• Associations of combined exposures to surrounding green, air pollution and traffic noise on mental health.

      Klompmaker, Jochem O; Hoek, Gerard; Bloemsma, Lizan D; Wijga, Alet H; van den Brink, Carolien; Brunekreef, Bert; Lebret, Erik; Gehring, Ulrike; Janssen, Nicole A H (2019-08-01)
      In this cross-sectional study, we linked data from a Dutch national health survey among 387,195 adults including questions about psychological distress, based on the Kessler 10 scale, to an external database on registered prescriptions of anxiolytics, hypnotics & sedatives and antidepressants. We added data on residential surrounding green in a 300 m and a 1000 m buffer based on the Normalized Difference Vegetation Index (NDVI) and a land-use database (TOP10NL), modeled annual average air pollutant concentrations (including particulate matter (PM10, PM2.5), and nitrogen dioxide (NO2)) and modeled road- and rail-traffic noise (Lden and Lnight) to the survey. We used logistic regression to analyze associations of surrounding green, air pollution and traffic noise exposure with poor mental health.