How do contextual factors mediate and moderate the association between green infrastructure and respiratory health? A systematic review and meta-analysis

IF 6 2区环境科学与生态学 Q1 ENVIRONMENTAL STUDIES

Urban Forestry & Urban Greening Pub Date : 2024-05-31 DOI:10.1016/j.ufug.2024.128392

Tianyuan Shou , Ke Li , Yongjun Li , Yuchun Ni , Dongdong Lu , Jiaxing Wei

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Abstract

Green infrastructure (GI) is significantly associated with respiratory health (RH). However, existing knowledge on the causal pathways and effect modification in the association between GI and RH is limited. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was performed to analyze the mediation and moderation in the GI-RH association. The results indicated that the proportion mediated by BMI (0.40 %), physical activity (0.20 %), and air pollution exposure (PM1: 15.40 %; PM10: 14.10 %; PM2.5: 21.30 %) was small but significant, which might be modified by different regions and population subgroups. Vulnerable groups with lower socio-economic status and those in rural and lower-temperature areas were better able to benefit from GI. The findings of this review highlight indirect pathways linking GI and RH by reducing harm and building capacities. It also points to the importance of strengthening green spaces in areas populated by vulnerable groups and addressing the health risks posed by urbanization and climate change. This review can help provide further insight into exploring the mechanisms of the GI-RH process and health-oriented GI planning.

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环境因素如何调节和缓和绿色基础设施与呼吸健康之间的关系？系统回顾与荟萃分析

绿色基础设施（GI）与呼吸系统健康（RH）密切相关。然而，关于绿色基础设施与呼吸健康之间关系的因果途径和效应修饰的现有知识还很有限。根据《系统综述和荟萃分析首选报告项目》指南，我们进行了一项系统综述，以分析 GI-RH 关联中的中介效应和调节效应。结果表明，体重指数（0.40%）、体力活动（0.20%）和空气污染暴露（PM1：15.40%；PM10：14.10%；PM2.5：21.30%）的中介比例较小，但具有显著性，可能会因不同地区和人口亚群而有所变化。社会经济地位较低的弱势群体以及农村和气温较低地区的弱势群体更能从地理信息系统中受益。本次审查的结果强调了通过减少伤害和能力建设将 GI 与生殖健康联系起来的间接途径。它还指出了在弱势群体聚居区加强绿地建设以及应对城市化和气候变化带来的健康风险的重要性。本综述有助于进一步深入探讨 GI-RH 过程的机制和以健康为导向的 GI 规划。

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来源期刊

Urban Forestry & Urban Greening FORESTRY-

CiteScore

11.70

自引率

12.50%

发文量

289

审稿时长

70 days

期刊介绍： Urban Forestry and Urban Greening is a refereed, international journal aimed at presenting high-quality research with urban and peri-urban woody and non-woody vegetation and its use, planning, design, establishment and management as its main topics. Urban Forestry and Urban Greening concentrates on all tree-dominated (as joint together in the urban forest) as well as other green resources in and around urban areas, such as woodlands, public and private urban parks and gardens, urban nature areas, street tree and square plantations, botanical gardens and cemeteries. The journal welcomes basic and applied research papers, as well as review papers and short communications. Contributions should focus on one or more of the following aspects: -Form and functions of urban forests and other vegetation, including aspects of urban ecology. -Policy-making, planning and design related to urban forests and other vegetation. -Selection and establishment of tree resources and other vegetation for urban environments. -Management of urban forests and other vegetation. Original contributions of a high academic standard are invited from a wide range of disciplines and fields, including forestry, biology, horticulture, arboriculture, landscape ecology, pathology, soil science, hydrology, landscape architecture, landscape planning, urban planning and design, economics, sociology, environmental psychology, public health, and education.