建筑环境变化对所有原因和特定原因死亡率的影响:一种新的纵向方法和研究
Laura Macdonald1, Natalie Nicholls2, Denise Brown2
1MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK Laura.Macdonald@glasgow.ac.uk.
Journal of epidemiology and community health
|June 27, 2023
概括
一种新的方法量化了建筑环境 (BE) 随着时间的推移而发生的变化. 这项研究没有发现BE变化与死亡率之间的直接联系,但BE变化的地区有不同的基线死亡风险.
科学领域:
- 公共卫生 公共卫生
- 环境流行病学环境流行病学
- 城市规划 城市规划
背景情况:
- 人们越来越认识到建筑环境 (BE) 对公共健康的影响.
- 关于BE变化如何影响人口健康和健康不平等存在不确定性.
- 缺乏纵向的BE数据阻碍了研究.
研究的目的:
- 开发一种量化纵向建筑环境变化的方法.
- 探索建筑环境变化与死亡率之间的关联.
- 评估BE变化的潜力,以解决健康不平等的问题.
主要方法:
- 利用军火调查数据根据建筑物,道路和林地 (2015-2019) 的变化对小区域进行分类.
- 分析了两个时期 (2012-2015年和2016-2019年) 的个人死亡记录.
- 使用负二项式回归,调整为收入剥夺,以检查BE变化和死亡率之间的联系.
主要成果:
- 建筑环境 (BE) 的变化随着贫困和城市化而有很大差异.
- 在BE变化和死亡率变化之间没有发现直接关联.
- 与没有变化的地区相比,经历BE变化的地区表现出不同的基线死亡率.
结论:
- 引入了一种用于量化国家一级建筑环境随时间变化的新方法.
- 调查结果提供了对 BE 变化和不变化的地区的健康状况的见解.
- 开发的方法和发现可以在国际上应用,以探索BE变化在改善健康结果中的作用.
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