住宅绿色空间的变化和兄弟姐妹之间的出生结果:根据母亲的种族差异
1Department of Forestry, Michigan State University, East Lansing, MI 48824, USA.
International journal of environmental research and public health
|September 27, 2023
概括
增加住宅绿地改善了黑人婴儿的出生体重,但不是白人婴儿. 这表明城市绿化可以帮助减少出生结果的种族差异.
科学领域:
- 环境健康 环境健康
- 围产期流行病学 围产期流行病学
- 城市规划 城市规划
背景情况:
- 越来越多的证据将产前绿色空间暴露与母亲和婴儿健康联系在一起.
- 以前的研究表明,住宅绿地和出生结果的结果是不同的,通常是由于选择偏见和缺乏种族/种族分析.
- 母亲的种族/种族可能会改变绿色空间和出生结果之间的关联.
研究的目的:
- 调查住宅绿地暴露和出生结果变化之间的纵向关联.
- 通过母亲的种族/种族 (非西班牙裔白人和黑人母亲) 检查潜在的效果修改.
- 通过同胞比较设计来解决住宅选择偏见.
主要方法:
- 纵向兄弟姐妹比较设计与母亲固定效应分析.
- 研究人口:非西班牙裔 (NH) 白人 (n = 247,285) 和黑人 (n = 54,995) 母亲在加利福尼亚州至少连续两次活产 (2005-2015).
- 暴露:怀孕之间住宅绿地变化. 结果:出生时的体重.
主要成果:
- 住宅绿地增加与黑人婴儿出生体重增加有关 (系数). = 75.49,95% CI: 23.48,127.50). 在这个例子中,
- 在白色婴儿 (coef. = -0.51,95% CI: -22.90,21.90) 的情况.
- 住宅选择偏见可能会解释以前发现的绿色空间在白人母亲的好处,但不是黑人母亲.
结论:
- 增加住宅绿色空间有利于黑人婴儿的出生体重,这表明减少出生结果的种族差异的潜在工具.
- 在资源不足的社区,城市绿化倡议可以促进健康公平.
- 绿色空间的公平分配对于改善整个生命周期的围产期健康至关重要.
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