Oceans & Human Health: Benefits - EurOCEAN conferences

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Oceans & Human Health: Benefits - EurOCEAN conferences
EurOCEAN 2019

                                        Oceans & Human Health: Benefits
                                                                                     Dr. Mat White
                                                                        (Environmental Psychologist)
                                                                                mathew.white@exeter.ac.uk

                                1,4
population with "good health"

                                1,2
   Age standardised % of

                                 1
                                0,8
                                0,6
                                0,4
                                0,2
                                 0
                                      50km
                                              Home distance to coast

                                      Bluehealth is funded by the European Union’s
                                      Horizon 2020 research and innovation
                                      programme, grant agreement No. 666773.
Oceans & Human Health: Benefits - EurOCEAN conferences
The benefits to health and wellbeing

   Dr Richard Russell (1687– 1759)                Dr Fortescue Fox
                                                 (1934 & 1938 Lancet)

Royal Sea Bathing Hospital (Est.1791)            Charlier & Chaineux
                                               (2009) Thalassotherapy
Oceans & Human Health: Benefits - EurOCEAN conferences
Flashback # 1: EurOCEAN 2014 Rome

         Method                             Pros (inc.)                            Cons (inc.)                           Our studies
Systematic reviews                Better overview; Meta-                  Exclusion of important                -    Blue health
                                  analyse data                            studies; Non-weighting of             -    Attention Restoration
                                                                          quality criterion                     -    Nature volunteering
Where people live                 Representative samples                  Causality?                            - Census (N = 48 million)
                                  Some longitudinal data                  Multiple confounders                  - BHPS (N = 12,000 x 18 yrs)

Visitor surveys                   Big numbers / Multiple                  Memory biases, selection              - MENE (N = 280,000)
                                  environments (controls)                 effects                               - Wembury surveys
                                  Voluntary/chosen                                                              - Surfing / sailing studies
Lab experiments                   Reduced confounds &                     Small Ns (convenience                 - Videos/photos/sounds
                                  selection effects. Increased            samples); non-ecological              - Attention processes
                                  understanding of underlying             e.g. may miss synergistic             - Delay of gratification
                                  processes                               effects                               - Pain

Field experiments                 Realistic exposure conditions           Hard to randomise/blind to            - Marine Aquarium
                                  with some control                       condition                             - Dental surgeries
                                                                                                                - Walking brochures

Narrative interviews              In-depth understand of                  Unrepresentative samples              - Parent/child interviews
                                  people’s motives & beliefs              Demand characteristics                - Sailing/surfing programmes

White et al. (2016). The ‘Blue Gym’: What can blue space do for you and what can you do for blue space? JMBA,96, 5-12.
White et al. (2016). The health effects of blue exercise in the UK. In J. Barton (Eds), Green Exercise: Linking Nature, Health and Well-Being
White et al. (2018). Blue landscapes and public health. In M. van den Bosch & W. Bird (eds). Landscape and Public Health (pp154-159). Oxford: OUP
Oceans & Human Health: Benefits - EurOCEAN conferences
Census Data & Health

                                                                       Self-reported health
                                                               Census Data (England, n = 48 million)
                                                         1,4
                      Age standardised % of population

                                                         1,2
Oceans & Human Health: Benefits - EurOCEAN conferences
Do people who live near the coast exercise more?

                       MENE n = 183,755 – “How many days a week of ≥
                       30mins exercise” (Recommendations: 5 or more)
                                                                 1,16
                                                                 1,14
                      Odds Ratio for meeting physical activity

                                                                 1,12
                                                                  1,1
                                                                 1,08
                                                                 1,06
                                     guidelines

                                                                 1,04
                                                                 1,02
                                                                   1
                                                                 0,98                                                                             ref
                                                                                                                                                          Error bars:
                                                                                                                                                          95% CI
                                                                 0,96
                                                                 0,94
                                                                               20km

Controlling for area (income etc.)                                                             Home (LSOA) distance from the coast
and individual controls (age,
gender, dog ownership etc).

                                                                   White, Wheeler, Herbert, Alcock & Depledge (2014). Preventive Medicine, 69, 135-140.
Oceans & Human Health: Benefits - EurOCEAN conferences
MacKerron & Mourato (2013)

                         Participants: >10,000 Mappiness i-phones:
                         Exposure: Experience Sampling Method 1.1 million moments
                         Outcomes: 100 point happiness score
                                  7
Happiness (0-100) Constant = 60

                                  6                                                                                                          ***
                                  5
                                  4
                                  3                                                                                  **
                                  2                                             ***         ***          ***                      **
                                  1                                 ***
                                  0

                                                                                                                                        ** p < .01; *** p
Oceans & Human Health: Benefits - EurOCEAN conferences
Monetising health benefits by examining QALY values

Participants: n = 8,290 English population (Health Survey for England)

Exposure: Watersports

Outcomes: Annual energy expenditure

 Estimated: £593 million per year in health related value from watersports in England

Papathanasopoulou, E., White, M. P., Hattam, C., Lannin, A., Harvey, A., & Spencer, A. (2016). Valuing the health benefits of
physical activities in the marine environment and their importance for marine spatial planning. Marine Policy, 63, 144-152.
Oceans & Human Health: Benefits - EurOCEAN conferences
Oceans and human health EU: Rome Declaration 2014

        Policy Goal 1: Valuing the
                 Ocean

      “Europe needs a coordinated,
      interdisciplinary and integrated
      programme on Oceans and
      Human Health, understanding
      and managing the risks and
      benefits of our interactions with
      the seas”
Oceans & Human Health: Benefits - EurOCEAN conferences
Creating a research agenda for Europe & Beyond

       €6,000,000                                            €2,000,000                  £6,000,000
2016                           2020                   2017                2020    2018                2022

                                                                                     Build capacity for
    Investigate the                                    Produce a research        sustainable interactions
 relationship between                                  agenda for oceans         with marine ecosystems
urban blue infrastructure                              and human health for      for the benefit of health,
     and health and                                    the European context            well-being, and
  wellbeing in Europe                                                              livelihoods of coastal
                                                                                       communities in
                                                                                       Southeast Asia

       Bluehealth is funded by the European Union’s
       Horizon 2020 research and innovation
       programme, grant agreement No. 666773.
Oceans & Human Health: Benefits - EurOCEAN conferences
BlueHealth

Pan European project looking at blue space & health across 14
  European (+ 4 non-European countries).

WP1 - Management
WP2 – Large surveys
WP3 – Natural experiments
WP4 – Health care & VR
WP5 – Acupuncture interventions
WP6 – Future scenarios
WP7 – Policy development (WHO)
WP8 – Communication/Dissemination
Blue health survey (n > 18,000)
BlueHealth

Pan European project looking at blue space & health across 14
  European (+ 4 non-European countries).

WP1 - Management
WP2 – Large surveys
WP3 – Natural experiments
WP4 – Health care & VR
WP5 – Acupuncture interventions
WP6 – Future scenarios
WP7 – Policy development (WHO)
WP8 – Communication/Dissemination
Improving access for improved health

High deprivation, mainly social housing, and poorly
maintained park/beach area
Creating a research agenda for Europe & Beyond

       €6,000,000                                            €2,000,000                  £6,000,000
2016                           2020                   2017                2020    2018                2022

                                                                                     Build capacity for
    Investigate the                                    Produce a research        sustainable interactions
 relationship between                                  agenda for oceans         with marine ecosystems
urban blue infrastructure                              and human health for      for the benefit of health,
     and health and                                    the European context            well-being, and
  wellbeing in Europe                                                              livelihoods of coastal
                                                                                       communities in
                                                                                       Southeast Asia

       Bluehealth is funded by the European Union’s
       Horizon 2020 research and innovation
       programme, grant agreement No. 666773.
SOPHIE overview
Creating a research agenda for Europe & Beyond

       €6,000,000                                            €2,000,000                  £6,000,000
2016                           2020                   2017                2020    2018                2022

                                                                                     Build capacity for
    Investigate the                                    Produce a research        sustainable interactions
 relationship between                                  agenda for oceans         with marine ecosystems
urban blue infrastructure                              and human health for      for the benefit of health,
     and health and                                    the European context            well-being, and
  wellbeing in Europe                                                              livelihoods of coastal
                                                                                       communities in
                                                                                       Southeast Asia

       Bluehealth is funded by the European Union’s
       Horizon 2020 research and innovation
       programme, grant agreement No. 666773.
Blue Communities: Sustainable Marine Planning
Oceans & human health: 2014-2019

                                          Take home message

                                   • We’ve made a huge effort to
                                     deliver on EurOCEAN 2014 goals
                                   • But for Europe to be leader in the
                                     field there is a lot left to do
                                   • Visit SOPHIE website to find out
                                     how to get involved
“Europe needs a coordinated,
interdisciplinary and integrated
programme on Oceans and
Human Health, understanding
and managing the risks and
benefits of our interactions
with the seas”
                                       https://sophie2020.eu/
https://sophie2020.eu/

                Oceans & Human Health: Benefits
       Mat White (https://www.ecehh.org/people/dr-mathew-white/)

Sophie Davison             Lewis Elliott            Lora Fleming          Jo Garrett

James Grellier             Sabine Pahl               Tim Taylor             Ben Wheeler

 + Claire Eatock, Jacqui Eales, Ruth Garside, Caroline Hattam, Karyn Morrissey, Rebecca Shellock,
 Alex Smalley, Em Squire, Nicole van den Bogerd, Anastacia Voronkova, Nicky Yeo.
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