长期绿色空间暴露与前列腺癌幸存者的较低死亡率有关:使用SEER从1995年到2019年的回顾性队列研究
John S Ji1, Haowen Wang2, Jialu Song2
1Vanke School of Public Health, Tsinghua University, Beijing, China; Department of Environmental & Occupational Health Sciences, University of Washington, Seattle, USA.
Environment international
|September 27, 2025
概括
居住在绿色空间附近可能会改善前列腺癌的生存率. 长期接触自然与降低死亡风险有关,特别是在某些种族群体和未接受手术的人群中.
科学领域:
- 环境流行病学环境流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 与绿色空间相关的前列腺癌生存结果尚未完全理解.
- 现有的研究将绿色空间与降低癌症发病率联系在一起,但不是生存率.
- 这项研究调查了绿色空间对前列腺癌死亡率的影响.
研究的目的:
- 评估绿色空间暴露是否改善了被诊断为前列腺癌的男性的生存结果.
- 检查绿色空间与前列腺癌特定死亡率之间的关联.
- 通过种族/种族和手术状态来探索效果修改.
主要方法:
- 使用监测,流行病学和最终结果 (SEER) 数据库 (1995-2019) 的回顾性队列研究.
- 用规范差异植被指数 (NDVI) 测量绿色空间暴露.
- 对多个共变量进行调整的因果特异性考克斯回归模型;分析了效果修改.
主要成果:
- 长期暴露在绿色空间 (NDVI) 与前列腺癌特异性死亡率 (HR=0.74) 的风险降低有关.
- 根据种族,NDVI显示出一种保护效应的修饰,在非西班牙裔白人和黑人中最强.
- 较高的NDVI减轻了与不接受手术相关的死亡风险增加.
结论:
- 绿色空间暴露与前列腺癌患者的改善生存结果有关.
- 将绿地整合到息和临终关怀中可能会增强终身护理.
- 绿色空间等环境因素对于癌症患者的福祉和生存至关重要.
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