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Cao, Yang, Associate ProfessorORCID iD iconorcid.org/0000-0002-3552-9153
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Publications (10 of 268) Show all publications
Rauma, J., Jansson, S. P. O., Cao, Y. & van Nieuwenhoven, M. A. (2024). A comparison of Swedish IBS patients and general practitioners regarding viewpoints on IBS: a Q-methodology study. Scandinavian Journal of Gastroenterology
Open this publication in new window or tab >>A comparison of Swedish IBS patients and general practitioners regarding viewpoints on IBS: a Q-methodology study
2024 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objectives: Irritable bowel syndrome (IBS) is a common functional gastrointestinal condition. A respectful patient-doctor relationship with good communication is crucial for optimal treatment. Q-methodology is a combination of qualitative and quantitative methods used to study subjectivity. The aim of this study was to compare viewpoints on IBS between patients with IBS and general practitioners (GPs).

Methods: We conducted a Q-methodology study by including 30 patients and 30 GPs. All participants were asked to complete Q- sorting of 66 statements on IBS using an online software program. Data were processed using factor analysis. In addition, 3 patients and 3 GPs were interviewed.

Results: Three factors were extracted from both groups: Patient Factor 1 'Question the diagnosis of IBS', Patient Factor 2 'Lifestyle changes for a physical disorder', Patient Factor 3 'Importance of a diagnosis', GP Factor 1 'Unknown causes of great suffering', GP Factor 2 'Lifestyle changes are important, stress makes IBS worse', GP Factor 3 'Recognized the way IBS affects patients'. There was a strong and statistically significant correlation between patient Factor 1 and GP Factor 1, with a Pearson's r of 0.81 (p < 0.001). Correlations between other factors varied.

Conclusions: There was consensus between patients and GPs that IBS is a physical and not a psychiatric disorder of unknown etiology. They also seemed to agree that IBS has a great negative impact on patients' lives and that lifestyle changes are beneficial. There were conflicting opinions regarding gender, cultural factors and the use of antidepressants.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Factor analysis, general practitioner, irritable bowel syndrome, primary care, q-methodology, qualitative research
National Category
Gastroenterology and Hepatology
Identifiers
urn:nbn:se:oru:diva-112761 (URN)10.1080/00365521.2024.2328590 (DOI)001195123600001 ()38557218 (PubMedID)
Funder
Region Örebro County
Note

Funding: The study was financed by grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement (OLL-980043). Funding was also granted by Forskningskommittén, Region Örebro County.

Available from: 2024-04-02 Created: 2024-04-02 Last updated: 2024-04-09Bibliographically approved
Lind, A., Cao, Y., Hesser, H., Hårdstedt, M., Jansson, S. P. O., Lernmark, Å., . . . Jendle, J. (2024). Anxiety, depression and quality of life in relation to SARS-CoV-2 antibodies in individuals living with diabetes during the second wave of COVID-19. Diabetes epidemiology and management, 13, Article ID 100194.
Open this publication in new window or tab >>Anxiety, depression and quality of life in relation to SARS-CoV-2 antibodies in individuals living with diabetes during the second wave of COVID-19
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2024 (English)In: Diabetes epidemiology and management, ISSN 2666-9706, Vol. 13, article id 100194Article in journal (Refereed) Published
Abstract [en]

Aims: The objective was to compare anxiety, depression, and quality of life (QoL) in individuals living with type 1 (T1D) and type 2 (T2D) diabetes with matched controls during the second wave of the COVID-19 pandemic.

Methods: Via randomization, individuals living with diabetes T1D (n = 203) and T2D (n = 413), were identified during February-July 2021 through health-care registers. Population controls (n = 282) were matched for age, gender, and residential area. Questionnaires included self-assessment of anxiety, depression, QoL, and demographics in relation to SARS-CoV-2 exposure. Blood was collected through home-capillary sampling, and SARS-CoV-2 Nucleocapsid (NCP) and Spike antibodies (SC2_S1) were determined by multiplex Antibody Detection by Agglutination-PCR (ADAP) assays.

Results: Younger age and health issues were related to anxiety, depression, and QoL, with no differences between the study groups. Female gender was associated with anxiety, while obesity was associated with lower QoL. The SARS-CoV-2 NCP seroprevalence was higher in T1D (8.9 %) compared to T2D (3.9 %) and controls (4.0 %), while the SARS-CoV-2 SC2_S1 seroprevalence was higher for controls (25.5 %) compared to T1D (16.8 %) and T2D (14.0 %).

Conclusions: A higher SARS-CoV-2 infection rate in T1D may be explained by younger age and higher employment rate, and the associated increased risk for viral exposure.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Diabetes, SARS-CoV-2, COVID-19, Anxiety, Depression, Quality of life, Virus antibodies
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:oru:diva-111559 (URN)10.1016/j.deman.2023.100194 (DOI)001154927400001 ()38463606 (PubMedID)2-s2.0-85182889973 (Scopus ID)
Funder
Swedish Foundation for Strategic Research, IRC15-0067
Note

This work was supported by NIH SBIR 2R44DK110005-02, Strategic Research Area Exodiab Dnr 2009-1039, and the Swedish Foundation for Strategic Research Dnr IRC15-0067.

Available from: 2024-02-14 Created: 2024-02-14 Last updated: 2024-03-19Bibliographically approved
Zhai, Y., Hu, F., Yuan, L., Ye, X., Shi, W., Yang, R., . . . Xu, F. (2024). Atrial fibrillation increases the risk of all-cause dementia, Alzheimer's disease, and vascular dementia: A cohort study of 373, 415 participants in the UK Biobank. Journal of Affective Disorders, 351, 323-330
Open this publication in new window or tab >>Atrial fibrillation increases the risk of all-cause dementia, Alzheimer's disease, and vascular dementia: A cohort study of 373, 415 participants in the UK Biobank
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2024 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 351, p. 323-330Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Accumulated evidence has highlighted the association between atrial fibrillation and the risk of developing dementia.

METHODS: This current cohort study utilized data from the UK Biobank to explore the association between atrial fibrillation (AF) and all-cause dementia (ACD), encompassing its main subtypes (Alzheimer's disease (AD), and vascular dementia (VD)). Cox proportional hazards models were applied to examine the association of AF and dementia with its primary subtypes after adjusting for different sets of covariates. Hazard ratios (HRs) with 95 % confidential intervals (CIs) were estimated to quantify the associated risks. Competing risk model was applied in sensitivity analysis.

RESULTS: After exclusion, 373, 415 participants entered the primary analysis. Among these, 27, 934 (7.48 %) were with a history AF at baseline, while 345, 481 (92.52 %) were without. During a mean follow-up of 13.45 years, ACD was diagnosed in 1215 individuals with AF and 3988 individuals without AF. Participants with AF had higher risks of ACD (1.79 [1.67-1.91]), AD (1.48 [1.32-1.65]), and VD (2.46 [2.17-2.80]) in the fully adjusted Cox regression models. Results of subgroup and sensitivity analyses predominantly aligned with the positive associations in primary analysis.

LIMITATIONS: The applicability of our findings to diverse ethnicities might require careful consideration and the behind biological mechanisms need to be further revealed.

CONCLUSIONS: It indicated that people with atrial fibrillation had an increased future risk of all-cause dementia, Alzheimer's disease, vascular dementia. Atrial fibrillation screening and prevention strategies should take into account to prevent and delay the onset of dementia.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
All-cause dementia, Alzheimer's disease, Atrial fibrillation, Cohort study, UK Biobank, Vascular dementia
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:oru:diva-111232 (URN)10.1016/j.jad.2024.01.224 (DOI)001177216300001 ()38286227 (PubMedID)2-s2.0-85184052899 (Scopus ID)
Note

This study was supported by the following funding: The 2021 Shanghai “Science and Technology Innovation Action Plan” (Project Number: 21XD1432900), the Research Project Plan of the Shanghai Municipal Health Commission (Project Number: 202150019), the Project of Hospital Management from Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine (Project Number: YGA202308), and the 2022 Medical and Health Science and Technology Plan of Zhoushan City, China (Project Number: 2022JYB05).

Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2024-03-20Bibliographically approved
Mohammad Ismail, A., Forssten, M. P., Hildebrand, F., Sarani, B., Ioannidis, I., Cao, Y., . . . Mohseni, S. (2024). Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries. European Journal of Trauma and Emergency Surgery
Open this publication in new window or tab >>Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries
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2024 (English)In: European Journal of Trauma and Emergency Surgery, ISSN 1863-9933, E-ISSN 1863-9941Article in journal (Refereed) Epub ahead of print
Abstract [en]

INTRODUCTION: As the incidence of traumatic spine injuries has been steadily increasing, especially in the elderly, the ability to categorize patients based on their underlying risk for the adverse outcomes could be of great value in clinical decision making. This study aimed to investigate the association between the Revised Cardiac Risk Index (RCRI) and adverse outcomes in patients who have undergone surgery for traumatic spine injuries.

METHODS: All adult patients (18 years or older) in the 2013-2019 TQIP database with isolated spine injuries resulting from blunt force trauma, who underwent spinal surgery, were eligible for inclusion in the study. The association between the RCRI and in-hospital mortality, cardiopulmonary complications, and failure-to-rescue (FTR) was determined using Poisson regression models with robust standard errors to adjust for potential confounding.

RESULTS: A total of 39,391 patients were included for further analysis. In the regression model, an RCRI ≥ 3 was associated with a threefold risk of in-hospital mortality [adjusted IRR (95% CI): 3.19 (2.30-4.43), p < 0.001] and cardiopulmonary complications [adjusted IRR (95% CI): 3.27 (2.46-4.34), p < 0.001], as well as a fourfold risk of FTR [adjusted IRR (95% CI): 4.27 (2.59-7.02), p < 0.001], compared to RCRI 0. The risk of all adverse outcomes increased stepwise along with each RCRI score.

CONCLUSION: The RCRI may be a useful tool for identifying patients with traumatic spine injuries who are at an increased risk of in-hospital mortality, cardiopulmonary complications, and failure-to-rescue after surgery.

Place, publisher, year, edition, pages
Urban und Vogel Medien und Medizin Verlagsgesellsc, 2024
Keywords
Cardiopulmonary complications, Mortality, Revised Cardiac Risk Index, Risk stratification, Traumatic spine injury
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:oru:diva-110622 (URN)10.1007/s00068-023-02413-7 (DOI)001135545400001 ()38170276 (PubMedID)2-s2.0-85181522328 (Scopus ID)
Funder
Örebro University
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2024-03-06Bibliographically approved
Gunnarsson, K., Tofiq, a., Mathew, A., Cao, Y., von Euler, M. & Ström, J. O. (2024). Changes in stroke and TIA admissions during the COVID-19 pandemic: A meta-analysis. European Stroke Journal, 9(1), 78-87
Open this publication in new window or tab >>Changes in stroke and TIA admissions during the COVID-19 pandemic: A meta-analysis
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2024 (English)In: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 9, no 1, p. 78-87Article, review/survey (Refereed) Published
Abstract [en]

PURPOSE: To perform a meta-analysis on how the admissions of stroke and transient ischemic attack (TIA) changed during the Corona Virus infection-19 (COVID-19) pandemic and evaluate if the effect was depending on stroke severity.

METHODS: Observational cohort studies comparing the number of stroke and/or TIA admissions during a period of the pandemic compared to a period before the pandemic were identified in PubMed and Embase. After excluding studies with overlapping populations and studies without satisfactory case ascertainment, data was extracted and meta-analyzed.

FINDINGS: A total of 59 studies were included. During the pandemic, there was a decrease in admissions of ischemic stroke (admission rate ratio (ARR) = 0.77, 95% confidence interval (CI): 0.72, 0.82), intracerebral hemorrhage (ARR = 0.79, 95% CI: 0.70, 0.90) and TIA (ARR = 0.66, 95% CI: 0.58, 0.75). Albeit admission rates of both mild (ARR = 0.61, 95% CI: 0.49, 0.77) and severe (ARR = 0.82, 95% CI = 0.71, 0.95) strokes decreased, milder strokes decreased more (proportion ratio (PR) = 0.76, 95% CI: 0.65, 0.89).

DISCUSSION: Potential causes for the admission reduction could be strict prioritizations within the health care, patients' fear of acquiring COVID-19, or decreased access to health care due to lockdowns.

CONCLUSION: During the COVID-19 pandemic, there was a reduction in admissions of stroke and TIA, possibly caused by reluctance to seek medical care.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
Acute ischemic stroke, Corona virus, NIHSS, SARS-CoV-2, TIA, cerebral infarction, intracerebral hemorrhage
National Category
Public Health, Global Health, Social Medicine and Epidemiology Neurology
Identifiers
urn:nbn:se:oru:diva-108656 (URN)10.1177/23969873231204127 (DOI)001073208700001 ()37776062 (PubMedID)2-s2.0-85173493290 (Scopus ID)
Available from: 2023-10-02 Created: 2023-10-02 Last updated: 2024-03-22Bibliographically approved
Li, H., Zhang, X., Cao, Y. & Zhang, G. (2024). Effects of Participating in Religious Groups on Mental Health Issues: A Two-Sample Mendelian Randomization Study. The international journal for the psychology of religion, 34(1), 24-36
Open this publication in new window or tab >>Effects of Participating in Religious Groups on Mental Health Issues: A Two-Sample Mendelian Randomization Study
2024 (English)In: The international journal for the psychology of religion, ISSN 1050-8619, E-ISSN 1532-7582, Vol. 34, no 1, p. 24-36Article in journal (Refereed) Published
Abstract [en]

We conducted a Mendelian randomization study to evaluate the potential causal effects of attending religious groups on the prevalence of depression, generalized anxiety disorders, anxiety disorders, and suicide and self-harm. Data from the UK Biobank and the FinnGen project were processed by inverse variance weighting (IVW), weighted median, and MR-Egger regression methods. Despite certain pleiotropic risks, we found that attending religious groups was potentially associated with a reduced risk of anxiety disorders (OR = 0.213, p = .028). The pleiotropies were largely controlled and the effect on anxiety disorders became more significant in our sensitivity analysis (OR = 0.162; p = .006). Additionally, attending religious groups was associated with a reduced risk of suicide and self-harm (OR = 0.231, p = .0006). However, we did not observe any substantial protection against depression. In conclusion, our study adds to the existing literature and sheds light on the potential health benefits of religious activities from a novel perspective.

Place, publisher, year, edition, pages
Routledge, 2024
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-109404 (URN)10.1080/10508619.2023.2267956 (DOI)001080739000001 ()2-s2.0-85173728230 (Scopus ID)
Available from: 2023-10-25 Created: 2023-10-25 Last updated: 2024-01-29Bibliographically approved
Mohseni, S., Forssten, M. P., Mohammad Ismail, A., Cao, Y., Hildebrand, F., Sarani, B. & Ribeiro, M. A. (2024). Investigating the link between frailty and outcomes in geriatric patients with isolated rib fractures. Trauma surgery & acute care open, 9(1), Article ID e001206.
Open this publication in new window or tab >>Investigating the link between frailty and outcomes in geriatric patients with isolated rib fractures
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2024 (English)In: Trauma surgery & acute care open, E-ISSN 2397-5776, Vol. 9, no 1, article id e001206Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Studies have shown an increased risk of morbidity in elderly patients suffering rib fractures from blunt trauma. The association between frailty and rib fractures on adverse outcomes is still ill-defined. In the current investigation, we sought to delineate the association between frailty, measured using the Orthopedic Frailty Score (OFS), and outcomes in geriatric patients with isolated rib fractures.

METHODS: All geriatric (aged 65 years or older) patients registered in the 2013-2019 Trauma Quality Improvement database with a conservatively managed isolated rib fracture were considered for inclusion. An isolated rib fracture was defined as the presence of ≥1 rib fracture, a thorax Abbreviated Injury Scale (AIS) between 1 and 5, an AIS ≤1 in all other regions, as well as the absence of pneumothorax, hemothorax, or pulmonary contusion. Based on patients' OFS, patients were classified as non-frail (OFS 0), pre-frail (OFS 1), or frail (OFS ≥2). The prevalence ratio (PR) of composite complications, in-hospital mortality, failure-to-rescue (FTR), and intensive care unit (ICU) admission between the OFS groups was determined using Poisson regression models to adjust for potential confounding.

RESULTS: A total of 65 375 patients met the study's inclusion criteria of whom 60% were non-frail, 29% were pre-frail, and 11% were frail. There was a stepwise increased risk of complications, in-hospital mortality, and FTR from non-frail to pre-frail and frail. Compared with non-frail patients, frail patients exhibited a 87% increased risk of in-hospital mortality [adjusted PR (95% CI): 1.87 (1.52-2.31), p<0.001], a 44% increased risk of complications [adjusted PR (95% CI): 1.44 (1.23-1.67), p<0.001], a doubling in the risk of FTR [adjusted PR (95% CI): 2.08 (1.45-2.98), p<0.001], and a 17% increased risk of ICU admission [adjusted PR (95% CI): 1.17 (1.11-1.23), p<0.001].

CONCLUSION: There is a strong association between frailty, measured using the OFS, and adverse outcomes in geriatric patients managed conservatively for rib fractures.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
Keywords
Frailty, geriatrics, rib fractures
National Category
Geriatrics
Identifiers
urn:nbn:se:oru:diva-111653 (URN)10.1136/tsaco-2023-001206 (DOI)001162591700007 ()38347893 (PubMedID)2-s2.0-85184814992 (Scopus ID)
Available from: 2024-02-21 Created: 2024-02-21 Last updated: 2024-03-11Bibliographically approved
Brus, O., Cao, Y., Carlborg, A., Engström, I., von Knorring, L. & Nordenskjöld, A. (2024). Long-Term Effect of Maintenance Electroconvulsive Therapy in Patients With Depression-Data From a Small Randomized Controlled Trial. Journal of ECT
Open this publication in new window or tab >>Long-Term Effect of Maintenance Electroconvulsive Therapy in Patients With Depression-Data From a Small Randomized Controlled Trial
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2024 (English)In: Journal of ECT, ISSN 1095-0680, E-ISSN 1533-4112Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVES: This study aimed to compare the long-term effects of maintenance electroconvulsive therapy (M-ECT) with medication and medication only in patients with depression.

METHODS: A randomized controlled trial of 1 year of M-ECT with medication or medication only investigated relapse/recurrence among 56 patients in remission after electroconvulsive therapy (ECT) for depression was conducted. The results of the first year are published already and showed a significant advantage of M-ECT with medication.The current study was a long-term follow-up. When the randomized treatment allocation ended, medication was continued in both groups but M-ECT was terminated. Patients were followed for up to 10 years via Swedish national registers until the study endpoint of a new psychiatric diagnosis as an inpatient, suicide, suspected suicide, or death of another cause. Time to relapse was compared between the M-ECT with medication group and the medication-only group using Kaplan-Meier estimates.

RESULTS: The median follow-up time was 6.5 years for the M-ECT and medication group and 3.1 years for the medication-only group. One year after randomization 22 patients remained in the M-ECT and medication group, and 14 patients remained in the medication-only group. Relapse patterns between the treatment groups after the completion of M-ECT seemed to be similar according to visual inspection.

CONCLUSIONS: This long-term follow-up study suggests that most of the benefit achieved during the treatment period with M-ECT is maintained over several years, but the small sample size, with accompanying large statistical imprecision, makes the results uncertain. More long-term studies of M-ECT are required.Trial registration: ClinicalTrials.gov identifier: NCT00627887.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2024
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-111028 (URN)10.1097/YCT.0000000000000983 (DOI)38232249 (PubMedID)
Funder
Region Örebro County
Note

Uppsala-Örebro Regional Research Council and Research Committee of Örebro County Council, Örebro, Sweden, supported the research

Available from: 2024-01-30 Created: 2024-01-30 Last updated: 2024-01-30Bibliographically approved
Ferrari, G., Geijer, H., Cao, Y., Graf, U., Bojö, L., Carlsson, R., . . . Samano, N. (2024). Long-term results of percutaneous coronary intervention in no-touch vein grafts are significantly better than in conventional vein grafts. Perfusion, Article ID 2676591241230012.
Open this publication in new window or tab >>Long-term results of percutaneous coronary intervention in no-touch vein grafts are significantly better than in conventional vein grafts
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2024 (English)In: Perfusion, ISSN 0267-6591, E-ISSN 1477-111X, article id 2676591241230012Article in journal (Refereed) Epub ahead of print
Abstract [en]

INTRODUCTION: Conventional vein grafts have a high risk of thrombosis and early atherosclerosis. Percutaneous coronary intervention (PCI) in conventional vein grafts is associated with a higher incidence of late adverse cardiac events. The aim of this study was to evaluate the long-term results after PCI in saphenous vein grafts (SVG) harvested with the no-touch technique compared to the conventional technique.

METHODS: This was a single-center, retrospective, cohort study, based on data from the Swedeheart register. The inclusion criterion was individuals who underwent CABG using different vein graft techniques between January 1992 and July 2020, and who required a PCI in SVGs between January 2006 and July 2020. The primary end point was long-term in-stent restenosis. The secondary endpoints were long-term major adverse cardiac events (MACE) and 1-year re-hospitalization rates. The associations between the graft types and the endpoints were evaluated using the Fine and Gray competing-risk regression analysis.

RESULTS: The study included 346 individuals (67 no-touch, 279 conventional). The mean clinical follow-up time was 6.4 years with a standard deviation of 3.7 years. The long-term in-stent restenosis rate for the no-touch grafts was 3.2% compared to 18.7% for the conventional grafts (p < .01), with a subdistribution hazard ratio (SHR) of 0.16 (p = .010). The long-term MACE rate was 27.0% in the no-touch group and 48.3% in the conventional group (p < .01) with a SHR of 0.53 (p = .017). The short-term results were similar in both groups.

CONCLUSIONS: Percutaneous coronary intervention in a no-touch vein graft was associated with statistically significantly fewer in-stent restenoses and MACE at long-term follow-up compared to a conventional SVG.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
coronary artery bypass graft, major adverse cardiac events, no-touch, percutaneous coronary intervention, saphenous vein, stent
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:oru:diva-111036 (URN)10.1177/02676591241230012 (DOI)001147222400001 ()38253348 (PubMedID)2-s2.0-85182996475 (Scopus ID)
Funder
Region Örebro County, OLL-935188Region Uppsala, RFR-55691
Available from: 2024-01-30 Created: 2024-01-30 Last updated: 2024-02-05Bibliographically approved
Li, H., Browning, M. H. E., Bardhan, M., Ying, M., Zhang, X., Cao, Y. & Zhang, G. (2024). Nature connectedness connects the visibility of trees through windows and mental wellbeing: a study on the "3 visible trees" component of the 3-30-300 rule. International Journal of Environmental Health Research
Open this publication in new window or tab >>Nature connectedness connects the visibility of trees through windows and mental wellbeing: a study on the "3 visible trees" component of the 3-30-300 rule
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2024 (English)In: International Journal of Environmental Health Research, ISSN 0960-3123, E-ISSN 1369-1619Article in journal (Refereed) Epub ahead of print
Abstract [en]

To examine the mediatory role of nature connectedness between tree visibility through windows and mental wellbeing, we conducted a questionnaire survey and examined the mediation effect using both cross-sectional and semi-longitudinal mediation models. We evaluated nature connectedness using the Inclusion of Nature in Self (INS) scale and the Connectedness to Nature Scale (CNS) and measured mental wellbeing using the WHO-5 wellbeing index. Our results showed that participants who could see at least three trees through their windows reported higher levels of both nature connectedness and mental wellbeing compared to those without such visibility. Nature connectedness significantly mediated the relationship between the visibility of trees through windows and mental wellbeing, albeit with a somewhat limited effect. More broadly, this study provides additional evidence in support of the "3" component of the 3-30-300 "rule" for equitable access to greenspace in cities.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Greenery, community, mental health, urban, window view
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-113058 (URN)10.1080/09603123.2024.2334767 (DOI)38591755 (PubMedID)
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-04-10Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-3552-9153

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