American Journal of Public Health · 2004 · 740 citations · 25 references
Public HealthChild HealthUrban HealthChild PsychiatryEnvironmental HealthPediatric EpidemiologyAttention DisordersAttention-deficit/hyperactivity DisorderBehavioral InterventionsEnvironmental Health For ChildrenNeurodevelopmental DisordersOutdoor ExposureActivitiesAdhd EpidemiologyAdhd PrevalenceAdhd TreatmentAttention-deficit/hyperactivity Disorder EpidemiologyChildhood AdhdChildhood Environmental HealthNonprobability Sampling
The study examined how green or natural settings affect ADHD symptoms in diverse groups of children. Parents nationwide rated the aftereffects of 49 common after-school and weekend activities, comparing green outdoor settings to built outdoor and indoor settings. Green outdoor activities significantly reduced ADHD symptoms more than activities in other settings, consistently across age, gender, income, community type, region, and diagnoses.
Objectives. We examined the impact of relatively “green” or natural settings on attention-deficit/hyperactivity disorder (ADHD) symptoms across diverse subpopulations of children. Methods. Parents nationwide rated the aftereffects of 49 common after-school and weekend activities on children’s symptoms. Aftereffects were compared for activities conducted in green outdoor settings versus those conducted in both built outdoor and indoor settings. Results. In this national, nonprobability sample, green outdoor activities reduced symptoms significantly more than did activities conducted in other settings, even when activities were matched across settings. Findings were consistent across age, gender, and income groups; community types; geographic regions; and diagnoses. Conclusions. Green outdoor settings appear to reduce ADHD symptoms in children across a wide range of individual, residential, and case characteristics.
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