绿地和噪音暴露对缺血性中风风险的影响：黎巴嫩病例对照研究

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-10-19 DOI:10.3390/ijerph21101382

Jad El Masri, Hani Finge, Ahmad Afyouni, Tarek Baroud, Najla Ajaj, Maya Ghazi, Diala El Masri, Mahmoud Younes, Pascale Salameh, Hassan Hosseini

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引用次数: 0

摘要

背景：周围环境会降低多种疾病的发病率，尤其是与应激事件相关的疾病。缺血性中风可能直接或通过其风险因素受到这些事件的影响。因此，本研究评估了绿地和噪音暴露对缺血性中风风险的影响：方法：进行了一项病例对照研究，其中包括 200 名确诊后 48 小时内的缺血性中风病例和 200 名对照者，对照者平均分为住院和非住院病人。对照组与病例根据年龄和性别进行配对。除了家庭和工作场所的环境和噪音外，还对社会人口特征进行了评估：结果：居住在住宅中、拥有自家花园和打理花园与缺血性中风的低风险相关（分别为 p < 0.001、p < 0.001 和 p = 0.009）。然而，从家中望去，建筑物会导致更高的中风率（p < 0.001）。在城市地区工作、工作场所被建筑物包围以及工作场所周围没有绿地也与较高的缺血性中风风险有关（分别为 p = 0.002、p = 0.001 和 p = 0.03）。至于噪音暴露，暴露于交通噪音、人为噪音和其他类型的噪音与缺血性中风的高风险显著相关，而暴露于较高水平的自然噪音与缺血性中风的低风险显著相关。在家庭和工作场所，较高水平的噪音也与较高的缺血性中风风险有关（p < 0.001 和 p = 0.008）：结论：研究发现，周围环境和噪音会影响缺血性中风的风险。更多的绿地和更低的噪音对缺血性中风有保护作用，这表明可以通过改变家庭和工作场所的环境来预防中风。

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The Effects of Green Spaces and Noise Exposure on the Risk of Ischemic Stroke: A Case-Control Study in Lebanon.

Background: Environmental surroundings reduce the rate of several diseases, especially those related to stressful events. Ischemic stroke can be affected by such events, either directly or through its risk factors. Therefore, the present study evaluates the effects of green spaces and noise exposure on the risk of ischemic stroke.

Methods: A case-control study was carried out, including 200 ischemic stroke cases within the first 48 h of diagnosis and 200 controls, divided equally into hospitalized and non-hospitalized participants. Controls were matched to cases based on age and gender. Socio-demographic characteristics were assessed, in addition to environmental surroundings and noise exposure at home and at workplaces.

Results: Living in a house, having a house garden, and taking care of the garden were associated with a lower risk of suffering an ischemic stroke (p < 0.001, p < 0.001, and p = 0.009, respectively). However, having buildings as the view from home led to a higher stroke rate (p < 0.001). Working in an urban area, the workplace being surrounded by buildings, and the workplace not being surrounded by green spaces were also associated with a higher risk of suffering an ischemic stroke (p = 0.002, p = 0.001, and p = 0.03, respectively). As for noise exposure, being exposed to traffic noise, human noise, and other types of noise was significantly associated with a higher risk of ischemic stroke, while being exposed to higher levels of natural noise was significantly associated with a lower risk of ischemic stroke. Higher levels of noise were also associated with higher risks of ischemic stroke in homes and workplaces (p < 0.001 and p = 0.008, respectively).

Conclusions: Environmental surroundings and noise exposure were found to affect the risk of ischemic stroke. Greater green spaces and lower noise exposure play a protective role against ischemic stroke, suggesting a possible prevention strategy through environmental modifications at home and workplaces.

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来源期刊

International Journal of Environmental Research and Public Health ENVIRONMENTAL SCIENCES-

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发文量

14422

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.