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Do respiratory virus infections modify associations of asthma exacerbation with aeroallergens or fine particulate matter? A time series study in Philadelphia PA. 呼吸道病毒感染是否会改变哮喘恶化与空气过敏原或细颗粒物的关联?宾夕法尼亚州费城的一项时间序列研究。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-02 DOI: 10.1080/09603123.2023.2299249
Wanyu Huang, Leah H Schinasi, Chén C Kenyon, Amy H Auchincloss, Kari Moore, Steven Melly, Lucy F Robinson, Christopher B Forrest, Anneclaire J De Roos

Respiratory virus infections are related to over 80% of childhood asthma exacerbations. They enhance pro-inflammatory mediator release, especially for sensitized individuals exposed to pollens/molds. Using a time-series study design, we investigated possible effect modification by respiratory virus infections of the associations between aeroallergens/PM2.5 and asthma exacerbation rates. Outpatient, emergency department (ED), and inpatient visits for asthma exacerbation among children with asthma (28,540/24,444 [warm/cold season]), as well as viral infection counts were obtained from electronic health records of the Children's Hospital of Philadelphia from 2011 to 2016. Rate ratios (RRs, 90th percentile vs. 0) for late-season grass pollen were 1.00 (0.85-1.17), 1.04 (0.95-1.15), and 1.12 (0.96-1.32), respectively, for respiratory syncytial virus (RSV) counts within each tertile. However, similar trends were not observed for weed pollens/molds or PM2.5. Overall, our study provides little evidence supporting effect modification by respiratory viral infections.

超过 80% 的儿童哮喘恶化与呼吸道病毒感染有关。呼吸道病毒感染会促进促炎介质的释放,尤其是对接触花粉/霉菌的过敏人群。我们采用时间序列研究设计,调查了呼吸道病毒感染对空气过敏原/PM2.5 与哮喘恶化率之间关系的可能影响。我们从费城儿童医院 2011 年至 2016 年的电子健康记录中获取了哮喘患儿(28,540/24,444 [温暖/寒冷季节])中因哮喘加重而就诊的门诊患者、急诊科(ED)患者和住院患者的人数以及病毒感染人数。晚季青草花粉的比率比(RRs,第90百分位数 vs. 0)分别为1.00(0.85-1.17)、1.04(0.95-1.15)和1.12(0.96-1.32),呼吸道合胞病毒(RSV)计数在每个三分位数内的比率比(RRs,第90百分位数 vs. 0)分别为1.00(0.85-1.17)、1.04(0.95-1.15)和1.12(0.96-1.32)。然而,在杂草花粉/霉菌或 PM2.5 中没有观察到类似的趋势。总之,我们的研究几乎没有提供证据支持呼吸道病毒感染对效果的影响。
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引用次数: 0
Knowledge, attitude, and practices towards occupational noise among maintenance and administration workers of selected health facilities in Modimolle-Mookgopong Municipality, South Africa. 南非 Modimolle-Mookgopong 市部分医疗机构的维护和管理人员对职业噪声的认识、态度和做法。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-11 DOI: 10.1080/09603123.2024.2302038
Cynthia Phuti Raphala, Emmanuel Emem-Obong Agbenyeku, Setlamorago Jackson Mbazima, Phoka Caiphus Rathebe

This study aimed to determine knowledge, attitude, and practices towards Noise-Induced Hearing Loss among maintenance and administration workers in selected health facilities in the Modimolle-Mookgopong Municipality. Non-probability convenient sampling was used to select 250 participants. Maintenance workers were populated within the age range of 26-35 years, being more than administrative personnel (COR 1.59, CI 0.8-3.16). Maintenance workers showed more knowledge of noise being an unwanted sound (COR 1.04, CI 0.29-3.73), an ear infection (COR 4.65, CI 1.48-14.58) and poor hearing of speech as a sign of hearing loss (AOR 0.25, CI 0.07-0.86). Thirty-four percent (34%) of maintenance workers believed that ear screening and assessments are important while 17.9% believed not to be important. Forty-eight percent (58%) of maintenance workers suggested that they could not use hearing protectors effectively without training while 13.7% suggested training is needed.

本研究旨在了解莫迪莫勒-穆克戈蓬市部分医疗机构的维护和管理人员对噪声性听力损失的认识、态度和做法。采用非概率方便抽样法选出了 250 名参与者。维修工人的年龄在 26-35 岁之间,高于行政人员(COR 1.59,CI 0.8-3.16)。维修工人对噪音是一种不受欢迎的声音(COR 1.04,CI 0.29-3.73)、中耳炎(COR 4.65,CI 1.48-14.58)和听不清说话是听力损失的表现(AOR 0.25,CI 0.07-0.86)有更多的了解。34%(34%)的维修工人认为耳部筛查和评估很重要,17.9%认为不重要。48%(58%)的维修工人认为,如果没有经过培训,他们无法有效地使用听力保护器,而 13.7% 的维修工人则认为需要进行培训。
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引用次数: 0
Is micronucleus assay in oral cells suitable biomarker for evaluating the risk of carcinogenesis in gas station attendants? A systematic review. 口腔细胞微核试验是否适合作为评估加油站服务员致癌风险的生物标志物?系统综述。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-09 DOI: 10.1080/09603123.2024.2302037
Thiago Guedes Pinto, Thayza Aires Dias, Daniel Araki Ribeiro

This study aimed to evaluate all studies which used the micronucleus assay using oral cells in the attempt to understand whether such technique is efficient in evaluating genotoxicity in gas station attendants. Full manuscripts from 16 studies were carefully selected by the authors. Our results demonstrate that continuous exposure to derivatives of petroleum may lead to genotoxic effects since all studies demonstrated positive findings (16 out of 16) and 11 of them had a strong or moderate final rating. In summary, our results reveal that gas station attendants are occupationally exposed to genotoxic agents and that the micronucleus assay in oral mucosa is indeed an effective method to evaluate genotoxicity in this specific case. Such findings are very important for protecting these professionals who are continuously exposed to chemicals for long periods.

本研究旨在评估所有使用口腔细胞进行微核试验的研究,以了解这种技术在评估加油站服务员的遗传毒性方面是否有效。作者精心挑选了 16 项研究的完整手稿。我们的研究结果表明,持续接触石油衍生物可能会导致基因毒性效应,因为所有研究(16 项中的 16 项)都得出了积极的结论,其中 11 项研究的最终评级为 "强 "或 "中等"。总之,我们的研究结果表明,加油站服务员在工作中会接触到基因毒性物质,而口腔黏膜微核试验确实是评估这种特定情况下基因毒性的有效方法。这些发现对于保护这些长期接触化学品的专业人员非常重要。
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引用次数: 0
The association between climatic factors and waterborne infectious outbreaks with a focus on vulnerability in Pakistan: integrative review. 气候因素与巴基斯坦水媒传染病爆发之间的关联(重点关注脆弱性):综合综述。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-09 DOI: 10.1080/09603123.2024.2302040
Faiza Sharif, Laila Shahzad, Masooma Batool

Climate change affects the spread of waterborne infectious diseases, yet research on vulnerability to outbreaks remains limited. This integrative review examines how climate variables (temperature and precipitation) relate to human vulnerability factors in Pakistan. By 2060, mean temperatures are projected to rise from 21.68°C (2021) to 30°C, with relatively stable precipitation. The epidemiological investigation in Pakistan identified Diarrhea (119,000 cases/year), Malaria (2.6 million cases/year), and Hepatitis (A and E) as the most prevalent infections. This research highlighted vulnerability factors, including poverty (52% of the population), illiteracy (59% of the population), limited healthcare accessibility (55% of the population), malnutrition (38% of the population), dietary challenges (48% of the population), as well as exposure to water pollution (80% of the population) and air pollution (55% of the population). The findings suggest that the coordinated strategies are vital across health, environmental, meteorological, and social sectors, considering climatic variability patterns and population vulnerability determinants.

气候变化会影响水媒传染病的传播,但有关疾病爆发的脆弱性研究仍然有限。本综述研究了气候变量(气温和降水)与巴基斯坦人类脆弱性因素之间的关系。预计到 2060 年,平均气温将从 21.68 摄氏度(2021 年)升至 30 摄氏度,降水量相对稳定。在巴基斯坦进行的流行病学调查发现,腹泻(每年 119 000 例)、疟疾(每年 260 万例)和肝炎(甲型和戊型)是最普遍的传染病。这项研究强调了易感因素,包括贫困(占人口的 52%)、文盲(占人口的 59%)、医疗服务有限(占人口的 55%)、营养不良(占人口的 38%)、饮食难题(占人口的 48%)以及暴露于水污染(占人口的 80%)和空气污染(占人口的 55%)。研究结果表明,考虑到气候变异模式和人口脆弱性的决定因素,卫生、环境、气象和社会部门之间的协调战略至关重要。
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引用次数: 0
Phytochemical characterization and biological activities of Inula viscosa L. Aiton: a promising plant from Turkey. Inula viscosa L. Aiton 的植物化学特征和生物活性:土耳其一种很有前途的植物。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-21 DOI: 10.1080/09603123.2024.2305215
Nuraniye Eruygur, Nevin Tuzcu, Osman Tugay, Mustafa Abdullah Yilmaz, Oguz Cakir

The methanol extract of Inula viscosa (IVM) was investigated for its antioxidant potential using the DPPH and ABTS radical scavenging as well as iron chelating assays (ICA). The total phenol (TPC) and flavonoid contents (TFC) of IVM were determined using the Folin-Ciocalteu and aluminum trichloride methods, respectively. Antimicrobial activity of different concentrations of I. viscosa methanol extract was investigated by disc diffusion and broth microdilution method. The IVM extract was found to be containing TPC (236.78 ± 7.63 mg GAE/g) and TFC (94.36 ± 1.86 mg QE/g). Antioxidant activity IC50 values for the DPPH, ABTS and ICA assays were found to be 277.7 ± 3.68, 2.44 ± 0.02, and 222.1 ± 0.71 µg/mL, respectively. The MIC values of the IVM on the tested microorganisms ranged from 0.48 to 7.81 mg/mL. Furthermore, IVM extract was demonstrated 18.32 ± 1.37%, 23.06 ± 1.05%, 4.72 ± 0.13%, 15.13 ± 0.37% and 37.64 ± 4.02% inhibition against tyrosinase, α-amylase, α-glucosidase, AChE and BChE, respectively. In the results of LC-MS/MS analysis, acacetin, quercetin, chlorogenic acid and protocatechuic acid were determined as most dominant compounds. These findings suggested that this plant may be a natural resource for creating novel medicinal compounds.

采用 DPPH 和 ABTS 自由基清除法以及铁螯合试验(ICA)研究了粘鼠草甲醇提取物(IVM)的抗氧化潜力。采用 Folin-Ciocalteu 法和三氯化铝法分别测定了 IVM 的总酚(TPC)和类黄酮(TFC)含量。采用盘扩散法和肉汤微稀释法研究了不同浓度 I. viscosa 甲醇提取物的抗菌活性。结果发现,IVM 提取物中含有 TPC(236.78 ± 7.63 mg GAE/g)和 TFC(94.36 ± 1.86 mg QE/g)。DPPH、ABTS 和 ICA 试验的抗氧化活性 IC50 值分别为 277.7 ± 3.68、2.44 ± 0.02 和 222.1 ± 0.71 µg/mL。IVM 对受试微生物的 MIC 值介于 0.48 至 7.81 毫克/毫升之间。此外,IVM 提取物对酪氨酸酶、α-淀粉酶、α-葡萄糖苷酶、AChE 和 BChE 的抑制率分别为 18.32 ± 1.37%、23.06 ± 1.05%、4.72 ± 0.13%、15.13 ± 0.37% 和 37.64 ± 4.02%。在 LC-MS/MS 分析结果中,乙酰乙酸、槲皮素、绿原酸和原儿茶酸是最主要的化合物。这些发现表明,这种植物可能是一种创造新型药用化合物的自然资源。
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引用次数: 0
Impact of phthalate metabolites on vitamin D levels and subclinical inflammation: national health and nutrition examination survey, 2013-2018. 邻苯二甲酸酯代谢物对维生素 D 水平和亚临床炎症的影响:2013-2018 年全国健康与营养状况调查。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-05 DOI: 10.1080/09603123.2023.2299216
Elhassan Mahmoud, Abdalla Moustafa Elsayed, Muhammad Zain Kaleem, Hamad A Alkorbi, Amgad M Elshoeibi, Tawanda Chivese, Susu M Zughaier

This study explores the association between phthalates and total vitamin D levels and the link between phthalates exposure and subclinical inflammation using monocyte percentage to high-density lipoprotein cholesterol ratio (MHR), utilizing three National Health and Nutrition Examination Survey (NHANES) survey cycles 2013-2018. This study is cross-sectional, utilizing one-time urine samples from randomly selected NHANES participants to assess phthalate metabolites. An inverse association between vitamin D and all Di(2-ethylhexyl) phthalate (DEHP) metabolites was found. The molar sum of DEHP metabolites was inversely associated with vitamin D (β -2.329; 95% CI -3.937,-0.720). An inverse association was observed between monocarboxynonyl phthalate and vitamin D (β -0.0278; 95% CI -0.0527,-0.00298). A similar relationship was found between monocarboxyoctyl phthalate and vitamin D (β -0.0160; 95% CI -0.0242,-0.00775). There was no association between phthalate metabolites and MHR. Stratified analysis showed that the association between phthalate metabolites and MHR may vary according to vitamin D status.

本研究利用 2013-2018 年三次美国国家健康与营养调查(NHANES)调查周期,采用单核细胞百分比与高密度脂蛋白胆固醇比值(MHR)探讨邻苯二甲酸盐与总维生素 D 水平之间的关系,以及邻苯二甲酸盐暴露与亚临床炎症之间的联系。本研究为横断面研究,利用随机抽取的NHANES参与者的一次性尿样来评估邻苯二甲酸酯代谢物。研究发现,维生素 D 与所有邻苯二甲酸二(2-乙基己基)酯(DEHP)代谢物之间存在反比关系。DEHP 代谢物的摩尔总和与维生素 D 成反比(β -2.329;95% CI -3.937,-0.720)。邻苯二甲酸单羧壬酯与维生素 D 呈反比关系(β -0.0278;95% CI -0.0527,-0.00298)。邻苯二甲酸单羧辛酯与维生素 D 之间也存在类似的关系(β -0.0160;95% CI -0.0242,-0.00775)。邻苯二甲酸酯代谢物与 MHR 之间没有关联。分层分析表明,邻苯二甲酸酯代谢物与 MHR 之间的关系可能因维生素 D 状态而异。
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引用次数: 0
Evaluating the health risks of heavy metal pollution in dust storms in the city of Erbil in the Kurdistan region of Iraq. 评估伊拉克库尔德斯坦地区埃尔比勒市沙尘暴中重金属污染的健康风险。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2023-12-25 DOI: 10.1080/09603123.2023.2294472
Rebwar Omar Hassan, Fuad Othman Abdullah, Diyar Salahuddin Ali, Hazha Omar Othman, Dilshad Aziz Darwesh

This study examined the heavy metal content in dust storm samples from Erbil, Iraq, along with four other locations. Using ICP-MS, Cd, Ni, Cr, Hg, Pb, Zn, Mn, Cu, Co, Fe and As were determined. The health risks due to exposure to these metals through ingestion, inhalation and dermal contact were assessed for both adults and children. Non-carcinogenic risks were evaluated using the hazard quotient (HQ) and hazard index (HI). Children faced a cumulative risk with HQ > 0.2 for As and Cr and HI > 1. The carcinogenic risk was measured using the carcinogenic risk factor (CRF), which fell below 10-6, indicating low cancer risk. However, children had a higher cancer risk (10-4 to 10-6) for As. The pollution indices revealed varying pollution levels from unpolluted to moderately polluted in the studied areas. Overall, this study highlights potential health risks associated with heavy metal exposure during dust storms, particularly for children, and emphasises the importance of addressing these concerns to safeguard public health.

本研究考察了伊拉克埃尔比勒和其他四个地方的沙尘暴样本中的重金属含量。使用 ICP-MS 测定了镉、镍、铬、汞、铅、锌、锰、铜、钴、铁和砷。对成人和儿童通过摄入、吸入和皮肤接触这些金属所造成的健康风险进行了评估。使用危害商数(HQ)和危害指数(HI)对非致癌风险进行了评估。儿童面临的累积风险为:砷和铬的危害商数大于 0.2,危害指数大于 1。致癌风险采用致癌风险系数(CRF)来衡量,CRF 低于 10-6,表明致癌风险较低。不过,儿童的砷致癌风险较高(10-4 至 10-6)。污染指数显示,研究地区的污染程度从未受污染到中度污染不等。总之,这项研究强调了沙尘暴期间与重金属接触相关的潜在健康风险,尤其是对儿童而言,并强调了解决这些问题以保障公众健康的重要性。
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引用次数: 0
Variability in the association of smoking status with the prevalence of diabetes mellitus in the Korean population according to different definitions of smoking status: analysis based on the Korea National Health and Nutrition Examination Survey (2014-2020). 根据不同的吸烟状况定义,韩国人口中吸烟状况与糖尿病患病率之间的关系存在差异:基于韩国国民健康与营养调查(2014-2020年)的分析。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-04 DOI: 10.1080/09603123.2023.2300036
Yechan Kyung, Young Sook Park, Mi Hyeon Jin, Hae Jeong Lee

We evaluated the association between smoking and diabetes, as well as the effects of gender differences and hidden smoking among females on this association using nationally representative data. Analyzing data from 44,049 individuals aged 19 and older, we utilized multivariable logistic regression to investigate associations, controlling for sociodemographic factors. Subgroup analysis based on smoking status determined factors associated with diabetes. To better our understanding of the smoking-diabetes relationship, we introduced a new variable, survey-cotinine verified smoking status (SCS). This study provides valuable insight by exploring the correlation between smoking and diabetes using different definitions of smoking status. Both male and female smokers showed correlations with diabetes according to cotinine-verified smoking status (OR: 1.22 and 1.48, respectively). According to smoking amount, cotinine-verified heavy smokers correlated with diabetes in males (OR: 1.37), while light smokers exhibited a negative correlation with diabetes in females for both cotinine-verified smoking status (OR: 0.60) and survey-cotinine verified status (OR: 0.58) Smoking was associated with diabetes in the overall population, with gender differences observed. When evaluating this association, we should consider variables of smoking amount, passive and intermittent smoking, and specifically, account for the influence of hidden smoking among females, particularly when utilizing self-reported questionnaires in Korea.

我们利用具有全国代表性的数据评估了吸烟与糖尿病之间的关系,以及性别差异和女性隐性吸烟对这种关系的影响。在分析了 44,049 名 19 岁及以上人群的数据后,我们利用多变量逻辑回归研究了两者之间的关联,并对社会人口因素进行了控制。基于吸烟状况的分组分析确定了与糖尿病相关的因素。为了更好地了解吸烟与糖尿病之间的关系,我们引入了一个新变量,即调查-可替宁核实吸烟状况(SCS)。这项研究通过使用不同的吸烟状况定义来探讨吸烟与糖尿病之间的相关性,为我们提供了宝贵的见解。根据经烟碱验证的吸烟状况,男性和女性吸烟者均与糖尿病存在相关性(OR:分别为 1.22 和 1.48)。根据吸烟量,经可待因核实的重度吸烟者与男性糖尿病相关(OR:1.37),而轻度吸烟者与女性糖尿病呈负相关,无论是经可待因核实的吸烟状态(OR:0.60)还是经调查-可待因核实的吸烟状态(OR:0.58)。在评估这种关联时,我们应考虑吸烟量、被动吸烟和间歇性吸烟等变量,特别是要考虑女性隐性吸烟的影响,尤其是在韩国使用自我报告问卷时。
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引用次数: 0
Mercury risk assessment scenarios: exposure from fish dietary behaviors of Katingan River Basin community. 汞风险评估方案:卡廷丹河流域社区的鱼类膳食行为暴露。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-21 DOI: 10.1080/09603123.2024.2303980
Fika R Mufakhir, Gunawan P Yoga, Taryono Darusman, Dwi P Lestari, Desra Arriyadi, Rosetyati R Utami, Slamet Sumardi, Widi Astuti, Hendra Prasetia

Katingan River has been contaminated by mercury from ASGM activities since the early 2000s. This study aims to assess the risk of mercury exposure from Katingan fish consumption and analyze relationships between exposure variables. We proposed two risk assessment scenarios based on mercury analysis of 74 fish samples and fish consumption questionnaire. The risk assessment result revealed that estimated daily intakes (EDIs) of Scenario 2 were generally 3-4 times higher than Scenario 1. The statistical test results showed significant differences (p < 0.05) in EDI values between scenarios, indicating that variations in fish consumption influenced the mercury intake. Three different health reference-based values (HRVs) were applied in estimating the hazard quotient (HQ) and it influenced the HQ results (p < 0.05), for both scenarios. The relationship analysis between variables presented a strong non-linear correlation between EDI and hair mercury level for both scenarios, but a weak relationship between age and hair mercury level.

自 2000 年代初以来,卡廷甘河一直受到手工和小规模采金业活动产生的汞污染。本研究的目的是评估食用卡廷丹鱼的汞暴露风险,并分析暴露变量之间的关系。我们根据对 74 份鱼类样本的汞分析和鱼类消费调查问卷,提出了两种风险评估方案。风险评估结果显示,方案 2 的估计日摄入量(EDIs)一般比方案 1 高 3-4 倍。统计检验结果显示,方案 2 和方案 1 之间存在明显差异(p p
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引用次数: 0
Association between residential green spaces and pregnancy outcomes: a systematic review and meta-analysis. 居住区绿地与妊娠结局之间的关系:系统回顾与荟萃分析。
IF 2.2 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-01-07 DOI: 10.1080/09603123.2023.2299242
Zaeema Ahmer, Maria Atif, Sidra Zaheer, Omair Adil, Shiraz Shaikh, Kashif Shafique

Residential exposure to greenness has shown positive influences on pregnancy outcomes like birth weight, preterm births, and small to gestational age (SGA) deliveries. We aimed to comprehensively review and investigate these associations by conducting a systematic review with meta-analysis. Relevant studies were retrieved from PubMed, EMBASE, ScienceDirect, and Google Scholar databases before June 2023. Summary effect estimates included birth weight, low birth weight (LBW), preterm births, and SGA which were calculated for 0.1 unit increase in residential greenness exposure. Overall quality of the evidence was examined through Joanna Briggs Institute (JBI) critical appraisal tool. The review included 31 articles and found a statistically significant increase in birth weight measured at 250 m buffer distance (β = 8.95, 95% CI = 1.63-16.27). Green spaces were also associated with lower odds of LBW (OR = 0.97, 95% CI = 0.96-0.98). Residential greenness had positive impacts on pregnancy outcomes that calls for emphasis on urban planning, especially in developing countries.

居住地的绿化对妊娠结局有积极影响,如出生体重、早产和小于胎龄(SGA)分娩。我们旨在通过荟萃分析进行系统回顾,全面回顾和研究这些关联。我们在 2023 年 6 月之前从 PubMed、EMBASE、ScienceDirect 和 Google Scholar 数据库中检索了相关研究。汇总效应估计值包括出生体重、低出生体重(LBW)、早产和 SGA,计算结果为居住区绿化暴露增加 0.1 个单位。通过乔安娜-布里格斯研究所(JBI)的关键评估工具对证据的整体质量进行了检查。综述包括 31 篇文章,发现在 250 米缓冲距离处测量的出生体重有显著的统计学增长(β = 8.95,95% CI = 1.63-16.27)。绿地也与低出生体重儿几率降低有关(OR = 0.97,95% CI = 0.96-0.98)。住宅绿化对妊娠结局有积极影响,因此需要重视城市规划,尤其是在发展中国家。
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引用次数: 0
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