Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.

Cardiovascular diseases (CVDs) are major contributors to morbidity and mortality in lower-middle-income countries (LMICs). Features of the natural environment, such as greenness, are a potential, modifiable determinant of CVD, yet there is a lack of evidence, particularly in LMICs. Our study investi...

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Autores principales:	J Padmaka Silva, Ankur Singh, Brian Oldenburg, Wasantha Gunathunga, A M A A P Alagiyawanna, Suzanne Mavoa
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f563252c2a054ea3acc5bb4c3e3674cc
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spelling	oai:doaj.org-article:f563252c2a054ea3acc5bb4c3e3674cc2021-12-02T20:05:27ZAssociations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.1932-620310.1371/journal.pone.0252382https://doaj.org/article/f563252c2a054ea3acc5bb4c3e3674cc2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252382https://doaj.org/toc/1932-6203Cardiovascular diseases (CVDs) are major contributors to morbidity and mortality in lower-middle-income countries (LMICs). Features of the natural environment, such as greenness, are a potential, modifiable determinant of CVD, yet there is a lack of evidence, particularly in LMICs. Our study investigated associations between residential greenness, measured using the Normalized Difference Vegetation Index (NDVI), and self-reported heart disease in 5268 Sri Lankan men aged 34 to 55 years. Multivariable logistic regression models were fitted to examine associations between mean NDVI within 100 m, 400 m, 800 m, 1600 m, and 2000 m of the residential address, adjusting for age, marital status, income, education, alcohol consumption, smoking and road length. Fully adjusted models showed that a 0.1 increase in mean NDVI was associated with lower odds of heart disease when using the 400 m (OR: 0.80; 95% CI: 0.64, 1.00), 800 m (OR: 0.85; 95% CI: 0.63, 1.14), and 2000 m (OR: 0.74; 95% CI: 0.48, 1.13) buffers. Further research in different contexts, and with improved outcome measures, is needed to confirm relationships between residential greenness and heart disease in rural areas and in LMICs.J Padmaka SilvaAnkur SinghBrian OldenburgWasantha GunathungaA M A A P AlagiyawannaSuzanne MavoaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252382 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q J Padmaka Silva Ankur Singh Brian Oldenburg Wasantha Gunathunga A M A A P Alagiyawanna Suzanne Mavoa Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
description	Cardiovascular diseases (CVDs) are major contributors to morbidity and mortality in lower-middle-income countries (LMICs). Features of the natural environment, such as greenness, are a potential, modifiable determinant of CVD, yet there is a lack of evidence, particularly in LMICs. Our study investigated associations between residential greenness, measured using the Normalized Difference Vegetation Index (NDVI), and self-reported heart disease in 5268 Sri Lankan men aged 34 to 55 years. Multivariable logistic regression models were fitted to examine associations between mean NDVI within 100 m, 400 m, 800 m, 1600 m, and 2000 m of the residential address, adjusting for age, marital status, income, education, alcohol consumption, smoking and road length. Fully adjusted models showed that a 0.1 increase in mean NDVI was associated with lower odds of heart disease when using the 400 m (OR: 0.80; 95% CI: 0.64, 1.00), 800 m (OR: 0.85; 95% CI: 0.63, 1.14), and 2000 m (OR: 0.74; 95% CI: 0.48, 1.13) buffers. Further research in different contexts, and with improved outcome measures, is needed to confirm relationships between residential greenness and heart disease in rural areas and in LMICs.
format	article
author	J Padmaka Silva Ankur Singh Brian Oldenburg Wasantha Gunathunga A M A A P Alagiyawanna Suzanne Mavoa
author_facet	J Padmaka Silva Ankur Singh Brian Oldenburg Wasantha Gunathunga A M A A P Alagiyawanna Suzanne Mavoa
author_sort	J Padmaka Silva
title	Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
title_short	Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
title_full	Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
title_fullStr	Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
title_full_unstemmed	Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.
title_sort	associations between residential greenness and self-reported heart disease in sri lankan men: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f563252c2a054ea3acc5bb4c3e3674cc
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Associations between residential greenness and self-reported heart disease in Sri Lankan men: A cross-sectional study.

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