The Association Between Urbanization and Electrocardiogram Abnormalities in China: a Nationwide Longitudinal Study.

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-02-01 Epub Date: 2024-01-12 DOI:10.1007/s11524-023-00816-w

Jiarun Mi, Xueyan Han, Man Cao, Zhaoyang Pan, Jian Guo, Dengmin Huang, Wei Sun, Yuanli Liu, Tao Xue, Tianjia Guan

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Abstract

The health effects of urbanization are controversial. The association between urbanization and reversible subclinical risks of cardiovascular diseases (e.g., electrocardiogram (ECG) abnormalities) has rarely been studied. This study aimed to assess the association between urbanization and ECG abnormalities in China based on the China National Stroke Screening Survey (CNSSS). We used changes in the satellite-measured impervious surfaces rate and nighttime light data to assess the level of urbanization. Every interquartile increment in the impervious surfaces rate or nighttime light was related to a decreased risk of ECG abnormalities, with odds ratios of 0.894 (95% CI, 0.869-0.920) or 0.809 (95% CI, 0.772-0.847), respectively. And we observed a U-shaped nonlinear exposure-response relationship curve between the impervious surfaces rate and ECG abnormalities. In conclusion, the current average level of urbanization among the studied Chinese adults remains a beneficial factor for reducing cardiovascular risks.

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中国城市化与心电图异常之间的关系：一项全国性纵向研究。

城市化对健康的影响存在争议。城市化与心血管疾病的可逆亚临床风险（如心电图异常）之间的关系却鲜有研究。本研究以中国全国脑卒中筛查调查（CNSSS）为基础，旨在评估中国城市化与心电图异常之间的关联。我们利用卫星测量的不透水地面率和夜间光照数据的变化来评估城市化水平。不透水地表率或夜间光照度每增加一个四分位数，心电图异常的风险就会降低，其几率比分别为 0.894（95% CI，0.869-0.920）或 0.809（95% CI，0.772-0.847）。我们还观察到，不透水地面率与心电图异常之间呈 U 型非线性暴露-反应关系曲线。总之，被研究的中国成年人目前的平均城市化水平仍然是降低心血管风险的有利因素。

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来源期刊

Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.10

自引率

3.00%

发文量

105

审稿时长

6-12 weeks

期刊介绍： The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.