CAS (Electoral 
District) Unit
• Parks, woodlands, 
scrub + other natural 
environments; NO
private gardens
• Area
– Min = 57 ha
– Max = 689 ha
– Median = 126 ha (IQR = 
316)
Green Space Quantity: (2) Zone
• Scottish ‘Data Zone’ Unit
• GS = as Ward (Parks, 
woodlands, scrub + 
other natural 
environments)
i. No private gardens
ii. With gardens
• Area
– Min = 5 ha
– Max = 445 ha
– Median = 13 ha (IQR = 
220)
• Also 300m radius buffer 
= 28 ha
Green Space Quantity: (3) Hutton Land Use Class (HLUC)
• Scotland Green Space 
Map Typologies 
(‘PAN65’) 
• Public open space, 
gardens, roadside 
trees and grass
i. With woodlands
ii. No woodlands
• Areal units
– Zone
– 300m radius buffer
View to Green space from the home
• Three point ordinal 
scale:
– No view
– Partial view
– Full view
• Recorded for each 
floor/level of the 
home
Data Analysis
• Correlation and Multiple Linear Regression (Heirarchical, 
blocked)
– Each green space measure 
Data Analysis
• Correlation and Multiple Linear Regression (Heirarchical, 
blocked)
– Each green space measure 
– Controlling for: 
• Income (‘Income Coping’ – 4 point scale)
• Deprivation (Carstairs Index)
• Physical Activity ‐ with and without 
Data Analysis
• Correlation and Multiple Linear Regression (Heirarchical, 
blocked)
– Each green space measure 
– Controlling for: 
• Income (‘Income Coping’ – 4 point scale)
• Deprivation (Carstairs Index)
• Physical Activity ‐ with and without 
• Sub‐groups:
– Gender
Data Analysis
• Correlation and Multiple Linear Regression (Heirarchical, 
blocked)
– Each green space measure 
– Controlling for: 
• Income (‘Income Coping’ – 4 point scale)
• Deprivation (Carstairs Index)
• Physical Activity ‐ with and without 
• Sub‐groups:
– Gender
– ‘At home more’, identified according to Work Status:
i. Looking after the home/family
ii. Retired
iii. Long term sick or disabled
Results
Perceived stress (PSS) at each site
Mental wellbeing (SWEMBS) at each site 
Sample Characteristics 
• n = 305 (Pilton, Stobswell & Fintry; Craigmillar removed)
• Age
o 16 – 87 years
o Mean = 43.7 years (SD = 17.1)
• Gender: 136 male (44.6%), 169 female (55.4%)
• Ethnicity: White ‐ 96.1% Scottish, 1.6% other UK, 2.3% non‐UK
• Income Coping
o Very difficult = 6.6%
o Difficult = 27.5%
o Coping = 48.9%
o Comfortable = 13.8%
Green Space Quantity
Research Question 1
Is there a relationship 
between the amount of 
green space in the 
residential environment and 
perceived stress and mental 
wellbeing? 
Perceived Stress (PSS): was green space quantity a 
significant predictor?
(i) Analysis by Gender 
Perceived Stress (PSS): was green space quantity a 
significant predictor? 
(ii) At Home More Sub‐group, by Gender
Perceived Stress and Green Space Quantity: 
At Home More sub‐group
Men: n = 22 (Δr2 = 0.567, p < 0.01)
Partial Regression Plots
Residuals of Y on the remaining explanatory variables vs residuals 
of the target explanatory variable on the remaining explanatory 
variables 
Partial Regression Plots
Residuals of Y on the remaining explanatory variables vs residuals 
of the target explanatory variable on the remaining explanatory 
variables 
Moya‐Laraño & Corcobado (2008) ‘Plotting partial correlation and 
regression in ecological studies’ [Web Ecology 8: 35–46]
o A more appropriate method  for visualizing the true scatter of points 
around the partial regression line than plotting the dependent 
variable against the raw values of the independent variable
Partial Regression Plots
Residuals of Y on the remaining explanatory variables vs residuals 
of the target explanatory variable on the remaining explanatory 
variables 
Moya‐Laraño & Corcobado (2008) ‘Plotting partial correlation and 
regression in ecological studies’ [Web Ecology 8: 35–46]
o A more appropriate method  for visualizing the true scatter of points 
around the partial regression line than plotting the dependent 
variable against the raw values of the independent variable
o “Partial regression plots should be the ones displayed in publications 
because they accurately reflect the scatter of partial correlations” 
Perceived Stress and Green Space Quantity: 
‘At Home More’ sub‐group
Men: n = 22 (Δr2 = 0.567, p < 0.01)
Green space coverage:  26‐69 %
Perceived stress: 2 – 18
Work status: 
‐ Retired 77%
‐ Disabled or long‐term sick 23%
Perceived Stress and Green Space Quantity: 
‘At Home More’ sub‐group
Men: n = 22 (Δr2 = 0.567, p < 0.01)          Women: n = 43 (GS = n.s.)
Green space coverage:  26‐69 %
Perceived stress: 2 – 18
Work status: 
‐ Retired 77%
‐ Disabled or long‐term sick 23%
Green space coverage:  24 ‐ 68 %
Perceived stress: 0 – 27
Work status: 
‐ Looking after home/family 41%
‐ Retired 50%
‐ Disabled or long‐term sick 9%
Perceived Stress and Green Space Quantity: 
Women At Home More
Women: n = 43 (GS = n.s.)Differences between groups
o Escape stress (p=0.000)
o Life conditions (p=0.005)
o Life event (p=0.016, 
could be a positive or 
negative event, but 
more events for the high 
stress‐high GS group)
o Affect of life event 
(p=0.062)
o GS Freq Summer 
(p=0.032)
o Years in neighbourhood 
(p=0.039)   
Mental Wellbeing (SWEMWBS): was green space 
quantity a significant predictor? 
(i) Analysis by Gender
Mental Wellbeing (SWEMWBS): was green space quantity 
a significant predictor? 
(ii) At Home More Sub‐group, by Gender
Mental Wellbeing (SWEMWBS) and Green Space 
Quantity: At Home More sub‐group
Men: n = 22 (Δr2 = 0.08, p < 0.01)           Women: n = 43 (GS = n.s.)
Green space coverage:  22 ‐ 69 %
Mental Wellbeing: 19 ‐35
Work status: 
‐ Retired 77%
‐ Disabled or long‐term sick 23%
Green space coverage:  22 ‐ 69 %
Mental Wellbeing: 17 – 35
Work status: 
‐ Looking after home/family 41%
‐ Retired 50%
‐ Disabled or long‐term sick 9%
Research Question 2
Is there a link between visual 
access to green space from 
home and perceived health 
and wellbeing?
View to green space from the home
• Perceived stress 
– No significant association 
(for any group)
View to green space from the home
• Perceived stress 
– No significant association 
(for any group)
• Mental wellbeing
– Significant inverse
association for women (r = ‐
.114 , p < 0.05), but not for 
men
– Not a significant predictor
View to green space from the home
• Perceived stress 
– No significant association 
(for any group)
• Mental wellbeing
– Significant inverse
association for women (r = ‐
.114 , p < 0.05), but not for 
men
– Not a significant predictor
• BUT, most participants had 
no view from their home…
View to green space 
• Physical Activity
– Significant positive 
association for women at 
home more group (r = .263 , 
p < 0.05)
View to green space
• Physical Activity
– Significant positive 
association for women at 
home more group (r = .263, 
p < 0.05, n = 43)
– Women who had a partial or 
full view from their home 
were on average 10 times 
more active than those 
women with no view from 
their home
– Men: no difference, but n is 
small in comparison (n=22)
Summary
• Green space quantity in the residential environment was linked 
with perceived stress, and to a lesser extent mental wellbeing.
• The strength and direction of relationships varied by gender 
and likely amount of time spent at home
– Men: lower perceived stress was associated with increasing 
amounts of green space, particularly those likely to spend more 
time at home
– Women: the relationship between GS quantity and stress was 
more complicated for women than for men, with only some 
women showing the same patterns as men
• Having a view from the home was not associated with better 
perceived stress or mental wellbeing; however, most 
participants had no view.
Summary
• Green space quantity in the residential environment was linked 
with perceived stress, and to a lesser extent mental wellbeing.
• The strength and direction of relationships varied by gender 
and likely amount of time spent at home
– Men: lower perceived stress was associated with increasing 
amounts of green space, particularly those likely to spend more 
time at home
– Women: the relationship between GS quantity and stress was 
more complicated for women than for men, with only some 
women showing the same patterns as men
• Having a view from the home was not associated with better 
perceived stress or mental wellbeing; however, most 
participants had no view.
Summary
• Green space quantity in the residential environment was linked 
with perceived stress, and to a lesser extent mental wellbeing.
• The strength and direction of relationships varied by gender 
and likely amount of time spent at home
– Men: lower perceived stress was associated with increasing 
amounts of green space, particularly those likely to spend more 
time at home
– Women: the relationship between GS quantity and stress was 
more complicated for women than for men, with only some 
women showing the same patterns as men
• Having a view from the home was not associated with better 
perceived stress or mental wellbeing; however, most 
participants had no view.
Summary
• Green space quantity in the residential environment was linked 
with perceived stress, and to a lesser extent mental wellbeing.
• The strength and direction of relationships varied by gender 
and likely amount of time spent at home
– Men: lower perceived stress was associated with increasing 
amounts of green space, particularly those likely to spend more 
time at home
– Women: the relationship between GS quantity and perceived 
stress was more complicated for women than for men, with only 
some women showing the same patterns as men
• Having a view from the home was not associated with better 
perceived stress or mental wellbeing; however, most 
participants had no view.
Summary
• Green space quantity in the residential environment was linked 
with perceived stress, and to a lesser extent mental wellbeing.
• The strength and direction of relationships varied by gender 
and likely amount of time spent at home
– Men: lower perceived stress was associated with increasing 
amounts of green space, particularly those likely to spend more 
time at home
– Women: the relationship between GS quantity and perceived 
stress was more complicated for women than for men, with only 
some women showing the same patterns as men
• Having a view from the home was not associated with better 
perceived stress or mental wellbeing, but was associated with 
higher levels of physical activity.
Conclusions
Green space in the residential environment is a factor contributing 
to the health and wellbeing of residents of deprived urban 
communities in Scotland, particularly those who are likely to spend 
more time in and around their neighbourhood.
Conclusions
Increasing green space coverage in areas where there is little could 
reduce stress levels and increase wellbeing for some; but, other 
aspects of green space which impact on perceptions and use, such 
as quality and safety, must also be considered.
Image: Greenspace Scotland
lynette.robertson@ed.ac.uk
c.ward‐thompson@ed.ac.uk

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Relationships between green space quantity and perceived stress and mental wellbeing in deprived urban communities in Scotland - Robertson et al (2013)