Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong
With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Spec...
Gespeichert in:
| Veröffentlicht in: | Chemosphere (Oxford) 2022-01, Vol.287, p.132043-132043, Article 132043 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 132043 |
|---|---|
| container_issue | |
| container_start_page | 132043 |
| container_title | Chemosphere (Oxford) |
| container_volume | 287 |
| creator | Ho, Hung Chak Guo, Huagui Chan, Ta-Chien Shi, Yuan Webster, Chris Fong, Kenneth N.K. |
| description | With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols.
A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age |
| doi_str_mv | 10.1016/j.chemosphere.2021.132043 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2636481764</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0045653521025157</els_id><sourcerecordid>2575068725</sourcerecordid><originalsourceid>FETCH-LOGICAL-c387t-382681ce6157f70aae9034a6fb998c1f6a4b9608e0b6742728c81079870dd3af3</originalsourceid><addsrcrecordid>eNqNkU1uFDEQhVuISAwJdzA7Nj3Y_WO7VygaAUFEYkPWlsddTnvothuXe8TschA4DTfJSfAwLGZHNlWL-t5TVb2ieM3omlHG3-7WZoAp4DxAhHVFK7ZmdUWb-lmxYlJ0Jas6-bxYUdq0JW_r9kXxEnFHaRa33ar4vQnTtHiXDmQetffO3xMbItHk8eHnAHpMw4FsFzcmAn7vYvAT-PT48Ivsnc7UsEzal2cj4uHHgu_INZmWMTmrTQrR6ZFoRED8iwR7bpZnZtAxgxAdJmeQaN8TfQ8lzmCcdYZgiuEbkCnEjB-XdZ7chLzr51yuigurR4RX__plcffh_dfNTXn75eOnzfVtaWopUlnLiktmgLNWWEG1ho7WjeZ223XSMMt1s-04lUC3XDSVqKSRjIpOCtr3tbb1ZfHm5DvH8H0BTGpyaGDMf4OwoKp4zRvJBG_-j7aipVyKqs1od0JNDIgRrJqjm3Q8KEbVMWO1U2cZq2PG6pRx1m5OWshn7x1EhcaBN9C7CCapPrgnuPwBhha87Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575068725</pqid></control><display><type>article</type><title>Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong</title><source>Elsevier ScienceDirect Journals</source><creator>Ho, Hung Chak ; Guo, Huagui ; Chan, Ta-Chien ; Shi, Yuan ; Webster, Chris ; Fong, Kenneth N.K.</creator><creatorcontrib>Ho, Hung Chak ; Guo, Huagui ; Chan, Ta-Chien ; Shi, Yuan ; Webster, Chris ; Fong, Kenneth N.K.</creatorcontrib><description>With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols.
A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments.
•Evaluated socio-environmental impacts on age-specific stroke mortality.•Female and older age contributed to higher stroke mortality.•Daily PM10 also contributed to higher stroke mortality.•Regional-level air pollution were associated with non-hemorrhagic stroke deaths.•These associations varied by age.</description><identifier>ISSN: 0045-6535</identifier><identifier>EISSN: 1879-1298</identifier><identifier>DOI: 10.1016/j.chemosphere.2021.132043</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Age-specific ; air pollution ; Asia ; China ; employment ; females ; health services ; High-density ; low educational status ; Mortality ; open space ; risk ; Stroke ; Urban characteristics ; vegetation</subject><ispartof>Chemosphere (Oxford), 2022-01, Vol.287, p.132043-132043, Article 132043</ispartof><rights>2021 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-382681ce6157f70aae9034a6fb998c1f6a4b9608e0b6742728c81079870dd3af3</citedby><cites>FETCH-LOGICAL-c387t-382681ce6157f70aae9034a6fb998c1f6a4b9608e0b6742728c81079870dd3af3</cites><orcidid>0000-0002-2171-7495 ; 0000-0002-1685-783X ; 0000-0002-3193-7627 ; 0000-0003-4011-8735 ; 0000-0002-6505-3504</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0045653521025157$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Ho, Hung Chak</creatorcontrib><creatorcontrib>Guo, Huagui</creatorcontrib><creatorcontrib>Chan, Ta-Chien</creatorcontrib><creatorcontrib>Shi, Yuan</creatorcontrib><creatorcontrib>Webster, Chris</creatorcontrib><creatorcontrib>Fong, Kenneth N.K.</creatorcontrib><title>Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong</title><title>Chemosphere (Oxford)</title><description>With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols.
A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments.
•Evaluated socio-environmental impacts on age-specific stroke mortality.•Female and older age contributed to higher stroke mortality.•Daily PM10 also contributed to higher stroke mortality.•Regional-level air pollution were associated with non-hemorrhagic stroke deaths.•These associations varied by age.</description><subject>Age-specific</subject><subject>air pollution</subject><subject>Asia</subject><subject>China</subject><subject>employment</subject><subject>females</subject><subject>health services</subject><subject>High-density</subject><subject>low educational status</subject><subject>Mortality</subject><subject>open space</subject><subject>risk</subject><subject>Stroke</subject><subject>Urban characteristics</subject><subject>vegetation</subject><issn>0045-6535</issn><issn>1879-1298</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqNkU1uFDEQhVuISAwJdzA7Nj3Y_WO7VygaAUFEYkPWlsddTnvothuXe8TschA4DTfJSfAwLGZHNlWL-t5TVb2ieM3omlHG3-7WZoAp4DxAhHVFK7ZmdUWb-lmxYlJ0Jas6-bxYUdq0JW_r9kXxEnFHaRa33ar4vQnTtHiXDmQetffO3xMbItHk8eHnAHpMw4FsFzcmAn7vYvAT-PT48Ivsnc7UsEzal2cj4uHHgu_INZmWMTmrTQrR6ZFoRED8iwR7bpZnZtAxgxAdJmeQaN8TfQ8lzmCcdYZgiuEbkCnEjB-XdZ7chLzr51yuigurR4RX__plcffh_dfNTXn75eOnzfVtaWopUlnLiktmgLNWWEG1ho7WjeZ223XSMMt1s-04lUC3XDSVqKSRjIpOCtr3tbb1ZfHm5DvH8H0BTGpyaGDMf4OwoKp4zRvJBG_-j7aipVyKqs1od0JNDIgRrJqjm3Q8KEbVMWO1U2cZq2PG6pRx1m5OWshn7x1EhcaBN9C7CCapPrgnuPwBhha87Q</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Ho, Hung Chak</creator><creator>Guo, Huagui</creator><creator>Chan, Ta-Chien</creator><creator>Shi, Yuan</creator><creator>Webster, Chris</creator><creator>Fong, Kenneth N.K.</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0002-2171-7495</orcidid><orcidid>https://orcid.org/0000-0002-1685-783X</orcidid><orcidid>https://orcid.org/0000-0002-3193-7627</orcidid><orcidid>https://orcid.org/0000-0003-4011-8735</orcidid><orcidid>https://orcid.org/0000-0002-6505-3504</orcidid></search><sort><creationdate>202201</creationdate><title>Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong</title><author>Ho, Hung Chak ; Guo, Huagui ; Chan, Ta-Chien ; Shi, Yuan ; Webster, Chris ; Fong, Kenneth N.K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-382681ce6157f70aae9034a6fb998c1f6a4b9608e0b6742728c81079870dd3af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age-specific</topic><topic>air pollution</topic><topic>Asia</topic><topic>China</topic><topic>employment</topic><topic>females</topic><topic>health services</topic><topic>High-density</topic><topic>low educational status</topic><topic>Mortality</topic><topic>open space</topic><topic>risk</topic><topic>Stroke</topic><topic>Urban characteristics</topic><topic>vegetation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ho, Hung Chak</creatorcontrib><creatorcontrib>Guo, Huagui</creatorcontrib><creatorcontrib>Chan, Ta-Chien</creatorcontrib><creatorcontrib>Shi, Yuan</creatorcontrib><creatorcontrib>Webster, Chris</creatorcontrib><creatorcontrib>Fong, Kenneth N.K.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Chemosphere (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, Hung Chak</au><au>Guo, Huagui</au><au>Chan, Ta-Chien</au><au>Shi, Yuan</au><au>Webster, Chris</au><au>Fong, Kenneth N.K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong</atitle><jtitle>Chemosphere (Oxford)</jtitle><date>2022-01</date><risdate>2022</risdate><volume>287</volume><spage>132043</spage><epage>132043</epage><pages>132043-132043</pages><artnum>132043</artnum><issn>0045-6535</issn><eissn>1879-1298</eissn><abstract>With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols.
A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments.
•Evaluated socio-environmental impacts on age-specific stroke mortality.•Female and older age contributed to higher stroke mortality.•Daily PM10 also contributed to higher stroke mortality.•Regional-level air pollution were associated with non-hemorrhagic stroke deaths.•These associations varied by age.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.chemosphere.2021.132043</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2171-7495</orcidid><orcidid>https://orcid.org/0000-0002-1685-783X</orcidid><orcidid>https://orcid.org/0000-0002-3193-7627</orcidid><orcidid>https://orcid.org/0000-0003-4011-8735</orcidid><orcidid>https://orcid.org/0000-0002-6505-3504</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0045-6535 |
| ispartof | Chemosphere (Oxford), 2022-01, Vol.287, p.132043-132043, Article 132043 |
| issn | 0045-6535 1879-1298 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2636481764 |
| source | Elsevier ScienceDirect Journals |
| subjects | Age-specific air pollution Asia China employment females health services High-density low educational status Mortality open space risk Stroke Urban characteristics vegetation |
| title | Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T18%3A16%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Community%20planning%20for%20a%20%E2%80%9Chealthy%20built%20environment%E2%80%9D%20via%20a%20human-environment%20nexus?%20A%20multifactorial%20assessment%20of%20environmental%20characteristics%20and%20age-specific%20stroke%20mortality%20in%20Hong%20Kong&rft.jtitle=Chemosphere%20(Oxford)&rft.au=Ho,%20Hung%20Chak&rft.date=2022-01&rft.volume=287&rft.spage=132043&rft.epage=132043&rft.pages=132043-132043&rft.artnum=132043&rft.issn=0045-6535&rft.eissn=1879-1298&rft_id=info:doi/10.1016/j.chemosphere.2021.132043&rft_dat=%3Cproquest_cross%3E2575068725%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2575068725&rft_id=info:pmid/&rft_els_id=S0045653521025157&rfr_iscdi=true |