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10.1016/j.ecoenv.2022.113245

http://scihub22266oqcxt.onion/10.1016/j.ecoenv.2022.113245
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suck abstract from ncbi


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pmid35093816      Ecotoxicol+Environ+Saf 2022 ; 232 (ä): 113245
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  • Residential greenness is associated with disease severity among COVID-19 patients aged over 45 years in Wuhan, China #MMPMID35093816
  • Peng W; Kan H; Zhou L; Wang W
  • Ecotoxicol Environ Saf 2022[Mar]; 232 (ä): 113245 PMID35093816show ga
  • Evidence regarding environmental factors associated with disease severity of COVID-19 remained scarce. This study aimed to investigate the association of residential greenness exposure with COVID-19 severity applying a retrospective cross-sectional study in Wuhan, China. We included 30,253 COVID-19 cases aged over 45 years from January 1 to February 27, 2020. Residential greenness was quantitatively assessed using normalized difference vegetation index (NDVI) and enhanced vegetation index (EVI). A multilevel generalized linear model using Poisson regression was implemented to analyze the association between greenness exposure and disease severity of COVID-19, after adjusting for potential covariates. A linear exposure-response relationship was found between greenness and COVID-19 severity. In the adjusted model, one 0.1 unit increase of NDVI and EVI in the 1000-m buffer radius was significantly associated with a 7.6% (95% confidence interval (CI): 4.0%, 11.1%) and 10.0% (95% CI: 5.1%, 14.7%) reduction of the prevalence of COVID-19 severity, respectively. The effect of residential greenness seemed to be more pronounced among participants with lower population density and economic levels. Air pollutants mediated 0.82~12.08% of the greenness and COVID-19 severity association, particularly to nitrogen dioxide. Sensitivity analyses suggested the robustness of the results. Our findings suggested that residential greenness exposure was beneficial to reduce the prevalence of COVID-19 severity.
  • |*Air Pollution/analysis[MESH]
  • |*COVID-19/epidemiology[MESH]
  • |*Residence Characteristics[MESH]
  • |China/epidemiology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Middle Aged[MESH]
  • |Parks, Recreational[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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