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 |
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container_title | Environmental science and pollution research international |
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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. |
doi_str_mv | 10.1007/s11356-023-28816-y |
format | Article |
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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.</description><identifier>ISSN: 1614-7499</identifier><identifier>ISSN: 0944-1344</identifier><identifier>EISSN: 1614-7499</identifier><identifier>DOI: 10.1007/s11356-023-28816-y</identifier><identifier>PMID: 37481494</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Environmental science and pollution research international, 2023-08, Vol.30 (40), p.91971-91983</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-f778479f0624be88c82a3a568ea2ecdff6767823f8db675ef828405aedff16ef3</citedby><cites>FETCH-LOGICAL-c408t-f778479f0624be88c82a3a568ea2ecdff6767823f8db675ef828405aedff16ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11356-023-28816-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11356-023-28816-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37481494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Chengrong</creatorcontrib><creatorcontrib>Liu, Chao</creatorcontrib><creatorcontrib>Zhang, Peiyao</creatorcontrib><creatorcontrib>Tian, Meihui</creatorcontrib><creatorcontrib>Zhao, Ke</creatorcontrib><creatorcontrib>He, Fenfen</creatorcontrib><creatorcontrib>Dong, Yilin</creatorcontrib><creatorcontrib>Liu, Haoyu</creatorcontrib><creatorcontrib>Peng, Wenjia</creatorcontrib><creatorcontrib>Jia, Xianjie</creatorcontrib><creatorcontrib>Yu, Ying</creatorcontrib><title>Association of greenness with the disease burden of lower respiratory infections and mediation effects of air pollution and heat: a global ecological study</title><title>Environmental science and pollution research international</title><addtitle>Environ Sci Pollut Res</addtitle><addtitle>Environ Sci Pollut Res Int</addtitle><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.</description><subject>Air Pollution</subject><subject>Air pollution effects</subject><subject>Aquatic Pollution</subject><subject>Atmospheric Protection/Air Quality Control/Air Pollution</subject><subject>burden of disease</subject><subject>Cost of Illness</subject><subject>death</subject><subject>Earth and Environmental Science</subject><subject>Ecological effects</subject><subject>Ecological studies</subject><subject>Ecotoxicology</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Environmental science</subject><subject>Female</subject><subject>Heat</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Leaf area</subject><subject>Leaf area index</subject><subject>Male</subject><subject>Nitrogen dioxide</subject><subject>normalized difference vegetation index</subject><subject>Normalized difference vegetative index</subject><subject>ozone</subject><subject>Particulate Matter</subject><subject>particulates</subject><subject>Research Article</subject><subject>Respiratory tract infection</subject><subject>Respiratory Tract Infections - 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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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37481494</pmid><doi>10.1007/s11356-023-28816-y</doi><tpages>13</tpages></addata></record> |
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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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