绿色和蓝色空间暴露和与非传染性疾病相关的住院:系统性审查
L Luque-García1, J Muxika-Legorburu2, O Mendia-Berasategui2
1Department of Preventive Medicine and Public Health, Faculty of Medicine, University of the Basque Country (UPV/EHU), Leioa, 48940, Spain; Biogipuzkoa Health Research Institute, Group of Environmental Epidemiology and Child Development, Paseo Doctor Begiristain S/n, 20014, Donostia- San Sebastián, Spain; Osakidetza Basque Health Service, Goierri Alto-Urola Integrated Health Organisation, Zumarraga Hospital, Zumarraga, 20700, Spain.
暴露于绿色空间可能会防止非传染性疾病 (NCD),减少住院病例. 蓝色空间的好处的证据有限,需要更多的研究来证实这些关联.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 非传染性疾病 (NCD) 是一个日益严重的全球健康问题.
- 自然环境暴露越来越多地与降低了NCD风险有关.
- 观察性研究调查了绿色和蓝色空间与NCD住院病例的关联.
研究的目的:
- 系统地审查和评估绿色和蓝色空间暴露和NCD医院入院的证据.
- 综合关于这种关系的观察性研究的发现.
- 评估包含的研究中的质量和偏差风险.
主要方法:
- 在Embase,PubMed和科学网上进行全面的文献搜索.
- 使用"导航指南"方法评估的偏见风险和证据质量.
- 包括17项观察性研究,主要是队列和案例交叉设计.
主要成果:
- 大多数研究 (82.4%) 从2020年起发表,主要来自美国和中国.
- 绿色空间暴露显示出对非传染性疾病的主要保护作用,尽管根据结果有所不同.
- 连接蓝色空间暴露与NCD入院的证据并不清楚.
- 超过75%的研究具有高或可能高的偏差风险.
结论:
- 绿色空间暴露似乎提供了防止NCD入院的保护作用.
- 蓝色空间暴露与NCD住院病例之间的关联需要进一步调查.
- 异质性和有限的研究需要更强大的研究来证实研究结果.
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