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城市绿地的健康影响:与热相关的发病率和死亡率的系统评价。

Health impact of urban green spaces: a systematic review of heat-related morbidity and mortality.

机构信息

London School of Hygiene & Tropical Medicine, London, UK

The Aga Khan University, Karachi, Pakistan.

出版信息

BMJ Open. 2024 Oct 22;14(9):e081632. doi: 10.1136/bmjopen-2023-081632.

Abstract

OBJECTIVES

The objective of this review was to scrutinise the impact of urban green spaces on heat-related morbidity and mortality.

DESIGN

This systematic review was meticulously carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines DATA SOURCES: A comprehensive search was conducted across PubMed, Scopus and Google Scholar including studies from January 2000 to December 2022.

ELIGIBILITY CRITERIA

Studies that examined the influence of urban green spaces on heat-related morbidity and mortality, including randomised controlled trials, observational and modelling studies, were included.

DATA EXTRACTION AND SYNTHESIS

A total of 3301 publications were initially identified, out of which 12 studies met the inclusion criteria and were selected for analysis. The selected studies were predominantly from high-income and upper-middle-income nations (95%).

RESULTS

The research points towards a pattern where regions abundant in green spaces report lower rates of heat-related morbidity and mortality in contrast to those with sparse greenery. Additionally, urban vegetation appears to exert a positive influence on mental health and well-being, potentially aiding in offsetting the adverse health repercussions of high temperatures.

CONCLUSION

Urban green spaces play a vital role in mitigating heat-related health risks, offering a potential strategy for urban planning to address climate change and enhance public health. Additional research is required to thoroughly comprehend the magnitude of urban greenery's impact on heat-related morbidity and mortality, as well as its interplay with other variables, including air pollution, socioeconomic status, among others.

摘要

目的

本综述的目的是仔细研究城市绿地对与热相关的发病率和死亡率的影响。

设计

本系统评价按照系统评价和荟萃分析的首选报告项目进行了精心的实施。

数据来源

在 PubMed、Scopus 和 Google Scholar 中进行了全面搜索,包括 2000 年 1 月至 2022 年 12 月的研究。

入选标准

纳入了研究城市绿地对与热相关的发病率和死亡率影响的研究,包括随机对照试验、观察性研究和建模研究。

数据提取和综合

最初确定了 3301 篇出版物,其中 12 项研究符合纳入标准并被选中进行分析。所选研究主要来自高收入和中上收入国家(95%)。

结果

研究表明,绿地丰富的地区报告的与热相关的发病率和死亡率较低,而绿地稀疏的地区则较高。此外,城市植被似乎对心理健康和幸福感产生积极影响,可能有助于抵消高温对健康的不利影响。

结论

城市绿地在减轻与热相关的健康风险方面发挥着重要作用,为应对气候变化和改善公共健康提供了一种潜在的城市规划策略。需要进一步研究以充分了解城市绿地对与热相关的发病率和死亡率的影响程度,以及其与其他变量(包括空气污染、社会经济地位等)的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cae/11499757/c183f9261aa7/bmjopen-14-9-g001.jpg

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