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Land cover and air pollution are associated with asthma hospitalisations: A cross-sectional study
被引:90
作者:
Alcock, Ian
[1
]
White, Mathew
[1
]
Cherrie, Mark
[1
,2
]
Wheeler, Benedict
[1
]
Taylor, Jonathon
[3
]
McInnes, Rachel
[1
,4
]
Kampe, Eveline Otte Im
[5
]
Vardoulakis, Sotiris
[1
,6
,7
]
Sarran, Christophe
[4
]
Soyiri, Ireneous
[2
]
Fleming, Lora
[1
]
机构:
[1] Univ Exeter, Exeter, Devon, England
[2] Univ Edinburgh, Edinburgh, Midlothian, Scotland
[3] UCL, London, England
[4] MetOff, Exeter, Devon, England
[5] London Sch Hyg & Trop Med, London, England
[6] Inst Occupat Med, Edinburgh, Midlothian, Scotland
[7] Publ Hlth England, Wellington, England
基金:
英国医学研究理事会;
英国自然环境研究理事会;
英国工程与自然科学研究理事会;
关键词:
Ecosystem management;
Air pollutants;
Green space;
Urban land use;
Pollen;
Allergy;
NEW-YORK-CITY;
CHILDHOOD ASTHMA;
NATURAL-ENVIRONMENT;
NITROGEN-DIOXIDE;
POLLEN COUNTS;
TREE POLLEN;
NO2;
UPTAKE;
VEGETATION;
POLLUTANTS;
DEPOSITION;
D O I:
10.1016/j.envint.2017.08.009
中图分类号:
X [环境科学、安全科学];
学科分类号:
08 ;
0830 ;
摘要:
Background: There is increasing policy interest in the potential for vegetation in urban areas to mitigate harmful effects of air pollution on respiratory health. We aimed to quantify relationships between tree and green space density and asthma-related hospitalisations, and explore how these varied with exposure to background air pollution concentrations. & para;& para; Methods: Population standardised asthma hospitalisation rates (1997-2012) for 26,455 urban residential areas of England were merged with area-level data on vegetation and background air pollutant concentrations. We fitted negative binomial regression models using maximum likelihood estimation to obtain estimates of asthma-vegetation relationships at different levels of pollutant exposure. & para;& para; Results: Green space and gardens were associated with reductions in asthma hospitalisation when pollutant exposures were lower but had no significant association when pollutant exposures were higher. In contrast, tree density was associated with reduced asthma hospitalisation when pollutant exposures were higher but had no significant association when pollutant exposures were lower. & para;& para; Conclusions: We found differential effects of natural environments at high and low background pollutant concentrations. These findings can provide evidence for urban planning decisions which aim to leverage health co-benefits from environmental improvements.
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页码:29 / 41
页数:13
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