Abstract P631: The Relationship of Neighborhood Greenness to Stroke/ Transient Ischemic Attack in 249,405 US Medicare Beneficiaries
| Autor: | Margaret M. Byrne, Scott C. Brown, Carolina M Gutierrez, Maria I. Nardi, Jack Kardys, Tatjana Rundek, Joanna Lombard, Matthew Toro, William Aitken, Abraham Parrish, Chuanhui Dong, José Szapocznik, Kefeng Wang |
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| Rok vydání: | 2021 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty business.industry Protective factor Medicare beneficiary medicine.disease Older population Chronic disease Ischemic stroke Emergency medicine medicine Transient (computer programming) cardiovascular diseases Neurology (clinical) Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | Stroke. 52 |
| ISSN: | 1524-4628 0039-2499 2010-2011 |
| Popis: | Introduction: Nature exposures represent a novel environmental protective factor for chronic disease, which is understudied with respect to stroke and transient ischemic attack. The purpose of the present study is to investigate the relationship between objectively measured neighborhood greenness (vegetative presence) and Stroke/Transient Ischemic Attack (Stroke/TIA), in a population-based sample of Medicare beneficiaries. Methods: The sample was comprised of 249,405 U.S. Medicare beneficiaries ages > 65 years with the same location (ZIP+4) in Miami-Dade County, Florida, from 2010-2011. Analyses examined the relationship of greenness, measured by mean block-level Normalized Difference Vegetation Index (NDVI) from satellite imagery, to a diagnosis of Stroke/TIA. Hierarchical regression analyses, in a multi-level framework, assessed the relationship of greenness to Stroke/TIA, adjusting successively for individual age, gender, race/ethnicity, neighborhood income, and biological risk factors (diabetes, hypertension, hyperlipidemia). Secondary analyses then examined the relationship of greenness separately for specific diagnoses of Transient Ischemic Attack (TIA), Ischemic Stroke, and Hemorrhagic Stroke, respectively. Results: Higher greenness was associated with reduced risk for Stroke/TIA, adjusting for individual sociodemographics and neighborhood income: When compared to individuals residing in the lowest tertile of greenness, those individuals residing in the highest tertile of greenness had a 20% lower odds of Stroke/TIA (OR=0.80; 95% CI: 0.74, 0.86, p Conclusions: Neighborhood greenness may be associated with reduced risk of Stroke/TIA. Policies and strategies to increase greenness may be a future means of reducing Stroke/TIA at the population level. |
| Databáze: | OpenAIRE |
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