<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Raf Aerts</style></author><author><style face="normal" font="default" size="100%">Michiel Stas</style></author><author><style face="normal" font="default" size="100%">Naomi Vanlessen</style></author><author><style face="normal" font="default" size="100%">Marijke Hendrickx</style></author><author><style face="normal" font="default" size="100%">Nicolas Bruffaerts</style></author><author><style face="normal" font="default" size="100%">Lucie Hoebeke</style></author><author><style face="normal" font="default" size="100%">Nicolas Dendoncker</style></author><author><style face="normal" font="default" size="100%">Sébastien Dujardin</style></author><author><style face="normal" font="default" size="100%">Nelly D. Saenen</style></author><author><style face="normal" font="default" size="100%">An Van Nieuwenhuyse</style></author><author><style face="normal" font="default" size="100%">Jean-Marie Aerts</style></author><author><style face="normal" font="default" size="100%">Jos Van Orshoven</style></author><author><style face="normal" font="default" size="100%">Tim S. Nawrot</style></author><author><style face="normal" font="default" size="100%">Ben Somers</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Residential green space and seasonal distress in a cohort of tree pollen allergy patients</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of Hygiene and Environmental Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Emotional distress</style></keyword><keyword><style  face="normal" font="default" size="100%">GHQ-12</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental health</style></keyword><keyword><style  face="normal" font="default" size="100%">Residential green space</style></keyword><keyword><style  face="normal" font="default" size="100%">Respiratory Hypersensitivity</style></keyword><keyword><style  face="normal" font="default" size="100%">Tree pollen allergy</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Jan-01-2020</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">223</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background&lt;/p&gt;

&lt;p&gt;Residential green space may improve human health, for example by promoting physical activity and by reducing stress. Conversely, residential green space may increase stress by emitting aeroallergens and exacerbating allergic disease. Here we examine impacts of exposure to residential green space on distress in the susceptible subpopulation of adults sensitized to tree pollen allergens.&lt;/p&gt;

&lt;p&gt;Methods&lt;/p&gt;

&lt;p&gt;In a panel study of 88 tree pollen allergy patients we analyzed self-reported mental health (GHQ-12), perceived presence of allergenic trees (hazel, alder, birch) near the residence and residential green space area within 1 km distance [high (≥3 m) and low (&amp;lt;3 m) green]. Results were adjusted for patients’ background data (gender, age, BMI, smoking status, physical activity, commuting distance, education level, allergy medication use and chronic respiratory problems) and compared with distress in the general population (N = 2467).&lt;/p&gt;

&lt;p&gt;Results&lt;/p&gt;

&lt;p&gt;Short-term distress [mean GHQ-12 score 2.1 (95% confidence interval 1.5–2.7)] was higher in the study population than in the general population [1.5 (1.4–1.7)]. Residential green space had protective effects against short-term distress [high green, per combined surface area of 10 ha: adjusted odds ratio OR = 0.94 (95% confidence interval 0.90–0.99); low green, per 10 ha: OR = 0.85 (0.78–0.93)]. However, distress was higher in patients who reported perceived presence of allergenic trees near their residence [present vs. absent: OR = 2.04 (1.36–3.07)].&lt;/p&gt;

&lt;p&gt;Conclusions&lt;/p&gt;

&lt;p&gt;Perceived presence of allergenic tree species in the neighbourhood of the residence of tree pollen allergy patients modulates the protective effect of residential green space against distress during the airborne tree pollen season.&lt;/p&gt;
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