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在心脏瘤学人群中,绿色暴露和死亡风险
Saar Ashri1, Gali Cohen1, Osnat Itzhaki Ben Zadok2
1Department of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medical & Health Sciences, Tel Aviv University, Israel.
European heart journal. Quality of care & clinical outcomes
|September 13, 2024
概括
通过NDVI测量,居住在绿色空间附近,与心脏病癌症幸存者的死亡风险降低有关. 这一发现凸显了环境因素对这一脆弱群体的重要性.
科学领域:
- 心脏瘤学 - 心脏瘤学
- 环境流行病学环境流行病学
- 公共卫生 公共卫生
背景情况:
- 心脏瘤病患者,特别是冠状动脉疾病 (CAD) 的癌症幸存者,有独特的健康需求.
- 诸如住宅绿化等环境因素对该人口死亡率的影响尚不清楚.
研究的目的:
- 调查住房绿色暴露与患有CAD的癌症幸存者的全因死亡率之间的联系.
- 为了确定绿色是否是这个心脏瘤队列中生存的独立预测因素.
主要方法:
- 利用基于卫星的规范差异植被指数 (NDVI) 来量化30米分辨率的住宅绿色.
- 分析了来自1331名经过皮肤冠状动脉干预的癌症幸存者的数据,并通过2021年对死亡率进行了跟踪.
- 采用考克斯模型来评估所有原因死亡率的危险比率,每增加1个单位的NDVI,调整为混因素.
主要成果:
- 增加1个单位的NDVI与7%降低所有原因死亡风险相关 (HR 0.93;95%CI 0.86-0.99).
- 绿色和死亡率之间的反向关联在统计学上是显著的 (p=.042).
- 绿色的保护作用在最近 (<10年) 诊断出癌症的患者中更为明显.
结论:
- 住宅绿色独立地与CAD癌症幸存者的全因死亡率降低有关.
- 环境因素,如进入绿色空间,在心脏瘤患者的生存中发挥着重要作用.
- 结果表明,潜在的公共卫生干预措施的重点是提高绿色空间的可访问性,以改善这一群体的结果.
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