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10.1016/j.envres.2021.111331

http://scihub22266oqcxt.onion/10.1016/j.envres.2021.111331
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suck abstract from ncbi


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pmid34004166      Environ+Res 2021 ; 199 (ä): 111331
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  • County-level exposures to greenness and associations with COVID-19 incidence and mortality in the United States #MMPMID34004166
  • Klompmaker JO; Hart JE; Holland I; Sabath MB; Wu X; Laden F; Dominici F; James P
  • Environ Res 2021[Aug]; 199 (ä): 111331 PMID34004166show ga
  • BACKGROUND: COVID-19 is an infectious disease that has killed more than 555,000 people in the US. During a time of social distancing measures and increasing social isolation, green spaces may be a crucial factor to maintain a physically and socially active lifestyle while not increasing risk of infection. OBJECTIVES: We evaluated whether greenness was related to COVID-19 incidence and mortality in the US. METHODS: We downloaded data on COVID-19 cases and deaths for each US county up through June 7, 2020, from Johns Hopkins University, Center for Systems Science and Engineering Coronavirus Resource Center. We used April-May 2020 Normalized Difference Vegetation Index (NDVI) data, to represent the greenness exposure during the initial COVID-19 outbreak in the US. We fitted negative binomial mixed models to evaluate associations of NDVI with COVID-19 incidence and mortality, adjusting for potential confounders such as county-level demographics, epidemic stage, and other environmental factors. We evaluated whether the associations were modified by population density, proportion of Black residents, median home value, and issuance of stay-at-home orders. RESULTS: An increase of 0.1 in NDVI was associated with a 6% (95% Confidence Interval: 3%, 10%) decrease in COVID-19 incidence rate after adjustment for potential confounders. Associations with COVID-19 incidence were stronger in counties with high population density and in counties with stay-at-home orders. Greenness was not associated with COVID-19 mortality in all counties; however, it was protective in counties with higher population density. DISCUSSION: Exposures to NDVI were associated with reduced county-level incidence of COVID-19 in the US as well as reduced county-level COVID-19 mortality rates in densely populated counties.
  • |*COVID-19[MESH]
  • |Black or African American[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Population Density[MESH]
  • |SARS-CoV-2[MESH]


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