The impact of long-term exposure to NO2, O3, and their oxidative potential on adolescents’ mental health, and the protective role of school-based greenness

作者：Jiajia Dang, Yaqi Wang, Ning Ma, Shan Cai, Jianhui Guo, Y F Liu, Haoyu Zhou, Xinyao Lian, Di Shi, Ziyue Chen, Yihang Zhang, Jiaxin Li, Jiaxin Li, Tianyu Huang, Guangrong Zhu, Jing Li, Jing Li, Jun Ma, Yi Song · 发表于：Environment International · 年份：2024 · DOI：10.1016/j.envint.2024.109212 · 被引用次数：13 · 研究领域：Climate Change and Health Impacts、Urban Green Space and Health、Air Quality and Health Impacts

• NO 2 , O 3 , and O X exposure are linked to increased odds of mental health issues in adolescents. • O X serves as a sensitive composite indicator of NO 2 and O 3 impacts on mental health. • Dual Factor Model evaluates positive and negative aspects of adolescent mental health. • School-based greenness might mitigate mental health risks from NO 2 , O 3 , and O X exposure. • Enhancing urban green spaces may be key for interventions where air quality improvements are challenging. Recent increases in nitrogen dioxide (NO 2 ) and ozone (O 3 ), two highly reactive and oxidative pollutants, have raised concerns about their potential impact on adolescent mental health. This study leveraged data from the Chinese National Survey on Students’ Constitution and Health (CNSSCH) in 2019, a nationally representative cross-sectional survey of Chinese adolescents. A total of 149,697 adolescents aged 10–18 years were included in this study. NO 2 and O 3 were sourced from the ChinaHighAirPollutants dataset, and the combined oxidative potential (O X ) was subsequently calculated using the concentrations of NO 2 and O 3 . The study quantitively examined the association of NO 2 , O 3 , and O X with adolescent mental health using the Dual Factor Model of Mental Health (DFM), which was derived from a questionnaire. According to the DFM, mental health status was divided into four groups: complete mental health, vulnerable, symptomatic but content, and troubled. Greenness around schools, measured by ...