Publication Details |
| Category | Text Publication |
| Reference Category | Journals |
| DOI | 10.3390/ijerph20075241 |
Licence  |
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| Title (Primary) | Do multiple sex/gender dimensions play a role in the association of green space and self-rated health? Model-based pecursive rartitioning Results from the KORA INGER study |
| Author | Dandolo, L.; Telkmann, K.; Hartig, C.; Horstmann, S.; Pedron, S.; Schwettmann, L.; Selsam, P.; Schneider, A.; Bolte, G. |
| Source Titel | International Journal of Environmental Research and Public Health |
| Year | 2023 |
| Department | MET |
| Volume | 20 |
| Issue | 7 |
| Page From | art. 5241 |
| Language | englisch |
| Topic | T5 Future Landscapes |
| Supplements | Supplement 1 |
| Keywords | sex; gender; intersectionality; model-based recursive partitioning; decision trees; green spaces |
| Abstract | Exposure to green space has a positive impact on health. Whether sex/gender modifies the green space–health association has so far only been studied through the use of a binary sex/gender category; however, sex/gender should be considered more comprehensively as a multidimensional concept based on theoretical approaches. We therefore explored whether sex/gender, operationalized through multiple sex/gender- and intersectionality-related covariates, modifies the green space–self-rated health association. We collected data from participants involved in the German KORA study (Cooperative Health Research in the Region of Augsburg) in 2019. Self-rated health was assessed as a one-question item. The availability of green spaces was measured subjectively as well as objectively. The multiple sex/gender- and intersectionality-related covariates were measured via self-assessment. To analyze the data, we used model-based recursive partitioning, a decision tree method that can handle complex data, considering both multiple covariates and their possible interactions. We showed that none of the covariates operationalizing an individual sex/gender self-concept led to subgroups with heterogeneous effects in the model-based tree analyses; however, we found effect heterogeneity based on covariates representing structural aspects from an intersectionality perspective, although they did not show the intersectional structuring of sex/gender dimensions. In one identified subgroup, those with a lower education level or a feeling of discrimination based on social position showed a positive green space–self-rated health association, while participants with a higher education level or no feeling of discrimination based on social position had a high level of self-rated health regardless of the availability of green spaces. Model-based recursive partitioning has the potential to detect subgroups exhibiting different exposure–outcome associations, with the possibility of integrating multiple sex/gender- and intersectionality-related covariates as potential effect modifiers. A comprehensive assessment of the relevance of sex/gender showed effect heterogeneity based on covariates representing structural aspects from an intersectionality perspective. |
| Dandolo, L., Telkmann, K., Hartig, C., Horstmann, S., Pedron, S., Schwettmann, L., Selsam, P., Schneider, A., Bolte, G. (2023): Do multiple sex/gender dimensions play a role in the association of green space and self-rated health? Model-based pecursive rartitioning Results from the KORA INGER study Int. J. Environ. Res. Public Health 20 (7), art. 5241 10.3390/ijerph20075241 |
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