周围的绿色与伊朗低出生体重的风险和负担较低有关
Siqi Luo1, Yaqi Wang1, Fatemeh Mayvaneh2
1Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Institute of Social Development and Health Management, Wuhan University of Science and Technology, 430065, Wuhan, China.
Nature communications
|November 21, 2023
概括
通过NDVI和EVI测量,产前暴露于绿色空间与伊朗低出生体重 (LBW) 的几率降低有关. 改善绿色环境可以预防成千上万的LBW病例,突出显示低收入和中等收入国家环境健康的好处.
科学领域:
- 环境流行病学环境流行病学
- 公共卫生 公共卫生
- 地理空间分析的研究.
背景情况:
- 低出生体重 (LBW) 是一个重要的全球健康问题,特别是在低收入和中等收入国家 (LMICs).
- 产前暴露在绿色空间对LBW等出生结果的影响在LMICs中缺乏研究.
- 了解LBW的环境决定因素对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 在一个大规模的伊朗队列中调查产前绿地暴露与低出生体重 (LBW) 之间的关联.
- 量化通过改善绿色空间可以实现的LBW病例的潜在减少.
- 探索卫星衍生植被指数在评估环境健康影响中的作用.
主要方法:
- 伊朗超过400万活产儿 (2013-2018) 的回顾性队列研究.
- 使用基于卫星的规范差异植被指数 (NDVI) 和增强植被指数 (EVI) 评估产前绿色.
- 使用多种物流模型进行统计分析,以估计绿色-LBW关联和反事实场景.
主要成果:
- 绿色空间暴露 (NDVI/EVI) 与LBW风险之间的反向关联的一致证据,具有L形暴露-反应函数.
- 每增加0.1个单位的NDVI/EVI与7.0-11.5%的LBW几率下降有关.
- 实现平均绿色目标可能会每年防止3931-5099个LBW出生 (占LBW总数的4.4-5.6%).
结论:
- 在伊朗,产前接触绿色空间与低出生体重的风险降低有关.
- 改善城市和农村的绿色呈现了一个可行的战略,以减轻LBW负担在LMICs.
- 这项研究强调了环境因素对母亲和儿童健康结果的重要性.
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