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In the framework of place attachment we explore how green spaces contribute to life satisfaction in a context of high emigration rates. We propose that green spaces affect life satisfaction of the population through the mediation of physical health and mental health, and this relationship is moderated by migration willingness. We conducted our study in March–April 2021 in the city of Tirana, Albania. Using physical and mental health indicators, our results demonstrate that urban green spaces directly and indirectly affect life satisfaction. The mediators with the highest impact on life satisfaction are psychological distress and well-being. Green space exposure plays a role in influencing health outcomes, but the relationship is not moderated by migration willingness, and it shows a higher impact on participants with better mental health. Designing more and improved urban green spaces is a pathway to positively affect the health and well-being of urban populations.

Desde la antigüedad, los seres humanos han viajado a otros lugares en busca de remedios para mejorar su salud o encontrar una cura a su enfermedad. En las últimas décadas, el número de personas que viajan en busca de tratamientos e intervenciones médicas y de bienestar ha crecido notablemente, convirtiendo al turismo de salud en un importante sector de la economía mundial. Por ello, el turismo de salud, debido a su potencial, representa una gran oportunidad de negocio, creación de riqueza y empleo. España, gracias a su posición geográfica y a una serie de características ambientales, climáticas, culturales y estilos de vida se ha convertido en el segundo país más visitado por los turistas. Su amplia oferta de servicios sanitarios y su disponibilidad de recursos la han convertido en uno de los principales destinos turísticos por motivos médicos y/o de bienestar. A pesar de los innumerables beneficios del turismo de salud internacional, el desarrollo de esta tipología también puede tener efectos adversos, tanto en el país receptor, como en el país emisor. Estos inconvenientes deben superarse mediante estrategias sanitarias - por parte de los gobiernos y las instituciones responsables - que permitan garantizar y acreditar la veracidad y calidad de estas prestaciones en los países receptores. De este modo, se daría mayor tranquilidad y confianza a los turistas de salud sin que ello repercuta en el acceso y la atención sanitaria por parte de los residentes en el país receptor.

PurposeThe purpose of the present study was to evaluate the association of sleep duration and mental health among the general population.MethodsA cross-sectional study was carried out with an adult Spanish population sample between 16 and 64 years old. The information was obtained from data provided by a randomly selected representative sample of 505 adults stratified by age, sex, and geographic area. Participants were interviewed face-to-face in their respective households with questions including sociodemographic characteristics, lifestyle, sleep duration, and the 12-item General Health Questionnaire to screen risk for poor mental health. The duration of sleep hours were grouped into the following categories: < 6 h, 6-7 h, and, > 7 h. Regression analysis was used to assess associations between sleep duration and risk of poor mental health.ResultsA percentage of respondents 13.1% reported sleeping less than 6 h. The analysis demonstrated a significant (p = 0.001) negative (B = − 0.512) relationship between hours of sleep and risk of poor mental health (GHQ-12), demonstrating that reduced sleep duration increases the risk of poor mental health.ConclusionsSleep duration lower than 6 h is prevalent among the general population in Spain, especially among women and people who frequently use electronic devices. The results show that people who experience shorter sleep duration face a greater risk of poor mental health. These findings suggest that it is important to raise awareness of healthy sleeping habits, with emphasis on adequate sleep duration.

Although a large body of research supports the theory that exposure to nature results in mental health benefits, research evidence on the e ects of having a view of green space from home is still scarce. The aim of the present study is to assess the impact that access to a green space view from home has on anxiety and depression. This is a cross-sectional study extracting data from the “2018 Green Spaces, Daily Habits and Urban Health Survey” conducted in Carmona (Spain). The study included variables on sociodemographic and lifestyle, view of green spaces from home, self-perceived health status, and risk of anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS). Chi-square tests were used to assess variable’s associations and a multiple linear regression models used to identify the variables explaining the risk of anxiety and depression, taking into account sociodemographic characteristics, frequency of visits and view of green spaces from home. According to our results, adults who enjoy a view of green spaces from home have a lower risk of anxiety and depression.

Background The COVID-19 pandemic and the lockdown measures have had important consequences on the mental health of the population, although little is known about the role played by nature and its benefits. Objectives The present study aims to evaluate the risk of anxiety and depression during the first wave of the COVID-19 pandemic in Spain and to identify the factors most strongly associated with anxiety and depression, including sociodemographic, household characteristics, and access to or contact with natural environment. Methods GreenCOVID is an online cross-sectional study promoted by the Health & Territory Research (HTR) of the University of Seville in Spain, Maynooth University in Ireland, and the University of Winchester in the United Kingdom. This study includes only data from Spain which were collected between April 8, 2020 and April 27, 2020. Binary logistic regression was conducted to identify the factors associated with anxiety and depression through the HADS scale. Results Of the total of 2,464 adults who participated in GreenCOVID Spain, mean age was 38.1 years, 72.6% were female, 58.1% were at risk of anxiety, and 32.3% of depression. In the multivariable logistic regression, the factors associated with risk of anxiety were female: gender, being a student and problems at home. Regarding the risk of depression, the factors most associated were being a student, female gender, problems at home, worse evaluation of views from home and less help from outside views to cope with lockdown. Conclusions Our findings show that during COVID-19 pandemic, in addition to sociodemographic factors female gender and being a student, problems at home, lack of natural elements in the home, and worse appreciation of views from home were associated with mental health problems. Thus, housing conditions and access to the natural environment were important for mental health during COVID-19 lockdown.

The present study aims to develop an index composed of different spatial variables to measure the urban sprawl levels of a municipality located in Southern Spain. According to the findings, urban sprawl can be measured not only on the metropolitan level but also on a more detailed and precise level, such as sub-municipal. A group of experts chosen for their suitability in measuring urban sprawl select six spatial variables (population density, net residential density, coverage ratio, land use types, percentage of residential land use, and average year of construction). These variables are aggregated using Choquet integral, a technique that combines interactions between those variables providing greater coherence to the complexity that is inherent in the creation of composite sprawl indexes. This methodology has been demonstrated to be valid and appropriate in evaluating urban expansion at sub-municipal level, but can also be applied to other scales once it is clearly a phenomenon in which interaction between criteria exists. The resulting composite index allows the assignment of different levels of sprawl to the urban areas consistent with their morphology and landscape.

Since ancient history, human beings have travelled to other places in search of remedies to improve their health or find a cure for their disease. In the last decades, the number of people traveling in search of medical and wellness treatments and interventions has grown significantly, making health tourism an important sector of the global economy. Therefore, health tourism, due to its potential, represents a great opportunity for business, wealth, and employment development. Spain, thanks to its geographical position and a series of environmental, climatic, cultural and lifestyle characteristics, has become the second most visited country by tourists. Its wide range of health services and its availability of resources have made it one of the main tourist destinations for medical and/or wellness reasons. Despite the innumerable benefits of international health tourism, the development of this tourism typology can also have adverse effects. These disadvantages must be overcome through healthcare strategies - by the responsible governments and institutions - to guarantee and accredit the veracity and quality of these services in the visited countries. This would give greater certainty and trust to health tourists without affecting access and health care for residents in the receiving country. Desde la antigüedad, los seres humanos han viajado a otros lugares en busca de remedios para mejorar su salud o encontrar una cura a su enfermedad. En las últimas décadas, el número de personas que viajan en busca de tratamientos e intervenciones médicas y de bienestar ha crecido notablemente, convirtiendo al turismo de salud en un importante sector de la economía mundial. Por ello, el turismo de salud, debido a su potencial, representa una gran oportunidad de negocio, creación de riqueza y empleo. España, gracias a su posición geográfica y a una serie de características ambientales, climáticas, culturales y estilos de vida se ha convertido en el segundo país más visitado por los turistas. Su amplia oferta de servicios sanitarios y su disponibilidad de recursos la han convertido en uno de los principales destinos turísticos por motivos médicos y/o de bienestar. A pesar de los innumerables beneficios del turismo de salud internacional, el desarrollo de esta tipología también puede tener efectos adversos, tanto en el país receptor, como en el país emisor. Estos inconvenientes deben superarse mediante estrategias sanitarias - por parte de los gobiernos y las instituciones responsables - que permitan garantizar y acreditar la veracidad y calidad de estas prestaciones en los países receptores. De este modo, se daría mayor tranquilidad y confianza a los turistas de salud sin que ello repercuta en el acceso y la atención sanitaria por parte de los residentes en el país receptor.

For decades, coastal destinations have been facing the need to renew their traditional tourism models, marked by high seasonality and territorial exploitation, the latter justified by the development of accommodation for second homes. The current tourism scenario offers different challenges and opportunities, which can help to modify these tourism models. In this context, the increase in life expectancy and the generalization of the development of healthy lifestyles makes it possible for new tourism models, such as health and wellness tourism, to develop as potential drivers of change. The main objective of this paper is to understand the potential of health and wellness tourism to qualify and diversify coastal tourist destinations, as well as to analyse the recent evolution of coastal tourism and its current problems. Qualitative methods based on the review of related literature, analysis of the content of the plans and the SWOT matrix, as well as the case study of a specific destination are used for this purpose. Los destinos litorales se enfrentan desde hace décadas a la necesidad de renovar sus modelos turísticos tradicionales, marcados por una elevada estacionalidad y la depredación territorial, esta última causada por la construcción de alojamiento destinado a segundas residencias. El escenario turístico actual ofrece distintos retos y oportunidades, que pueden ayudar a complementar estos modelos turísticos. En este contexto, el aumento de la esperanza de vida y la generalización de desarrollo de estilos de vida saludables posibilita que nuevos modelos turísticos, como el turismo de salud y bienestar, puedan desarrollarse como potenciales palancas de cambio. El principal objetivo de esta investigación es comprender la potencialidad del turismo de salud y bienestar para cualificar y diversificar los destinos turísticos litorales, así como analizar la reciente evolución del turismo litoral y su actual problemática. Para ello, se utilizan métodos cualitativos sustentados en la revisión bibliográfica relacionada, análisis de contenidos de planes y matriz DAFO, así como el caso de estudio de un destino concreto.

En los últimos años, además de los destinos maduros de Europa y América del Norte, han irrumpido con fuerza nuevos subcontinentes como América del Sur. La industria turística de Argentina y Brasil ha evolucionado favorablemente, mostrando un considerable crecimiento y estabilidad económica que les ha convertido en potencias turísticas emergentes. En este artículo se presenta, de manera comparada, la evolución del sector turístico en ambos países, identificando las principales causas que han influido en su desarrollo. El interés de esta comparación radica en que ambos países presentan importantes atractivos turísticos, fuerte crecimiento económico, grandes desequilibrios territoriales y altos niveles de inseguridad, unidos a una compleja interdependencia en cuanto a los flujos turísticos. Comprender estas interrelaciones resulta vital para profundizar en los mecanismos de cooperación e intercambio, permitiendo acabar definitivamente con los conflictos y rivalidades.