Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (8): 94-100.doi: 10.6040/j.issn.1671-7554.0.2022.1153

• 公共卫生与管理学 • Previous Articles    

Correlation between vegetation cover and death risk of respiratory cancers

LU Wei1,2, LIU Huan3, JIA Xianjie1,4, SU Ping5, SHI Jie1,2, WANG Yaqian1,2, CHI Weiwei1,2,5   

  1. 1. School of Public Health, Cheelo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. National Institute of Health Data Science of China, Jinan 250003, Shandong, China;
    3. Chronic Disease Department, Pingyi Center for Disease Control and Prevention, Pingyi 273300, Shandong, China;
    4. Department of Epidemiology and Health Statistics, School of Public Health, Bengbu Medical College, Bengbu 233000, Anhui, China;
    5. National Administration of Health Data, Jinan 250002, Shandong, China
  • Published:2023-08-30

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Abstract: Objective To evaluate the relationship between vegetation cover and death risk of respiratory cancers. Methods Patients with respiratory cancers in Pingyi County were involved. Normalized difference vegetation index(NDVI), enhanced vegetation index(EVI), and soil-adjusted vegetation index(SAVI)were taken as indicators of vegetation cover. Extended time-dependent Cox proportional risk regression model was applied to calculate the hazard ratios(HR)and 95%CI for NDVI, EVI, and SAVI and death from respiratory cancers. Stratified analyses were conducted according to age, sex, and air quality. Results A total of 5,314 subjects were involved, including 3,594 deaths from respiratory cancers during 2014 and 2020. T2 levels of EVI and SAVI were negatively correlated with the risk of death of respiratory cancers(HR=0.871, 95%CI: 0.793-0.956, P=0.004; HR=0.885, 95%CI: 0.810-0.967, P=0.007). Stratified analysis showed negative association between vegetation cover and death risk of respiratory cancers in patients aged ≥60 years, female, and those living with PM2.5 concentrations below 70 μg/m3(all P<0.05). Conclusion Higher vegetation coverage may be protective for elderly female patients with respiratory cancers living in areas with good air quality.

Key words: Vegetation cover, Respiratory cancers, Time-dependent Cox proportional risk regression, Survival analysis

CLC Number: 

  • R181.3
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