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Associations of Residential Greenness with Diabetes Mellitus in Chinese Uyghur Adults

Author

Listed:
  • Shujun Fan

    (Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China)

  • Zhenxiang Xue

    (Shufu Center for Disease Control and Prevention, Kashgar 844100, China)

  • Jun Yuan

    (Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China)

  • Ziyan Zhou

    (Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China)

  • Yuzhong Wang

    (Shufu Center for Disease Control and Prevention, Kashgar 844100, China)

  • Zhicong Yang

    (Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China)

  • Boyi Yang

    (Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Guangdong Provincial Engineering Technology Research Center of Environmental and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Guanghui Dong

    (Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Guangdong Provincial Engineering Technology Research Center of Environmental and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Zhoubin Zhang

    (Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China)

Abstract

Greenness exposure is nominated as a potential beneficial factor for health, but evidence is limited on its diabetes effects. We conducted a cross-sectional study between May and September 2016 in rural areas of northwestern China, including 4670 Uyghur adults, to explore the associations between residential greenness and fasting glucose levels and diabetes prevalence. Fasting glucose levels were determined, and information on covariates was collected by questionnaire. Normalized difference vegetation index (NDVI) and soil-adjusted vegetation index (SAVI) were calculated to assess greenness levels. Generalized linear mixed models were applied to evaluate the associations of greenness with fasting glucose levels and diabetes prevalence. The prevalence of diabetes was 11.6%. We found that living in rural areas characterized by increased amounts of greenness was associated with reduced diabetes prevalence (e.g., NDVI 1000m : OR, 0.92; 95% CI, 0.86, 0.99). Stratified analyses showed that the protective effects of greenness on diabetes prevalence were found only in women (NDVI 1000m : OR, 0.90; 95% CI, 0.82, 0.99). However, none of the interaction was statistically significant. Our study suggests that greater residential greenness levels were associated with a lower odds ratio of diabetes prevalence in Xinjiang Uyghur adults. Further well-designed longitudinal studies are needed to confirm our findings.

Suggested Citation

  • Shujun Fan & Zhenxiang Xue & Jun Yuan & Ziyan Zhou & Yuzhong Wang & Zhicong Yang & Boyi Yang & Guanghui Dong & Zhoubin Zhang, 2019. "Associations of Residential Greenness with Diabetes Mellitus in Chinese Uyghur Adults," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:5131-:d:298348
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    References listed on IDEAS

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    1. Hartley, D., 2004. "Rural health disparities, population health, and rural culture," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1675-1678.
    2. Roland Ngom & Pierre Gosselin & Claudia Blais & Louis Rochette, 2016. "Type and Proximity of Green Spaces Are Important for Preventing Cardiovascular Morbidity and Diabetes—A Cross-Sectional Study for Quebec, Canada," IJERPH, MDPI, vol. 13(4), pages 1-15, April.
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    2. Cecilia Anza-Ramirez & Mariana Lazo & Jessica Hanae Zafra-Tanaka & Ione Avila-Palencia & Usama Bilal & Akram Hernández-Vásquez & Carolyn Knoll & Nancy Lopez-Olmedo & Mónica Mazariegos & Kari Moore & D, 2022. "The urban built environment and adult BMI, obesity, and diabetes in Latin American cities," Nature Communications, Nature, vol. 13(1), pages 1-9, December.
    3. Hania Rahimi-Ardabili & Thomas Astell-Burt & Phi-Yen Nguyen & Juan Zhang & Yu Jiang & Guang-Hui Dong & Xiaoqi Feng, 2021. "Green Space and Health in Mainland China: A Systematic Review," IJERPH, MDPI, vol. 18(18), pages 1-22, September.
    4. Hector A. Olvera-Alvarez & Matthew H. E. M. Browning & Andreas M. Neophytou & Gregory N. Bratman, 2021. "Associations of Residential Brownness and Greenness with Fasting Glucose in Young Healthy Adults Living in the Desert," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    5. Alessandro Rigolon & Matthew H. E. M. Browning & Olivia McAnirlin & Hyunseo (Violet) Yoon, 2021. "Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities," IJERPH, MDPI, vol. 18(5), pages 1-27, March.

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