TY - JOUR
T1 - Association between surrounding greenness and mortality
T2 - An ecological study in taiwan
AU - Lee, Hsiao Yun
AU - Wu, Chih Da
AU - Chang, Yi Tsai
AU - Chern, Yinq Rong
AU - Lung, Shih Chun Candice
AU - Su, Huey Jen
AU - Pan, Wen Chi
N1 - Funding Information:
Funding: This work was supported by grant MOST 107-2119-M-006-030 from the Taiwan Ministry of Science and Technology (MOST) and grant AS-SS-107-03 from Academia Sinica (Taiwan).
Publisher Copyright:
© 2020 by the authors.
PY - 2020
Y1 - 2020
N2 - Exposure to surrounding greenness is associated with reduced mortality in Caucasian populations. Little is known however about the relationship between green vegetation and the risk of death in Asian populations. Therefore, we opted to evaluate the association of greenness with mortality in Taiwan. Death information was retrieved from the Taiwan Death Certificate database between 2006 to 2014 (3287 days). Exposure to green vegetation was based on the normalized difference vegetation index (NDVI) collected by the Moderate Resolution Imagine Spectroradiometer (MODIS). A generalized additive mixed model was utilized to assess the association between NDVI exposure and mortality. A total of 1,173,773 deaths were identified from 2006 to 2014. We found one unit increment on NDVI was associated with a reduced mortality due to all-cause (risk ratio [RR] = 0.901; 95% confidence interval = 0.862–0.941), cardiovascular diseases (RR = 0.892; 95% CI = 0.817–0.975), respiratory diseases (RR = 0.721; 95% CI = 0.632–0.824), and lung cancer (RR = 0.871; 95% CI = 0.735–1.032). Using the green land cover as the alternative green index showed the protective relationship on all-cause mortality. Exposure to surrounding greenness was negatively associated with mortality in Taiwan. Further research is needed to uncover the underlying mechanism.
AB - Exposure to surrounding greenness is associated with reduced mortality in Caucasian populations. Little is known however about the relationship between green vegetation and the risk of death in Asian populations. Therefore, we opted to evaluate the association of greenness with mortality in Taiwan. Death information was retrieved from the Taiwan Death Certificate database between 2006 to 2014 (3287 days). Exposure to green vegetation was based on the normalized difference vegetation index (NDVI) collected by the Moderate Resolution Imagine Spectroradiometer (MODIS). A generalized additive mixed model was utilized to assess the association between NDVI exposure and mortality. A total of 1,173,773 deaths were identified from 2006 to 2014. We found one unit increment on NDVI was associated with a reduced mortality due to all-cause (risk ratio [RR] = 0.901; 95% confidence interval = 0.862–0.941), cardiovascular diseases (RR = 0.892; 95% CI = 0.817–0.975), respiratory diseases (RR = 0.721; 95% CI = 0.632–0.824), and lung cancer (RR = 0.871; 95% CI = 0.735–1.032). Using the green land cover as the alternative green index showed the protective relationship on all-cause mortality. Exposure to surrounding greenness was negatively associated with mortality in Taiwan. Further research is needed to uncover the underlying mechanism.
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U2 - 10.3390/ijerph17124525
DO - 10.3390/ijerph17124525
M3 - Article
C2 - 32586013
AN - SCOPUS:85086923887
VL - 17
SP - 1
EP - 10
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 12
M1 - 4525
ER -