CVD DALYs的环境驱动因素:来自中国行政数据的20年宏观水平证据
Yonghua Li1, Qinchuan Ran2, Hezhou Jiang3
1Department of Regional and Urban Planning, Zhejiang University, Hangzhou, 310058, China. lyh_zju@126.com.
International journal of health geographics
|December 16, 2025
概括
城市发展影响心血管疾病 (CVD) 负担. 自然保护区和绿色空间显著减少了CVD,而改善的交通基础设施提供了间接的好处,指导了有针对性的城市规划.
科学领域:
- 环境科学环境科学
- 公共卫生 公共卫生
- 城市规划是城市规划.
背景情况:
- 心血管疾病 (CVD) 导致中国40%的死亡,随着城市化和老龄化而增加.
- 现有的研究不足以解决影响心血管疾病的宏观环境和社会经济因素.
- 需要一个全面的框架来分析CVD负担的环境决定因素.
研究的目的:
- 建立一个框架,分析CVD残疾调整寿命年 (DALYs) 的五个环境决定因素.
- 量化环境因素对心血管疾病负担的直接和间接影响.
- 在城市发展中提供基于证据的CVD缓解策略.
主要方法:
- 利用了2000-2019年的国家和省级数据.
- 应用部分最小平方结构方程建模 (PLS-SEM) 用于定量分析.
- 使用空间热图可视化地理风险模式.
主要成果:
- 城市化通过改善的交通基础设施 (β = -1.396) 间接减少了CVD负担.
- 自然储备提供了对心血管疾病 (β = -1.235) 最强的保护,具有时间延迟的影响.
- 绿色空间和公共服务之间存在显著的协同作用 (r = 0.69).
结论:
- 针对高风险省份的地理定制战略是必不可少的.
- 环境因素,特别是自然保护区和绿地,在缓解心血管疾病方面发挥着至关重要的作用.
- 这些发现支持基于证据的城市规划,以减少心血管疾病负担.
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