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

Journal article


Silva, J. Padmaka, Singh, Ankur, Oldenburg, Brian, Gunathunga, Wasantha, Alaglyawanna, A. M. A. A. P. and Mavoa, Suzanne. (2021). Associations between residential greenness and self-reported heart disease in Sri Lankan men : A cross-sectional study. PLoS ONE. 16(5), p. e0252382. https://doi.org/10.1371/journal.pone.0252382
AuthorsSilva, J. Padmaka, Singh, Ankur, Oldenburg, Brian, Gunathunga, Wasantha, Alaglyawanna, A. M. A. A. P. and Mavoa, Suzanne
Abstract

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.

Year2021
JournalPLoS ONE
Journal citation16 (5), p. e0252382
PublisherPublic Library of Science
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0252382
PubMed ID34048455
Scopus EID2-s2.0-85106897752
PubMed Central IDPMC8162690
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-12
FunderNational Health and Medical Research Council
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online28 May 2021
Publication process dates
Accepted15 May 2021
Deposited05 Jan 2022
Grant IDNHMRC/1121035
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