绿色和慢性呼吸系统健康问题:系统审查和元分析
Mingcheng Tang1, Wei Liu2, Haifang Li1
1School of Landscape Architecture and Forestry, Qingdao Agricultural University, Qingdao, China.
Frontiers in public health
|December 21, 2023
概括
绿色暴露与喘,肺癌和慢性阻塞性肺病 (COPD) 死亡率降低的风险有关. 这一元分析强调了绿色环境对呼吸系统健康的公共卫生益处.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性呼吸道疾病 (CRD) 是全球日益增长的健康负担.
- 现有的研究表明,绿色与改善呼吸系统健康之间存在联系,但证据不一致.
研究的目的:
- 量化综合关于绿色暴露与各种慢性呼吸系统健康结果之间的关联的证据.
- 确定绿色与喘,肺癌和COPD等疾病之间的关系.
主要方法:
- 通过PubMed,EMBASE和Web of Science识别的研究进行了全面的元分析.
- 标准化差异植被指数 (NDVI) 被用作绿色暴露的主要衡量标准.
- 来自35项研究的数据使用随机效应模型进行分析,并根据年龄和缓冲区对子组进行分析.
主要成果:
- 增加的绿色 (0.1 NDVI增量) 与较低的喘发病率 (RR: 0.92) 和肺癌 (RR: 0.62) 显著相关,并降低了COPD死亡率 (RR: 0.95).
- 在青少年 (喘发病率,RR:0.91) 和喘200-300m和800-1000m的缓冲区,以及COPD死亡率800-1000m中观察到特定的关联.
- 没有发现出版偏差的证据.
结论:
- 这项全球元分析提供了强有力的证据,证明绿色暴露与各种CRD之间的反向关联.
- 调查结果强调了将公共卫生考虑纳入城市绿化战略的重要性.
- 建议进行进一步的研究,以探索对特定CRD的绿色效应.
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