Association of greenness with the disease burden of lower respiratory infections and mediation effects of air pollution and heat: a global ecological study

Exposure to greenness is increasingly linked to beneficial health outcomes, but the associations between greenness and the disease burden of lower respiratory infections (LRIs) are unclear. We used the normalized difference vegetation index (NDVI) and the leaf area index (LAI) to measure greenness a...

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Veröffentlicht in:Environmental science and pollution research international 2023-08, Vol.30 (40), p.91971-91983
Hauptverfasser: Liu, Chengrong, Liu, Chao, Zhang, Peiyao, Tian, Meihui, Zhao, Ke, He, Fenfen, Dong, Yilin, Liu, Haoyu, Peng, Wenjia, Jia, Xianjie, Yu, Ying
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container_end_page 91983
container_issue 40
container_start_page 91971
container_title Environmental science and pollution research international
container_volume 30
creator Liu, Chengrong
Liu, Chao
Zhang, Peiyao
Tian, Meihui
Zhao, Ke
He, Fenfen
Dong, Yilin
Liu, Haoyu
Peng, Wenjia
Jia, Xianjie
Yu, Ying
description Exposure to greenness is increasingly linked to beneficial health outcomes, but the associations between greenness and the disease burden of lower respiratory infections (LRIs) are unclear. We used the normalized difference vegetation index (NDVI) and the leaf area index (LAI) to measure greenness and incidence, death, and disability-adjusted life years (DALYs) due to LRIs to represent the disease burden of LRIs. We applied a generalized linear mixed model to evaluate the association between greenness and LRI disease burden and performed a stratified analysis, after adjusting for covariates. Additionally, we assessed the potential mediating effects of fine particulate matter (PM 2.5 ), ozone (O 3 ), nitrogen dioxide (NO 2 ), and heat on the association between greenness and the disease burden of LRIs. In the adjusted model, one 0.1 unit increase of NDVI and 0.5 increase in LAI were significantly inversely associated with incidence, death, and DALYs due to LRIs, respectively. Greenness was negatively correlated with the disease burden of LRIs across 15–65 age group, both sexes, and low SDI groups. PM 2.5 , O 3 , and heat mediated the effects of greenness on the disease burden of LRIs. Greenness was significantly negatively associated with the disease burden of LRIs, possibly by reducing exposure to air pollution and heat.
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subjects Air Pollution
Air pollution effects
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
burden of disease
Cost of Illness
death
Earth and Environmental Science
Ecological effects
Ecological studies
Ecotoxicology
Environment
Environmental Chemistry
Environmental Health
Environmental science
Female
Heat
Hot Temperature
Humans
Leaf area
Leaf area index
Male
Nitrogen dioxide
normalized difference vegetation index
Normalized difference vegetative index
ozone
Particulate Matter
particulates
Research Article
Respiratory tract infection
Respiratory Tract Infections - epidemiology
Statistical models
Waste Water Technology
Water Management
Water Pollution Control
title Association of greenness with the disease burden of lower respiratory infections and mediation effects of air pollution and heat: a global ecological study
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