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母亲的绿色空间暴露和先天性心脏缺陷:一个基于人口的研究

Shihan Zhen¹, Lu Zheng², Qian Li¹

¹School of Public Health and Emergency Management, School of Medicine, Southern University of Science and Technology, Shenzhen, 518055, China.

Environmental research

|January 2, 2025

概括

孕妇在怀孕期间接触绿色空间显著降低了先天性心脏缺陷 (CHD) 的风险. 增加绿色空间每年可以预防超过5%的冠状动脉疾病,突出其公共卫生的重要性.

科学领域:

环境健康环境健康
生殖流行病学生殖流行病学
公共卫生政策公共卫生政策

背景情况:

孕产妇暴露于绿色空间与改善出生结果有关,例如减少早产和低出生体重.
有限的研究已经探索了绿色空间对胎儿先天性心脏缺陷 (CHD) 的保护作用.

研究的目的:

调查母体绿色空间暴露与胎儿心血管疾病之间的关联.
通过实现目标绿地覆盖率来量化潜在的CHD风险降低.

主要方法:

该研究包括来自中国宁省14个城市的4160例CHD病例和567,483例对照 (2014-2019).
使用基于卫星的规范差异植被指数 (NDVI) 评估的孕产妇绿色空间暴露 (孕期前,孕期前,孕期前).
后勤回归模型用于估计绿色空间暴露与心血管疾病风险之间的关联.

主要成果:

经孕期NDVI增加0.1个单位与心脏病风险下降5%有关 (OR:0.95,95%CI:0.92-0.98).
暴露-反应分析显示,随着持续的NDVI改善,效益更大,在NDVI0.23.3左右的影响减弱.
据估计,在低于这一门的地区,通过将NDVI增加到0.23,可以避免每年的CHD的5.06%.

结论:

孕产妇暴露在绿色空间中,作为预防胎儿心血管疾病的保护因素.
在公共政策中优先考虑绿色空间是一个有效的促进健康的战略,以减少心血管疾病的发病率.

关键词:

遗传性心脏缺陷是一种先天性心脏缺陷.绿色空间绿色空间规范化差异植被指数的指数怀孕怀孕怀孕怀孕

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