Associations between Greenspaces and Individual Health: A Longitudinal Study in China

Using a longitudinal survey in China, this study identifies the effect of greenspaces on individual health in the aspects of self-rated health, mental health, feeling physical discomfort, and being hospitalized. The normalized difference vegetation index (NDVI) is used to measure the greenery cover of each city, and findings show that higher NDVI leads to the improvement of personal self-rated health status, and it also decreases the probability of being hospitalized, having symptoms of physical discomfort, and being lost in bad mood. The positive health effect of NDVI in the city is much more significant and larger for the middle-aged, the elderly, and the low-educated. The evidence of the three possible channels through which the NDVI of each city shows a positive correlation with individual physical and mental health is found. The increased NDVI in the city encourages residents to foster healthier habits (e.g., decreasing smoking or drinking, increasing sleeping hours), improves air quality and reduces air pollution in each city, and promotes the social cohesion of people, and so the health status of residents is enhanced. This study implies that increasing greenspaces in the city is an effective strategy to improve social welfare and residents' health.