高与低绿色对心血管疾病状况的纵向影响
Scott C Brown1,2, William W Aitken3, Joanna Lombard1,2
1Department of Public Health Sciences University of Miami Miller School of Medicine Miami FL.
Journal of the American Heart Association
|September 30, 2024
概括
居住在持续高绿色的地区与在五年内患上新的心血管疾病的几率降低了9%. 这凸显了城市绿地对公共卫生的重要性.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 城市规划 城市规划
背景情况:
- 植物的存在 (绿色) 越来越被认为是影响慢性疾病发展的因素.
- 之前的研究表明,绿色和健康结果之间存在联系,但需要使用精细地理规模的客观措施进行纵向研究.
研究的目的:
- 调查在人口普查区级别的住宅绿色的客观测量和六种心血管疾病的发病率之间的纵向关系.
- 评估持续高与持续低的绿色暴露对老年人心血管疾病风险的影响.
主要方法:
- 利用了2011年和2016年的标准化差异植被指数 (NDVI) 数据,在佛罗里达州迈阿密-戴德县的229,034名医疗保险受益人群中,在人口普查区级别定义了绿色.
- 采用零膨胀波桑回归来建模患有任何新心血管疾病的几率和新疾病的数量.
- 根据个人人口因素,基线心血管疾病,社区收入和可行性进行调整.
主要成果:
- 持续处于高绿色三位数的人与持续处于低绿色三位数的人相比,患有任何新心血管疾病的几率降低了9% (OR,0.91;95% CI,0.84-0.99;P=0.021).
- 该研究的重点是急性心肌梗塞,心房动,心力衰竭,缺血性心脏病,中风/过渡性缺血性发作和高血压的5年发病率.
结论:
- 在5年期间,住房绿色持续高,与新的心血管疾病诊断风险降低有关.
- 在人口普查区块层面识别绿色暴露使得精确的,有针对性的城市绿化干预,如在风险地区战略植树.
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