The association of park use and park perception with quality of life using structural equation modeling

Introduction: The literature is limited on the impact of neighborhood parks on quality of life (QoL) and the mechanism linking them. Methods: In this paper, we applied the structural equation model to data from a cross-sectional sample of 650 participants in low-income communities of New York City, we examined the associations of neighborhood park use vs. park perception and QoL, and whether these associations were mediated through self-reported perceived stress. We also examined whether park use mediated the relationship between park perception and QoL. Results: We found that park use had a significant but weak association with QoL (standardized <em>&beta;</em> = 0.08, 95% confidence interval (CI): 0.02, 0.15, <em>p</em> = 0.02), but this relationship was not mediated by self-reported stress. Park perception was more strongly associated with QoL than park use (standardized <em>&beta;</em> = 0.23, 95% CI: 0.16, 0.30, <em>p</em> &lt; 0.01), and this was partly mediated by self-reported stress (indirect effect- standardized <em>&beta;</em> = 0.08, 95% CI: 0.03, 0.13, <em>p</em> &lt; 0.01) and, to a lesser extent, by park use (indirect effect- standardized <em>&beta;</em> = 0.01, 95% CI: 0.00, 0.02, <em>p</em> = 0.01). Discussion: Having well-perceived parks appears to be an important factor for QoL independent of park use, suggesting that quality parks may benefit everyone in a community beyond park users. This strengthens the argument in favor of increasing park investment as a strategy to improve population wellbeing.