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在女性健康倡议中,树木损失与心血管疾病风险有关联吗?一项自然实验。

Is tree loss associated with cardiovascular-disease risk in the Women's Health Initiative? A natural experiment.

作者信息

Donovan Geoffrey H, Michael Yvonne L, Gatziolis Demetrios, Prestemon Jeffrey P, Whitsel Eric A

机构信息

USDA Forest Service, Pacific Northwest Research Station, Portland, OR, USA.

Drexel University, Department of Epidemiology and Biostatistics, Philadelphia, PA, USA.

出版信息

Health Place. 2015 Nov;36:1-7. doi: 10.1016/j.healthplace.2015.08.007. Epub 2015 Sep 1.

DOI:10.1016/j.healthplace.2015.08.007
PMID:26335885
Abstract

Data from the Women's Health Initiative were used to quantify the relationship between the loss of trees to an invasive forest pest-the emerald ash borer-and cardiovascular disease. We estimated a semi-parametric Cox proportional hazards model of time to cardiovascular disease, adjusting for confounders. We defined the incidence of cardiovascular disease as acute myocardial infarction requiring overnight hospitalization, silent MI determined from serial electrocardiograms, ischemic or hemorrhagic stroke, or death from coronary heart disease. Women living in a county infested with emerald ash borer had an increased risk of cardiovascular disease (HR=1.25, 95% CI: 1.20-1.31).

摘要

妇女健康倡议组织的数据被用于量化因一种入侵性森林害虫——翡翠灰螟导致树木损失与心血管疾病之间的关系。我们估计了一个关于心血管疾病发病时间的半参数Cox比例风险模型,并对混杂因素进行了调整。我们将心血管疾病的发病率定义为需要住院过夜的急性心肌梗死、通过连续心电图确定的无症状心肌梗死、缺血性或出血性中风,或冠心病死亡。生活在受翡翠灰螟侵害的县的女性患心血管疾病的风险增加(风险比=1.25,95%置信区间:1.20-1.31)。

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