Are greenspace quantity and quality associated with mental health through different mechanisms in Guangzhou, China: A comparison study using street view data

Residential greenspace quality may be more important for people's mental health than the quantity of greenspace. Existing literature mainly focuses on greenspace quantity and is limited to exposure metrics based on an over-head perspective (i.e., remote sensing data). Thus, whether greenspace quantity and quality influence mental health through different mechanisms remains unclear. To compare the mechanisms through which greenspace quantity and quality influence mental health, we used both remote sensing and street view data. Questionnaire data from 1003 participants in Guangzhou, China were analysed cross-sectionally. Mental health was assessed through the World Health Organization Well-Being Index (WHO-5). Greenspace quantity was measured by both remote sensing-based Normalized Difference Vegetation Index (NDVI) and Street View Greenness-quantity (SVG-quantity). Greenspace quality was measured by both Street View Greenness-quality (SVG-quality) and questionnaire-based self-reported greenspace quality. Structural equation models were used to assess mechanisms through which neighbourhood greenspace exposure has an influence on mental health. Stress, social cohesion, physical activity and life satisfaction were found to mediate both SVG-quality - WHO-5 scores and self-reported greenspace quality - WHO-5 scores associations. However, only NO₂ (nitrogen dioxide) mediated the association between NDVI and WHO-5 scores, while NO₂, perceived pollution and social cohesion mediated the association between SVG-quantity and WHO-5 scores. The mechanisms through which neighbourhood greenspace exposure influences mental health may vary across different exposure assessment strategies. Greenspace quantity influences mental health through reducing harm from pollution, while greenspace quality influences mental health through restoring and building capacities.