Quantitative Analysis of Seasonality and the Impact of COVID-19 on Tourists' Use of Urban Green Space in Okinawa: An ARIMA Modeling Approach Using Web Review Data

We employed publicly available user-generated content (UGC) data from the website Tripadvisor and developed an autoregressive integrated moving average (ARIMA) model using the R language to analyze the seasonality of the use of urban green space (UGS) in Okinawa under normal conditions and during the COVID-19 pandemic. The seasonality of the use of ocean-area UGS is primarily influenced by climatic factors, with the peak season occurring from April to October and the off-peak season from November to March. Conversely, the seasonality of the use of non-ocean-area UGS remains fairly stable throughout the year, with a relatively high number of visitors in January and May. The outbreak of the COVID-19 pandemic greatly impacted visitor enthusiasm for travel, resulting in significantly fewer actual postings compared with predictions. During the outbreak, use of ocean-area UGS was severely restricted, resulting in even fewer postings and a negative correlation with the number of new cases. In contrast, for non-ocean-area UGS, a positive correlation was observed between the change in postings and the number of new cases. We offer several suggestions to develop UGS management in Okinawa, considering the opportunity for a period of recovery for the tourism industry.

Policymaker and Practitioner Perceptions of Parks for Health and Wellbeing: Scoping a Holistic Approach

Urban parks provide a multitude of health benefits for citizens navigating the challenges of 21st-century living. And while this is well known by both scholars and practitioners, there is less understanding about the differential impacts of park size, type of facilities, community accessibility, and management. This is the central concern of the research reported here, which is a part of a larger project titled 'Better Parks, Healthier for All?' funded under the UKRI-NHMRC Built Environment and Prevention Research Scheme 2019. Within this broader context, the current paper discusses the results of a focus group to better understand how different park qualities promote physical and mental health. Using a COVID-safe research approach, we brought key park providers, park policymakers, and green and open space designers from New South Wales, Australia, together to participate in an online focus group in May 2021. The recruitment was based on the domain expertise and practitioner knowledge of the issues at hand. The ensuing discussion canvassed three areas of interest: What is park quality? How is park quality associated with health? How can we assess park quality and its ability to deliver health outcomes? A thematic analysis of the group's deliberations reveals a very holistic appreciation of park quality. The ability of a park network to provide a range of health outcomes is central to this view, with each park playing a role in delivering different benefits across the network. Our findings indicate that there are many opportunities to enhance the myriad of benefits and multiple ways to gain them. Co-design is essential to ensure that parks best suit the local context and provide relevant benefits to all stakeholders. In this way, local communities can gain ownership and enhanced agency in relation to using and enjoying their parks. We conclude that delivering locally networked parks and associated spaces for community health and wellbeing are essential in the broader context of global environmental sustainability.

Urban Green Space for Sustainable Environmental Health in Relation to Pandemic Crises

Trace the timeline of a pandemic such as Ebola, SARS, and SARS-CoV-2. All these extremely infectious viruses led to a worldwide pandemic starting in 2002. All these three viruses are transmitted to humans by animals from the jungle. The novel human coronavirus COVID-19 is now the fifth documented pandemic since the 1918 influenza pandemic. Questions about pandemics are on the rise these days, and it is widely discussed in the media. Recently, awareness about urban green spaces is rising in this era, and numerous researchers claim that appropriate landscape planning and design with the conception of sustainability able to produce a beneficial and responsive environment for healthy urban improvement in relation to pandemic crises. Therefore, this paper aims to investigate the effectiveness of urban green spaces for sustainable environmental health. The result shows that the role of urban green spaces improves immune system function, increases social capital and cohesion, reduces mortality, and increases life expectancy, reduces potential negative health impacts, and makes urban beautification healthier. In addition, the finding shows the benefits of urban green spaces in pandemics, for example improving mental health and stress reduction, improving physical health, decreasing the risk of disease transmission, and improving social cohesion.

Urban green spaces for support healthiness in Jakarta during the COVID-19 pandemic: A quantitative study

This research analyzes the criticality of Urban Green Spaces (UGS) environmental and health benefits during the COVID-19 pandemic. However, restrictions on mobility, safety concerns, and restricted access during the implementation of social distancing policies tend to use UGS to provide alternative spaces for social interaction and health. This is a severe concern to Jakarta, as the epicenter of the pandemic outbreak with limited UGS. An online survey was conducted from March to April 2021 to understand better and investigate the impact of COVID-19 on the use of UGS and behavior-changing of visitation. The results show that respondents continued to use UGS during the pandemic and considered it more beneficial for health. However, the result showed that residents' considerations of staying active for health reasons, reduced stress, and boredom. This research provides empirical evidence illustrating the value of UGS as a resilient city infrastructure, therefore, the management policy in this city can be considered with potential application to other cities.

Negative Sentiment Modeling and Public Legal Liability from Urban Green Space: A Framework for Policy Action in China

This paper intends to optimize the urban green space (UGS) management and implementation strategies by analyzing climate change models and reviewing economic, energy, and public health policies. This paper studies the public perception of climate change-induced public health emergency (PHE) in China by surveying online public comments. Specifically, it looks into public health perception, anxiety perception, relative deprivation, and emotional polarity from public online comments. The following conclusions are drawn through the empirical test of 179 questionnaires. The findings revealed that health risk perception has a positive predictive effect on relative deprivation and anxiety perception. The higher the health risk perception, the stronger the relative deprivation and anxiety are. Anxiety perception and relative deprivation have mediating effects in the model. In addition, the main research method adopts a questionnaire survey. The mediating effect between each variable is further studied. This paper analyzes the citizens' right to health and public health protection under climate change, and explains public risk perception and anxiety perception. Meanwhile, the evaluation cases are used to analyze the public health and UGS construction strategies to suggest climate compensation laws and improve the urban greening rate. This finding has practical reference value for promoting the deep integration of UGS and public health. It can promote the development and planning of UGS under climate change and biodiversity loss and has significant reference value for improving negative emotions and the public legal liability system.

The Use of Green Open Spaces as Climate Adaptation Effort During the Pandemic

Climate change does not only occur in general conditions, but also during a pandemic. Public green open space is seen as part of ecosystem services that play a major role in recovering from climate change, especially during the pandemic. But, higher accessibility to public green open space also means a higher risk of spreading infection due to the greater opportunity for people to meet each other. This study aims to see the use of green open spaces in Surakarta, even in pandemic Covid-19. The spatial correlation between Covid-19 cases and green open space usage will provide an overview of green open space usage in areas that has different risk of covid-19. Because green open space is an infrastructure that has the potential to be utilized by the community to improve health during a pandemic, it is also necessary to anticipate the behaviour of using green open space by the community. Therefore, in this study, the public's perception of using green open space before and after/during the pandemic will also be seen. The results shows that green open space usage in Surakarta decreased during pandemic. But, it is not because of the pandemic, but because of the weather and personal reasons.

Natural environments, psychosocial health, and health behaviors in a crisis - A scoping review of the literature in the COVID-19 context.

The COVID-19 outbreak led to major restrictions globally, affecting people's psychosocial health and their health behaviors. Thus, the purpose of this scoping review was to summarize the available research regarding nature and health in the COVID-19 context. Keywords relating to natural environments and COVID-19 were combined to conduct a systematic online search in six major databases. Eligibility criteria were a) published since 2020 with data collected in the COVID-19 context b) peer-reviewed, c) original empirical data collected on human participants, d) investigated the association between natural environments and psychosocial health or health behaviors, and e) English, German, or Scandinavian languages. Out of 9126 articles being screened, we identified 188 relevant articles, representing 187 distinct studies. Most research focused on adults in the general population and was predominantly conducted in the USA, Europe, and China. Overall, the findings indicate that nature may mitigate the impact of COVID-19 on psychological health and physical activity. Through a systematic thematic analysis of the extracted data, three primary themes were identified: 1) type of nature assessed, 2) psychosocial health and health behaviors investigated, and 3) heterogeneity in the nature-health relationship. Research gaps in the COVID-19 context were identified regarding I) nature characteristics that promote psychosocial health and health behaviors, II) investigations of digital and virtual nature, III) psychological constructs relating to mental health promotion, IV) health-promoting behaviors other than physical activity, V) underlying mechanisms regarding heterogeneity in the nature-health relationship based on human, nature, and geographic characteristics, and VI) research focusing on vulnerable groups. Overall, natural environments demonstrate considerable potential in buffering the impact of stressful events on a population level on mental health. However, future research is warranted to fill the mentioned research gaps and to examine the long-term effects of nature exposure during COVID-19.

The effect of COVID-19 lockdowns on maternal mental health and parenting practices moderated by urban green space

Stress generates difficulties in parenting, which affects child development. We aimed to understand the impact of COVID-19 lockdowns on maternal mental health and parenting practices. We also explored to what extent green space is a protective factor in the aforementioned relationship. We explored heterogeneous lockdown effects using longitudinal georeferenced data for 985 families (mothers and 24- to 30-month-olds) and exploiting localized lockdowns in Chile. Controlling for observed and unobserved fixed characteristics, on average, we did not find an association between lockdown duration and maternal mental health or parenting practices. However, the previous nonsignificant association is heterogeneous across access to green space. Although lockdown duration increased dysfunctional interactions with children for mothers with little access to green space, we did not see the previous effect on mothers who live close to green space. Mothers who do not comply with the lockdown mandate are the ones who drive this heterogeneous effect. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Therapeutic landscapes during the COVID-19 pandemic: increased and intensified interactions with nature

The COVID-19 pandemic has had a drastic impact on the course of everyday life for much of the world's population and many people have experienced an unprecedented increase in anxiety and depression while their access to a range of coping mechanisms has been reduced. For those privileged enough to have nearby and safe access to natural environments, green and blue spaces have become an important enabler of everyday wellbeing. In this paper we explore the role of everyday interactions with nature for the maintenance of wellbeing, during the first and second ‘wave' of infections in the Netherlands. Based on qualitative interviews with 30 participants in spring/summer and autumn of 2020, we detail how relationships with nature in the local surroundings and in the home qualitatively and effectively changed in response to COVID-19 induced confinement, resulting in the becoming-therapeutic of everyday micro-geographies. Amongst our participants, the conditions of semi-lockdown gave rise to increased interactions with nature, both in their outdoor surroundings and in the home. These increased interactions also led to intensified emotional and sensory experiences with nature and a greater sense of familiarity with their surroundings, which strengthened place-attachments and contributed to an increased sense of wellbeing.

Urban green space during the Coronavirus disease pandemic with regard to the socioeconomic characteristics

BACKGROUND AND OBJECTIVES: The spread of Coronavirus disease limited the activities of humans in the globe in 2020 with Jakarta reported to have also struggled with the virus. The pandemic stopped humans from visiting public amenities such as urban green spaces which are one of the key components of sustainable and livable cities and have the ability to reduce the negative impact on mental health. However, there are limited studies on the behaviors and perceptions of humans toward the usage of urban green spaces during the pandemic. Therefore, this study was conducted to determine the changes in the behaviors, perceptions, and visitation of residents towards the urban green space during the pandemic based on the socioeconomic aspects as well as the access and proximity to the parks and urban forests. METHODS: A questionnaire was distributed through an online survey on social media for approximately two months, from March to April 2021, and the last data recorded showed there were 1,660 respondents. The attention was on their perceptions and visitation to the urban green spaces spread across administrative cities in Jakarta, representing 42 districts and 239 sub-districts. Data obtained were analyzed empirically using the partial least square structural equation approach and SmartPLS 3.0 software to determine the relationship between the respondents' characteristics and proximity to urban green space visitation. FINDINGS: The results showed that almost half of the respondents perceived changes in the urban green spaces and the majority believed the spaces were more useful during the pandemic. It was also discovered that the socioeconomic characteristics of the respondents including age, education level, occupational status, and average monthly income differed statistically significantly from the criteria associated with the visitation to urban green spaces during the pandemic. The findings indicated that education was substantially associated with the decision to exercise and engage in outdoor recreation in urban green spaces. Meanwhile, not all houses close to the parks and urban forests have a statistically significant impact on their usage and this is the explanation for the noncorrelation and non-causation. CONCLUSION: This study showed that the perception of urban green space by the people changed during the pandemic but its usage was reduced due to the closures and restriction policies implemented. It was also discovered that socioeconomic characteristics have a significant influence on visitation but not all accessibility factors were significantly affected and this is different from the findings of previous studies. Moreover, this study discussed and shared empirical evidence that depicts urban green space as a resilient urban infrastructure during the pandemic. This means it is necessary to promote sustainable urban planning through the development of urban green spaces to manage the medium and long-term crises © 2023 The author(s). This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third-party material in this article are included in the article's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit: http://creativecommons.org/licenses/by/4.0/

Green space justice amid COVID-19: Unequal access to public green space across American neighborhoods.

Countries around the world have resorted to issuing stay-at-home orders to slow viral transmission since the COVID-19 pandemic. During the lockdown, access to public park plays a central role in the public health of surrounding communities. However, we know little about how such an unprecedented policy may exacerbate the preexisting unequal access to green space (i.e., green space justice). To address this research void, we used difference-in-difference models to examine socioeconomic disparities, urban-rural disparities, and mobility disparities in terms of public park access in the United States. Our national analysis using the weekly mobile phone movement data robustly suggests the following three key findings during COVID-19: (1) The elderly, non-college-educated people, poor people, and blacks are less likely to visit public parks frequently, while unemployed people appear to be the opposite. (2) Compared to rural areas, populations in urban neighborhoods appear to visit public parks more frequently and they generally go to larger parks to minimize the risk of infection. (3) Populations in neighborhoods with higher private vehicle ownership or those with a higher density of transit stops would more frequently visit and travel a longer distance to public parks during the stay-at-home order. Our results imply that conventional inequality in green space access may still exist and even become worse during COVID-19, which could negatively impact people's health during isolation. We suggest that special attention should be paid to park-poor neighborhoods during the pandemic and in the post-pandemic recovery phase.

Nature visits during the COVID-19 pandemic in Norway: Facilitators, motives, and associations with sociodemographic characteristics.

Introduction: The COVID-19 pandemic has been linked to increased mental health issues and reduced well-being. Researchers also reports increased frequency of nature visits during the pandemic, proposing it may mitigate some of these negative consequences. Using the case of Norway, a country with ample access to nature and relatively low levels of pandemic-related restrictions, this study sought to (i) understand how the COVID-19 crisis impacted patterns of nature visits and specific nature-based activities, (ii) examine how these patterns varied among different population groups and levels of restrictions, and (iii) explore the motives and facilitators for increased frequency of nature visits. Methods: The data were retrieved from a national cross-sectional survey conducted in June 2021, which was designed to assess participants (n = 1,005, age > 15 years) habits in relation to nature visits and outdoor recreation since the beginning of the COVID-19 crisis, and associated factors. Results: The results showed that 32 % of participants increased their frequency of nature visits during the crisis, while 11 % experienced a decrease. Multivariate logistic regression revealed significant positive associations between increased frequency of nature visits and longer duration of lockdown restrictions (OR [95% CI] = 2.35 [1.28-4.29] and 4.92 [2.77-8.74] for a few weeks and several months of lockdown, respectively). Increased frequency of nature visits was also more likely among women, younger respondents, and individuals from high-income households. A Cochran's Q test showed that the most common motive for increased frequency of nature visits was "To be physically active" (74%). The most commonly reported facilitators were the possibility of using natural environments as an alternative to gyms and organized sports alongside having more time available (58 and 49%, respectively). Conclusion: These findings suggest that nature visits provided important opportunities for physical activity during the COVID-19 crisis, but also that the mental health benefits of nature visits during such times may be under-communicated. This highlights the importance of access to natural environments to promote physical activity and health, but also suggests that campaigns that specifically communicate the beneficial effects of nature visits during lockdowns or similar stressful situations might help people cope with the situation.

Systematic Review: Neurodevelopmental Benefits of Active/Passive School Exposure to Green and/or Blue Spaces in Children and Adolescents.

Today more than half of the world's population lives in urban areas. Children spend about 40 h a week in the school environment. Knowing the influence of school exposure to green/blue spaces could improve the children's health, creating healthier environments and preventing exposure to legal/illegal drugs. This systematic review summarized the main results of published studies on active or passive exposure to green or blue spaces in different domains of child neurodevelopment. In August 2022, five databases were searched and twenty-eight eligible studies were included in the analysis. Cognitive and/or academic performance was the most frequently studied (15/28). Most studies evaluate passive exposure to green/blue spaces (19/28) versus active exposure (9/28). Only three studies addressed the relationship between blue space and neurodevelopment. The main results point toward mixed evidence of a protective relationship between green/blue space exposure and neurodevelopment, especially in improving cognitive/academic performance, attention restoration, behavior, and impulsivity. Renaturalizing school spaces and promoting "greener" capacities for school environmental health could improve children's neurodevelopment. There was great heterogeneity in methodologies and adjustment for confounding factors across studies. Future research should seek a standardized approach to delivering school environmental health interventions beneficial to children's development.

Demographic and spatial variables associated with spending time in nature during COVID-19 lockdowns.

To stop the spread of SARS-CoV-2 coronavirus (COVID-19) governments around the world implemented lockdowns restricting public travel. In the Australian state of Victoria, this included limiting permitted reasons for leaving home and restricting movements to within a 5 km radius of one's home. In 2020, we conducted a state-wide survey (N = 1024) of Victorians that coincided with a lockdown. We asked respondents where they had spent time in nature and how they perceived lockdowns affected the amount of time they spent in nature. We then considered demographic and spatial predictors of spending more or less time in nature. Women, younger people, and those living in areas with higher socio-economic status were likely to report spending more time in nature. Closer proximity of residents to parks and waterways and higher proportional area of native vegetation within a 1-km radius were also associated with more time in nature. Understanding how different groups were affected by restrictions on access to nature can help improve government management of crises like pandemics, including through urban planning for green space, supporting improved individual and societal resilience. We discuss the implications of our findings for improving access to nature during lockdowns as well as opportunities for a post-pandemic relationship with nature, particularly in urban settings.

Disparities in greenspace access during COVID-19 mobility restrictions.

More than half of the human population lives in cities and therefore predominantly experience nature in urban greenspace, an important contributor to wellbeing. As the world faces a pandemic which threatens the physical and mental health of billions of people, it is crucial to understand that all have the possibility to access nature exposure to alleviate some of these challenges. Here, for the first time, we integrate data from Facebook, Twitter, and Google Search users to show that people looked for greenspace during COVID-19 mobility restrictions but may not have always managed to reach it. We used a longitudinal approach, replicated in three European cities, to assess whether people spent more time in locations with more greenspace, and whether this change in urban density remained for the whole pandemic, pre-vaccine, period. We coupled this human density study with a longitudinal study of web search patterns for Parks and online discussion about urban greenspace. People searched for Parks near them more during the pandemic, particularly when they were allowed to visit them. They discussed in positive terms greenspace particularly more at the start of the pandemic. People spent more time in areas with greenspace when they could and that depended on the level of multiple deprivation of their neighbourhood. Importantly, while people sought greenspace throughout the first 20 months of the pandemic, this preference intensified through the waves of lockdown. Living in an affluent area conferred a greenspace advantage in London and Paris but we find that in Berlin greenspace in more deprived neighbourhoods were used more. Overall, urban greenspace occupied a greater place in people's lives during the pandemic. Whether people could realise greenspace access depended on the deprivation level of the neighbourhood. Public greenspace access should be integrated in national indices of deprivation given its importance for wellbeing.

Urban green spaces management during the COVID-19 pandemic: Experiences from Kraków, Poland

SARS-CoV-2 (COVID-19) has spread all over the world, significantly affecting our everyday lives. People changed their habits during the pandemic and made use of urban green spaces (UGS). Our Web of Science and Scopus queries confirm a knowledge gap in green space planning and public space management studies in the field of UGS availability during COVID-19. Therefore, the purpose of our research was to determine the impact of the COVID-19 pandemic on urban green spaces management, identify the needs of the residents in terms of urban green spaces furniture, and assess the accessibility of urban green spaces to propose recommendations for the institution charged with managing urban green spaces in the City (Krakow). To this end, we used an expert interview, spatial analyses, and survey research among residents of Kraków, one of the largest cities in Poland. The survey involved 1350 respondents. The spatial analyses employed geoprocessing algorithms and GIS tools. The results showed that 96% of Kraków citizens have access to urban green spaces within 300 m from their homes. Therefore, UGS are an important part of the City's identity, making their reasonable management vital, especially during crises. The respondents indicated that the existing UGS needed more lighting, rubbish bins, and benches as places of respite. Results of the expert interview showed that the COVID-19 pandemic has affected urban green spaces management. The results may influence urban green spaces management, and the research is an innovative combination of spatial analysis, a qualitative approach (expert interview), and a quantitative method (a survey) proposing new procedures for analysing UGS. © 2022 John Wiley & Sons Ltd.

Associations between greenness and predicted COVID-19-like illness incidence in the United States and the United Kingdom.

Green spaces may be protective against COVID-19 incidence. They may provide outdoor, ventilated, settings for physical and social activities and therefore decrease transmission risk. We examined the association between neighborhood greenness and COVID-19-like illness incidence using individual-level data. Methods: The study population includes participants enrolled in the COVID Symptom Study smartphone application in the United Kingdom and the United States (March-November 2020). All participants were encouraged to report their current health condition and suspected risk factors for COVID-19. We used a validated symptom-based classifier that predicts COVID-19-like illness. We estimated the Normalized Difference Vegetation Index (NDVI), for each participant's reported neighborhood of residence for each month, using images from Landsat 8 (30 m2). We used time-varying Cox proportional hazards models stratified by age, country, and calendar month at study entry and adjusted for the individual- and neighborhood-level risk factors. Results: We observed 143,340 cases of predicted COVID-19-like illness among 2,794,029 participants. Neighborhood NDVI was associated with a decreased risk of predicted COVID-19-like illness incidence in the fully adjusted model (hazard ratio = 0.965, 95% confidence interval = 0.960, 0.970, per 0.1 NDVI increase). Stratified analyses showed protective associations among U.K. participants but not among U.S. participants. Associations were slightly stronger for White individuals, for individuals living in rural neighborhoods, and for individuals living in high-income neighborhoods compared to individuals living in low-income neighborhoods. Conclusions: Higher levels of greenness may reduce the risk of predicted COVID-19-like illness incidence, but these associations were not observed in all populations.

Nearby nature in lockdown: Practices and affordances for leisure in urban green spaces

During the Covid-19 pandemic, urban green spaces provided a route to connect with everyday 'nearby natures'. The paper explores the reconfiguration of leisure practices during restrictions, utilising theory on affordances and social practices to explore what people valued in urban green spaces and what can be learnt from a period when relationships with these spaces were in sharp focus. The study participants utilised Mobile Instant Messaging Diaries to present their lived experiences first-hand. Participants developed routines that involved engaging with urban green spaces as part of their daily structure, and this brought practices based around meaningful actions in these spaces to the fore. Urban green spaces became meaningful when they served a purpose, when they built knowledge and skill, and when they supported social needs. During lockdown, a patchwork of urban green spaces became useful. The findings call for more attention to be paid to small pockets of urban green space to afford nature connectivity and to the value of a social practice lens as a tool for providers to explore affordances and exclusions. [ FROM AUTHOR]

Understanding the Impact of the COVID-19 Pandemic on the Perception and Use of Urban Green Spaces in Korea.

Faced with the prospect that the impact of the COVID-19 pandemic and climate change will be far-reaching and long-term, the international community is showing interest in urban green space (UGS) and urban green infrastructure utilization as a solution. In this study, we investigated how citizens' perceptions and use of UGS have changed during COVID-19. We also collected their ideas on how UGS can raise its usability. As a result, more people became to realize the importance of UGS. In particular, the urban environmental purification function from UGS was recognized as giving great benefits to respondents. On the other hand, the patterns of UGS use were mixed with decreasing UGS use to maintain social distancing or increasing UGS use to maintain health or substitute other restricted facilities. More than half of respondents had their UGS visit patterns impacted by COVID-19. In particular, the increase rate of UGS use was rather high in the group that seldom used UGS before COVID-19. In addition, they increased the use of UGS to replace other limited facilities, and thus tended to demand an increase in rest facilities. Based on these results, this paper suggested securing social support and sustainability for the policy by reflecting users' demand in landscape planning related to the increase of UGS in the city. This study can contribute to improving the resilience of UGS and the sustainability of urban space planning.

Built environment factors moderate pandemic fatigue in social distance during the COVID-19 pandemic: A nationwide longitudinal study in the United States.

Non-pharmaceutical interventions (NPIs) remain some of the most effective measures for coping with the ever-changing coronavirus disease 2019 (COVID-19) pandemic. Pandemic fatigue, which manifests as the declined willingness to follow the recommended protective behaviors (e.g., keeping social distance policies, wearing masks), has commanded increasing attention from researchers and policymakers after the prolonged NPIs and COVID-19 worldwide. However, long-term changes in pandemic fatigue are not well understood, especially amidst the ever-changing pandemic landscape. Built environment factors have been shown to positively affect mental and physical health, but it is still unclear whether built environments can moderate pandemic fatigue. In this study, we used Google mobility data to investigate longitudinal trends of pandemic fatigue in social distance since the onset of NPIs enforcement in the United States. The results indicated that pandemic fatigue continuously worsened over nearly two years of NPIs implementation, and a sharp increase occurred after the vaccination program began. Additionally, we detected a significant moderation effect of greenspace and urbanicity levels on pandemic fatigue. People living in areas with high levels of greenness or urbanicity experienced lower levels of pandemic fatigue. These findings not only shed new light on the effects of greenness and urbanicity on COVID-19 pandemic fatigue, but also provide evidence for developing more tailored and effective strategies to cope with pandemic fatigue.