利用流动性数据评估访问树冠覆盖率较高的社区的潜在益处:美国二十个大都市地区与心血管健康结果的关联。

IF 3.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hanxue Wei , Audrey Renson , Xiao Huang , Lorna E. Thorpe , Ben R. Spoer , Suzanne L. Charles
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引用次数: 0

摘要

背景:有关接触绿地(如树冠覆盖率)对健康益处的研究主要集中在住宅区的树冠覆盖率上。然而,对于在一周内或周末到访的住宅区以外的其他空间的树冠覆盖率,大部分研究仍未进行:我们研究了与家庭所在社区相比,所到社区的树冠覆盖率是否与冠心病(CHD)和中风发病率的降低有关,并对家庭树冠覆盖率的暴露进行了调整。我们还进一步研究了这种关联在不同的家庭树冠覆盖水平下是否存在差异,以及这种关联在工作日或周末是否更加明显:我们使用了来自美国二十个最大的大都会统计区(MSA)的2018手机认证送彩金数据。对于每个家庭人口普查区,我们根据家庭人口普查区居民访问其他人口普查区的比例,从所有访问过的人口普查区中得出加权树冠覆盖率。我们从每个受访地区的加权树冠覆盖率中减去家庭树冠覆盖率,计算出特定地区的差异。我们通过空间误差模型评估了树冠覆盖率的差异与冠心病和中风发病率之间的关系,并对小区级家庭树冠覆盖率、MSA、社会经济和建筑环境特征进行了调整:结果:相对于住宅区,访问区的树冠覆盖率每增加 10 个百分点,中风发病率就会下降 0.32-0.34%。在对空间自相关性进行调整后,未观察到与心脏病发病率的关联。工作日和周末之间的差异很小。树冠覆盖率的差异仅与树冠覆盖率低的住宅区的冠心病发病率相关,而在树冠覆盖率低、中、高的住宅区,树冠覆盖率的差异与中风发病率相关,但影响程度递减:讨论:本研究发现,相对于家庭所在区域而言,访问居民区的树冠覆盖率越高,中风发病率越低,而且不同树冠覆盖率水平的家庭所在区域之间的相关性也不同。研究强调,在促进心血管健康的城市规划中,有必要考虑邻里流动网络的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing potential benefits of visits to neighborhoods with higher tree canopy coverage using mobility data: Associations with cardiovascular health outcomes in twenty US metropolitan areas

Background

Research on health benefits due to exposure to green space, such as tree canopy coverage, has predominantly focused on canopy coverage in home neighborhoods. Yet exposures to tree canopy coverage in other spaces visited during the week or on weekends outside the home neighborhoods remains largely unexplored.

Objectives

We examined whether differences in coverage levels of tree canopy in neighborhoods visited compared to home neighborhoods was associated with lower prevalence of coronary heart disease (CHD) and stroke, adjusting for exposure to home canopy coverage. We further investigated if the associations varied across levels of home canopy coverage, and if they were more pronounced on weekdays or weekends.

Methods

We used 2018 mobile phone data from the twenty largest U.S. Metropolitan Statistical Areas (MSAs). For each home census tract, we derived a weighted tree canopy coverage exposure from all visited tracts based on the proportion of visits to other tracts by home tract residents. We subtracted home canopy coverage from the weighted canopy coverage in each of the visited tracts to calculate tract-specific differences. We evaluated associations between differences in tree canopy coverage and prevalence of CHD and stroke via spatial error models, adjusting for tract-level home canopy coverage, MSA, socioeconomic and built environment characteristics.

Results

For every ten-percentage-point increase in tree canopy coverage in visited tracts relative to home tracts, there was a 0.32–0.34% decrease in stroke prevalence. Association with CHD prevalence was not observed after adjusting for spatial autocorrelation. Variations between weekdays and weekends were minimal. The difference in tree canopy coverage was associated with CHD prevalence only for home tracts with low tree canopy coverage, while the difference was associated with stroke prevalence across home tracts with low, moderate, and high tree canopy coverage, with diminishing effect size.

Discussion

This study identified that greater tree canopy coverage in visited neighborhoods relative to home neighborhoods was associated with lower stroke prevalence, and associations varied across home neighborhoods with different tree canopy coverage levels. It emphasized the need to factor in the neighborhood mobility networks in urban planning initiatives to promote cardiovascular health.

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来源期刊
Health & Place
Health & Place PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.70
自引率
6.20%
发文量
176
审稿时长
29 days
期刊介绍: he journal is an interdisciplinary journal dedicated to the study of all aspects of health and health care in which place or location matters.
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