Nonlinear Relationships among the Natural Environment, Health, and Sociodemographic Characteristics across US Counties.

ABSTRACT: Background: The aim of this study was to explore the nonlinear relationships between natural amenities and health at the intersection of sociodemographic characteristics among primary care patients with chronic conditions. Methods: We used survey data from 3409 adults across 119 US counties. PROMIS-29 mental and physical health summary scores were the primary outcomes. The natural environment (measured using the County USDA Natural Amenities Scale (NAS)) was the primary predictor. Piecewise spline regression models were used to explore the relationships between NAS and health at the intersection of sociodemographic factors. Results: We identified a nonlinear relationship between NAS and health. Low-income individuals had a negative association with health with each inc

SUBMITTER: Bonnell LN 

PROVIDER: S-EPMC9180717 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature