Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective
Existing evidence suggests that exposure to greenspace reduces the risk of high blood pressure (e.g., hypertension). In addition, greenspace may also narrow the socioeconomic and gender inequities of various health outcomes. However, exposure to greenspace was often defined from an over-head perspec...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Hygiene and Environmental Health Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773049222000010 |
| _version_ | 1797753903540862976 |
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| author | Ruoyu Wang Shu-Li Xu Xiang Xiao Linchuan Yang Yi Lu Guang-Hui Dong Xiaomiao Zhao |
| author_facet | Ruoyu Wang Shu-Li Xu Xiang Xiao Linchuan Yang Yi Lu Guang-Hui Dong Xiaomiao Zhao |
| author_sort | Ruoyu Wang |
| collection | DOAJ |
| description | Existing evidence suggests that exposure to greenspace reduces the risk of high blood pressure (e.g., hypertension). In addition, greenspace may also narrow the socioeconomic and gender inequities of various health outcomes. However, exposure to greenspace was often defined from an over-head perspective. The effect of eye-level greenspace exposure, which may better represent people's actual exposure to greenspace, was not explored yet. Furthermore, it remains unclear whether exposure to greenspace may reduce the socioeconomic and gender inequities of high blood pressure. In this study, the blood pressure data of 24,845 adult participants were retrieved from the 33 Chinese Community Health Study in China. We quantified participants’ exposure to eye-level greenspace via street view images and machine learning technique. Multilevel linear and logistic regressions were applied. While controlling for confounders, we found that exposure to eye-level greenspace was both related to gender and socioeconomic status (SES). More specifically, greenspace exposure was inversely associated with the risk of hypertension for females, but not for males. We observed that greenspace-hypertension associations are more pronounced for SES disadvantaged groups (those uneducated and/ or with low household income). This study provides profound insights into how exposure to eye-level greenspace reduces the gender and socioeconomic inequities in terms of high blood pressure, which suggests that policy makers and urban planners should pay close attention to the equalizing effect of urban greenspace on residents’ health outcomes in the long run . |
| first_indexed | 2024-03-12T17:24:37Z |
| format | Article |
| id | doaj.art-94f7702e0f734f91bd0cbfd2a81c9763 |
| institution | Directory Open Access Journal |
| issn | 2773-0492 |
| language | English |
| last_indexed | 2024-03-12T17:24:37Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hygiene and Environmental Health Advances |
| spelling | doaj.art-94f7702e0f734f91bd0cbfd2a81c97632023-08-05T05:18:16ZengElsevierHygiene and Environmental Health Advances2773-04922022-03-011100001Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspectiveRuoyu Wang0Shu-Li Xu1Xiang Xiao2Linchuan Yang3Yi Lu4Guang-Hui Dong5Xiaomiao Zhao6UKCRC Centre of Excellence for Public Health/Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom; These authors contributed equally to this work and should be listed as first author.Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; These authors contributed equally to this work and should be listed as first author.Department of Geography, Hong Kong Baptist University, Hong Kong, SAR, ChinaDepartment of Urban and Rural Planning, School of Architecture and Design, Southwest Jiaotong University, Chengdu, ChinaDepartment of Architecture and Civil Engineering, City University of Hong Kong, Hong Kong Special Administrative Region, ChinaGuangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Corresponding author.Department of Reproductive Medicine, Department of Obstetrics and Gynecology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China; Corresponding author.Existing evidence suggests that exposure to greenspace reduces the risk of high blood pressure (e.g., hypertension). In addition, greenspace may also narrow the socioeconomic and gender inequities of various health outcomes. However, exposure to greenspace was often defined from an over-head perspective. The effect of eye-level greenspace exposure, which may better represent people's actual exposure to greenspace, was not explored yet. Furthermore, it remains unclear whether exposure to greenspace may reduce the socioeconomic and gender inequities of high blood pressure. In this study, the blood pressure data of 24,845 adult participants were retrieved from the 33 Chinese Community Health Study in China. We quantified participants’ exposure to eye-level greenspace via street view images and machine learning technique. Multilevel linear and logistic regressions were applied. While controlling for confounders, we found that exposure to eye-level greenspace was both related to gender and socioeconomic status (SES). More specifically, greenspace exposure was inversely associated with the risk of hypertension for females, but not for males. We observed that greenspace-hypertension associations are more pronounced for SES disadvantaged groups (those uneducated and/ or with low household income). This study provides profound insights into how exposure to eye-level greenspace reduces the gender and socioeconomic inequities in terms of high blood pressure, which suggests that policy makers and urban planners should pay close attention to the equalizing effect of urban greenspace on residents’ health outcomes in the long run .http://www.sciencedirect.com/science/article/pii/S2773049222000010Eye-level greenspace exposureSystolic blood pressureDiastolic blood pressureHypertensionEquityGender difference |
| spellingShingle | Ruoyu Wang Shu-Li Xu Xiang Xiao Linchuan Yang Yi Lu Guang-Hui Dong Xiaomiao Zhao Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective Hygiene and Environmental Health Advances Eye-level greenspace exposure Systolic blood pressure Diastolic blood pressure Hypertension Equity Gender difference |
| title | Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective |
| title_full | Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective |
| title_fullStr | Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective |
| title_full_unstemmed | Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective |
| title_short | Exposure to eye-level greenspace reduces health inequalities of high blood pressure: A gender difference perspective |
| title_sort | exposure to eye level greenspace reduces health inequalities of high blood pressure a gender difference perspective |
| topic | Eye-level greenspace exposure Systolic blood pressure Diastolic blood pressure Hypertension Equity Gender difference |
| url | http://www.sciencedirect.com/science/article/pii/S2773049222000010 |
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