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中国老年人居住距离主要道路的远近与非致死性心血管疾病之间的关联:一项全国性研究。

Association between residential proximity to major roadways and nonfatal cardiovascular disease in Chinese older adults: a nationwide study.

作者信息

Xu Jiayi, Wang Xue, Zhang Guang-Wei, Ma Yi, Zang Shuang

机构信息

Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China.

School of Nursing, Peking University, No.38 Xueyuan Road, Haidian District, 100191, Beijing, China.

出版信息

Sci Rep. 2025 Jul 2;15(1):23536. doi: 10.1038/s41598-025-08298-3.

DOI:10.1038/s41598-025-08298-3
PMID:40603485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12223210/
Abstract

The established association between residential proximity to major roadways and some negative health outcomes has been unequivocally substantiated. However, there is limited evidence regarding the association between residential proximity to major roadways and nonfatal cardiovascular disease (CVD). The research utilized an array of data sourced from the 2018 Chinese longitudinal healthy longevity survey. Ascertained the residential proximity to major roadways based on the participants' self-reports, and ascertained nonfatal CVD based on previous diagnosis of self-reports. This study implemented logistic regression to examine the associations between residential proximity to major roadways and nonfatal CVD. A total of 12,873 older adults (mean age = 85.27 ± 11.73 years) were included in this study. The study indicated that residential proximity to major roadways was significantly associated with nonfatal CVD, compared with those living < 50 m from major roadways, the OR (95% CI) of nonfatal CVD for those who living 50-100 m, 101-200 m, 201-300 m, and > 300 m were 0.37 (0.32, 0.45), 0.35 (0.29, 0.44), 0.45 (0.37, 0.56), 0.33 (0.28, 0.37), respectively. There is a significant and close association between residential proximity to major roadways and nonfatal CVD. Public and environmental health policies that keep residence away from major roadways can reduce the burden of nonfatal CVD.

摘要

居住在主要道路附近与一些负面健康结果之间已确立的关联得到了明确证实。然而,关于居住在主要道路附近与非致命性心血管疾病(CVD)之间关联的证据有限。该研究利用了一系列来自2018年中国纵向健康长寿调查的数据。根据参与者的自我报告确定居住与主要道路的接近程度,并根据先前自我报告的诊断确定非致命性CVD。本研究采用逻辑回归来检验居住与主要道路的接近程度与非致命性CVD之间的关联。本研究共纳入了12873名老年人(平均年龄=85.27±11.73岁)。研究表明,居住在主要道路附近与非致命性CVD显著相关,与居住在距离主要道路<50米的人群相比,居住在50-100米、101-200米、201-300米和>300米的人群中非致命性CVD的比值比(95%置信区间)分别为0.37(0.32,0.45)、0.35(0.29,0.44)、0.45(0.37,0.56)、0.33(0.28,0.37)。居住在主要道路附近与非致命性CVD之间存在显著且密切的关联。使住所远离主要道路的公共和环境卫生政策可以减轻非致命性CVD的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7f/12223210/b4fea940c2ff/41598_2025_8298_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7f/12223210/3ba86b811a79/41598_2025_8298_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7f/12223210/b4fea940c2ff/41598_2025_8298_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7f/12223210/3ba86b811a79/41598_2025_8298_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7f/12223210/b4fea940c2ff/41598_2025_8298_Fig2_HTML.jpg

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