Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study

Background: Studies suggested that greenness could reduce death risks related to ambient exposure to particulate matter (PM), while the available evidence was mixed across the globe and substantially exiguous in low- and middle-income countries. By conceiving an individual-level case-crossover study...

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Main Authors: Yang Yuan, Peixuan Zhou, Minjin Peng, Lifeng Zhu, Yachen Li, Kai Wang, Yaqi Wang, Ziqing Tang, Yixiang Wang, Yuqian Huang, Jingjing Zhang, Yunquan Zhang
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Ecotoxicology and Environmental Safety
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0147651323009557
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author Yang Yuan
Peixuan Zhou
Minjin Peng
Lifeng Zhu
Yachen Li
Kai Wang
Yaqi Wang
Ziqing Tang
Yixiang Wang
Yuqian Huang
Jingjing Zhang
Yunquan Zhang
author_facet Yang Yuan
Peixuan Zhou
Minjin Peng
Lifeng Zhu
Yachen Li
Kai Wang
Yaqi Wang
Ziqing Tang
Yixiang Wang
Yuqian Huang
Jingjing Zhang
Yunquan Zhang
author_sort Yang Yuan
collection DOAJ
description Background: Studies suggested that greenness could reduce death risks related to ambient exposure to particulate matter (PM), while the available evidence was mixed across the globe and substantially exiguous in low- and middle-income countries. By conceiving an individual-level case-crossover study in central China, this analysis primarily aimed to quantify PM-mortality associations and examined the modification effect of greenness on the relationship. Methods: We investigated a total of 177,058 nonaccidental death cases from 12 counties in central China, 2008–2012. Daily residential exposures to PM2.5 (aerodynamic diameter <2.5 µm), PMc (aerodynamic diameter between 2.5 and 10 µm), and PM10 (aerodynamic diameter <10 µm) were assessed at a 1 × 1-km resolution through satellite-derived machine-learning models. Residential surrounding greenness was assessed using satellite-derived enhanced vegetation index (EVI) and normalized difference vegetation index (NDVI) at multiple buffer sizes (250, 500, and 1000 m). To quantify the acute mortality risks associated with short-term exposure to PM2.5, PMc, and PM10, a time-stratified case-crossover design was utilized in conjunction with a conditional logistic regression model in our main analyses. To investigate the effect modification of greenness on PM-mortality associations, we grouped death cases into low, medium, and high greenness levels using cutoffs of 25th and 75th percentiles of NDVI or EVI exposure, and examined potential effect heterogeneity in PM-related mortality risks among these groups. Results: Mean concentrations (standard deviation) on the day of death were 73.8 (33.4) μg/m3 for PM2.5, 43.9 (17.3) μg/m3 for PMc, and 117.5 (44.9) μg/m3 for PM10. Size-fractional PM exposures were consistently exhibited significant associations with elevated risks of nonaccidental and circulatory mortality. For every increase of 10-μg/m3 in PM exposure, percent excess risks of nonaccidental and circulatory mortality were 0.271 (95% confidence interval [CI]: 0.010, 0.533) and 0.487 (95% CI: 0.125, 0.851) for PM2.5 at lag-01 day, 0.731 (95% CI: 0.108, 1.359) and 1.140 (95% CI: 0.267, 2.019) for PMc at lag-02 day, and 0.271 (95% CI: 0.010, 0.533) and 0.386 (95% CI: 0.111, 0.662) for PM10 at lag-01 day, respectively. Compared to participants in the low-level greenness areas, those being exposed to higher greenness were found to be at lower PM-associated risks of nonaccidental and circulatory mortality. Consistent evidence for alleviated risks in medium or high greenness group was observed in subpopulations of female and younger groups (age <75). Conclusions: Short-term exposure to particulate air pollution was associated with elevated risks of nonaccidental and circulatory death, and individuals residing in higher neighborhood greenness possessed lower risk of PM-related mortality. These findings emphasized the potential public health advantages through incorporating green spaces into urban design and planning.
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spelling doaj.art-90f8e252d6724db1874edf738167bf0d2023-09-23T05:10:05ZengElsevierEcotoxicology and Environmental Safety0147-65132023-10-01264115451Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover studyYang Yuan0Peixuan Zhou1Minjin Peng2Lifeng Zhu3Yachen Li4Kai Wang5Yaqi Wang6Ziqing Tang7Yixiang Wang8Yuqian Huang9Jingjing Zhang10Yunquan Zhang11Institute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaDepartment of Infection Control, Affiliated Taihe Hospital of Hubei University of Medicine, Shiyan 442000, China; Corresponding authors.Institute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, ChinaInstitute of Social Development and Health Management, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China; Corresponding authors.Background: Studies suggested that greenness could reduce death risks related to ambient exposure to particulate matter (PM), while the available evidence was mixed across the globe and substantially exiguous in low- and middle-income countries. By conceiving an individual-level case-crossover study in central China, this analysis primarily aimed to quantify PM-mortality associations and examined the modification effect of greenness on the relationship. Methods: We investigated a total of 177,058 nonaccidental death cases from 12 counties in central China, 2008–2012. Daily residential exposures to PM2.5 (aerodynamic diameter <2.5 µm), PMc (aerodynamic diameter between 2.5 and 10 µm), and PM10 (aerodynamic diameter <10 µm) were assessed at a 1 × 1-km resolution through satellite-derived machine-learning models. Residential surrounding greenness was assessed using satellite-derived enhanced vegetation index (EVI) and normalized difference vegetation index (NDVI) at multiple buffer sizes (250, 500, and 1000 m). To quantify the acute mortality risks associated with short-term exposure to PM2.5, PMc, and PM10, a time-stratified case-crossover design was utilized in conjunction with a conditional logistic regression model in our main analyses. To investigate the effect modification of greenness on PM-mortality associations, we grouped death cases into low, medium, and high greenness levels using cutoffs of 25th and 75th percentiles of NDVI or EVI exposure, and examined potential effect heterogeneity in PM-related mortality risks among these groups. Results: Mean concentrations (standard deviation) on the day of death were 73.8 (33.4) μg/m3 for PM2.5, 43.9 (17.3) μg/m3 for PMc, and 117.5 (44.9) μg/m3 for PM10. Size-fractional PM exposures were consistently exhibited significant associations with elevated risks of nonaccidental and circulatory mortality. For every increase of 10-μg/m3 in PM exposure, percent excess risks of nonaccidental and circulatory mortality were 0.271 (95% confidence interval [CI]: 0.010, 0.533) and 0.487 (95% CI: 0.125, 0.851) for PM2.5 at lag-01 day, 0.731 (95% CI: 0.108, 1.359) and 1.140 (95% CI: 0.267, 2.019) for PMc at lag-02 day, and 0.271 (95% CI: 0.010, 0.533) and 0.386 (95% CI: 0.111, 0.662) for PM10 at lag-01 day, respectively. Compared to participants in the low-level greenness areas, those being exposed to higher greenness were found to be at lower PM-associated risks of nonaccidental and circulatory mortality. Consistent evidence for alleviated risks in medium or high greenness group was observed in subpopulations of female and younger groups (age <75). Conclusions: Short-term exposure to particulate air pollution was associated with elevated risks of nonaccidental and circulatory death, and individuals residing in higher neighborhood greenness possessed lower risk of PM-related mortality. These findings emphasized the potential public health advantages through incorporating green spaces into urban design and planning.http://www.sciencedirect.com/science/article/pii/S0147651323009557Short-term exposureGreennessEffect modificationParticulate matterMortalityCase-crossover design
spellingShingle Yang Yuan
Peixuan Zhou
Minjin Peng
Lifeng Zhu
Yachen Li
Kai Wang
Yaqi Wang
Ziqing Tang
Yixiang Wang
Yuqian Huang
Jingjing Zhang
Yunquan Zhang
Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
Ecotoxicology and Environmental Safety
Short-term exposure
Greenness
Effect modification
Particulate matter
Mortality
Case-crossover design
title Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
title_full Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
title_fullStr Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
title_full_unstemmed Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
title_short Residential greenness mitigates mortality risk from short-term airborne particulate exposure: An individual-level case-crossover study
title_sort residential greenness mitigates mortality risk from short term airborne particulate exposure an individual level case crossover study
topic Short-term exposure
Greenness
Effect modification
Particulate matter
Mortality
Case-crossover design
url http://www.sciencedirect.com/science/article/pii/S0147651323009557
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