Effects of green spaces on alleviating mortality attributable to PM2.5 in China

被引:10
作者
Zhao, Chuanyu [1 ]
Wang, Wanyue [1 ]
Wen, Haoxuan [1 ]
Huang, Zenghui [2 ]
Wang, Xiaodie [2 ]
Jiao, Kuizhuang [2 ]
Chen, Qihao [2 ]
Feng, Huan [3 ]
Wang, Yizhe [4 ]
Liao, Jingling [5 ]
Ma, Lu [6 ]
机构
[1] Wuhan Univ, Sch Publ Hlth, Dept Prevent Med, Wuhan 430071, Peoples R China
[2] Wuhan Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Wuhan 430071, Peoples R China
[3] Guangzhou Fangzhou Pharmaceut Co Ltd, Guangzhou 510000, Peoples R China
[4] Wuhan Univ, Sch Remote Sensing & Informat Engn, Dept Surveying & Mapping, Wuhan 430071, Peoples R China
[5] Wuhan Univ Sci & Technol, Med Coll, Sch Publ Hlth, Dept Nutr & Food Hyg, Wuhan 430081, Peoples R China
[6] Wuhan Univ, Sch Publ Hlth, Dept Biostat, 115 Donghu Ave, Wuhan 430071, Peoples R China
关键词
Green spaces; Mortality; PM2.5; IER model; COPD; LC; IHD; CBVD; AIR-POLLUTION; NEIGHBORHOOD GREENNESS; EXPOSURE; HEALTH; ROAD; BENEFITS; IMPROVE; DISEASE; BURDEN; URBAN;
D O I
10.1007/s11356-022-23097-3
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Increasing research suggested that green spaces are associated with many health benefits, but evidence for the quantitative relationship between green spaces and mortality attributable to particulate matter with an aerodynamic diameter of 2.5 mu m or less (PM2.5) is limited. We collected disease-specific mortality and PM2.5 data for a period of 4 years (2015-2018) along with green space data for an 8-year duration (2010-2017) in 31 provincial-level administrative regions of China. First, this study used the Integrated Exposure-Response model to estimate the mortality of four diseases attributable to PM2.5, including chronic obstructive pulmonary diseases (COPD), lung cancer (LC), ischemic heart disease (IHD), and cerebrovascular disease (CBVD). Then we performed linear regression and mixed-effects model to investigate the counteracting effect of green spaces on death caused by PM2.5 exposure. The differences in impacts among the Eastern, Central, and Western regions were explored using stratified analysis. The most significant results from linear regression analysis indicated that per 100 km(2) of green spaces increase, there was a decreased total mortality (10(-5)) (COPD, LC, IHD, and CBVD) attributable to PM2.5 by - 4.012 [95% confidence interval (CI): - 5.535, - 2.488], while the reduction by mixed-linear regression analysis was - 2.702/10(5) (95% CI = - 3.645, - 1.759). Of all hysteresis analyses, the effect estimates (beta) at lag3 and lag4 were the largest. The effect of green spaces was more advantageous when targeting CBVD and the Eastern region. We found a negative correlation between green space exposure and mortality attributable to PM2.5, which can provide further support for city planners, government personnel, and others to build a healthier city and achieve national health goals.
引用
收藏
页码:14402 / 14412
页数:11
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