Effect of exposure to natural environment on health inequalities: an observational population study
Effect of exposure to natural environment on health inequalities: an observational population study
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DOI：
10.1016/s0140-6736(08)61689-x
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发表时间：
2008-11-08
期刊：
影响因子：
168.9
通讯作者：
Popham, Frank
中科院分区：
文献类型：
--
作者：
Mitchell, Richard;Popham, Frank
研究表明，接触自然环境，或所谓的绿色空间，对健康和与健康有关的行为有独立的影响。我们假设，收入相关的健康不平等将不太明显的人口与更大的接触到绿色空间，因为进入这些领域可以修改的途径，通过低社会经济地位可能导致diseases.Methods我们分类的人口在年轻的英国退休年龄（n=40 813 236）成组的基础上，收入剥夺和接触到绿色空间。我们获得了个体死亡率记录（n=366348），以确定2001-05年收入剥夺、全因死亡率和特定原因死亡率（循环系统疾病、肺癌和故意自残）之间的关联是否因2001年测量的绿色空间暴露而变化，并控制潜在的混杂因素。我们使用分层模型来确定这种变化的性质。结果收入剥夺和死亡率之间的关联在暴露于绿色空间的所有原因的死亡率组之间存在显着差异（p
Background Studies have shown that exposure to the natural environment, or so-called green space, has an independent effect on health and health-related behaviours. We postulated that income-related inequality in health would be less pronounced in populations with greater exposure to green space, since access to such areas can modify pathways through which low socioeconomic position can lead to disease.Methods We classified the population of England at younger than retirement age (n=40 813 236) into groups on the basis of income deprivation and exposure to green space. We obtained individual mortality records (n=366348) to establish whether the association between income deprivation, all-cause mortality, and cause-specific mortality (circulatory disease, lung cancer, and intentional self-harm) in 2001-05, varied by exposure to green space measured in 2001, with control for potential confounding factors. We used stratified models to identify the nature of this variation.Findings The association between income deprivation and mortality differed significantly across the groups of exposure to green space for mortality from all causes (p