米国における乳がん診断における都市緑地と心血管疾患の併発性:高齢女性における地域的,人種的,社会経済的差異

Jean C Bikomeye¹, Emily L McGinley¹, Yuhong Zhou¹

¹Medical College of Wisconsin, 8701 Watertown Plank Rd., Milwaukee, WI 53226, USA.

Cancer survivorship research & care

|August 29, 2025

まとめ

木の覆いのような緑地が多い都市部に住むことは,乳がんと診断された高齢女性の心血管疾患 (CVD) のリスクが低いことと関連しています. これらの利益は人種,社会経済的地位,地域によって異なります.

科学分野:

環境健康
腫瘍学
心臓病科

背景:

心血管疾患 (CVD) は,乳がん (BC) と診断された高齢女性における重要な併発症である.
都市住宅の緑地への曝露は潜在的健康上の利点として認識されつつあります
BC診断におけるCVD併発症の格差を理解することは,標的を絞った介入にとって極めて重要です.

研究の目的:

都市住宅の緑地とBCの高齢女性におけるCVD併発性の関連性を調査する.
この関連が異なる地域,人種/民族,社会経済的な状況によってどのように変化するか探求する.
環境要因に関連した心臓腫瘍学的ケアにおける潜在的な格差を特定する.

主な方法:

SEER-Medicare関連データベース (2010年−2017年) を用いた横断分析
BCと診断された66~90歳の女性を含む.
トラクタレベルの樹冠覆面とコバリアートとクラスタリングを調整したロジスティック回帰分析を用いた都市緑地の定量化.

主要な成果:

樹冠の高さは,BC診断時のCVD併発率の低さに関連していた (AOR 0. 78; 95%CI 0. 71- 0. 85).
人種/民族 (非ヒスパニック系白人女性のみ),社会経済的な地位,地理的な地域によって大きな違いが観察されました.
双重入学資格のある女性は,資格のない女性と比較して,グリーンスペースからより大きな利益を得ました.

結論:

都市部の緑の空間は,BCの高齢女性におけるCVD併発症リスクの減少と関連しています.
グリーンスペースは,地域,人種/民族,SESによって顕著な違いがある心臓腫瘍学の格差を軽減する役割を果たしています.
緑地,環境要因,個々の特徴の複雑な相互作用を明らかにするために,乳がん患者のCVDアウトカムを改善するためにさらなる研究が必要です.

キーワード:

人種的/民族的格差都市緑地乳がん心血管疾患併発症地域差社会経済的な変動

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