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Article: Community planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong

TitleCommunity planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong
Authors
KeywordsStroke
Mortality
Urban characteristics
Age-specific
High-density
Asia
Issue Date2022
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/chemosphere
Citation
Chemosphere, 2022, v. 287 pt. 3, article no. 132043 How to Cite?
AbstractWith the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols. A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments.
Persistent Identifierhttp://hdl.handle.net/10722/304207
ISSN
2023 Impact Factor: 8.1
2023 SCImago Journal Rankings: 1.806
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, HC-
dc.contributor.authorGuo, H-
dc.contributor.authorChan, T-
dc.contributor.authorShi, Y-
dc.contributor.authorWebster, C-
dc.contributor.authorFong, KNK-
dc.date.accessioned2021-09-23T08:56:44Z-
dc.date.available2021-09-23T08:56:44Z-
dc.date.issued2022-
dc.identifier.citationChemosphere, 2022, v. 287 pt. 3, article no. 132043-
dc.identifier.issn0045-6535-
dc.identifier.urihttp://hdl.handle.net/10722/304207-
dc.description.abstractWith the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols. A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM10, older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments.-
dc.languageeng-
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/chemosphere-
dc.relation.ispartofChemosphere-
dc.subjectStroke-
dc.subjectMortality-
dc.subjectUrban characteristics-
dc.subjectAge-specific-
dc.subjectHigh-density-
dc.subjectAsia-
dc.titleCommunity planning for a “healthy built environment” via a human-environment nexus? A multifactorial assessment of environmental characteristics and age-specific stroke mortality in Hong Kong-
dc.typeArticle-
dc.identifier.emailHo, HC: hcho21@hku.hk-
dc.identifier.emailWebster, C: cwebster@hku.hk-
dc.identifier.authorityHo, HC=rp02482-
dc.identifier.authorityWebster, C=rp01747-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.chemosphere.2021.132043-
dc.identifier.pmid34543905-
dc.identifier.scopuseid_2-s2.0-85115022903-
dc.identifier.hkuros324916-
dc.identifier.volume287-
dc.identifier.issuept. 3-
dc.identifier.spagearticle no. 132043-
dc.identifier.epagearticle no. 132043-
dc.identifier.isiWOS:000704944700005-
dc.publisher.placeUnited Kingdom-

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