IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i10p1382-d1502247.html
   My bibliography  Save this article

The Effects of Green Spaces and Noise Exposure on the Risk of Ischemic Stroke: A Case–Control Study in Lebanon

Author

Listed:
  • Jad El Masri

    (INSERM U955-E01, Institut Mondor de Recherche Biomédicale, Université Paris-Est Créteil, 94010 Créteil, France
    École Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, 94010 Créteil, France
    Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon
    INSPECT-LB (Institut National de Sant e Publique, d’Épidemiologie Clinique et de Toxicologie-Liban), Beirut 1103, Lebanon)

  • Hani Finge

    (Department of Neurology, Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon)

  • Ahmad Afyouni

    (Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon)

  • Tarek Baroud

    (Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon)

  • Najla Ajaj

    (Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon)

  • Maya Ghazi

    (Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon
    School of Medicine, Lebanese American University, Byblos 1102, Lebanon)

  • Diala El Masri

    (Faculty of Medicine, University of Balamand, Koura 1100, Lebanon)

  • Mahmoud Younes

    (Department of Neurology, Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon)

  • Pascale Salameh

    (Faculty of Medical Sciences, Lebanese University, Beirut 1533, Lebanon
    INSPECT-LB (Institut National de Sant e Publique, d’Épidemiologie Clinique et de Toxicologie-Liban), Beirut 1103, Lebanon
    School of Medicine, Lebanese American University, Byblos 1102, Lebanon
    Faculty of Pharmacy, Lebanese University, Beirut 1533, Lebanon)

  • Hassan Hosseini

    (INSERM U955-E01, Institut Mondor de Recherche Biomédicale, Université Paris-Est Créteil, 94010 Créteil, France
    Department of Neurology, Henri Mondor Hospital, AP-HP, 94010 Créteil, France
    These authors contributed equally to this work.)

Abstract

Background: Environmental surroundings reduce the rate of several diseases, especially those related to stressful events. Ischemic stroke can be affected by such events, either directly or through its risk factors. Therefore, the present study evaluates the effects of green spaces and noise exposure on the risk of ischemic stroke. Methods: A case–control study was carried out, including 200 ischemic stroke cases within the first 48 h of diagnosis and 200 controls, divided equally into hospitalized and non-hospitalized participants. Controls were matched to cases based on age and gender. Socio-demographic characteristics were assessed, in addition to environmental surroundings and noise exposure at home and at workplaces. Results: Living in a house, having a house garden, and taking care of the garden were associated with a lower risk of suffering an ischemic stroke ( p < 0.001, p < 0.001, and p = 0.009, respectively). However, having buildings as the view from home led to a higher stroke rate ( p < 0.001). Working in an urban area, the workplace being surrounded by buildings, and the workplace not being surrounded by green spaces were also associated with a higher risk of suffering an ischemic stroke ( p = 0.002, p = 0.001, and p = 0.03, respectively). As for noise exposure, being exposed to traffic noise, human noise, and other types of noise was significantly associated with a higher risk of ischemic stroke, while being exposed to higher levels of natural noise was significantly associated with a lower risk of ischemic stroke. Higher levels of noise were also associated with higher risks of ischemic stroke in homes and workplaces ( p < 0.001 and p = 0.008, respectively). Conclusions: Environmental surroundings and noise exposure were found to affect the risk of ischemic stroke. Greater green spaces and lower noise exposure play a protective role against ischemic stroke, suggesting a possible prevention strategy through environmental modifications at home and workplaces.

Suggested Citation

  • Jad El Masri & Hani Finge & Ahmad Afyouni & Tarek Baroud & Najla Ajaj & Maya Ghazi & Diala El Masri & Mahmoud Younes & Pascale Salameh & Hassan Hosseini, 2024. "The Effects of Green Spaces and Noise Exposure on the Risk of Ischemic Stroke: A Case–Control Study in Lebanon," IJERPH, MDPI, vol. 21(10), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1382-:d:1502247
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/10/1382/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/10/1382/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Diana Marina Camargo & Paula Camila Ramírez & Rogério César Fermino, 2017. "Individual and Environmental Correlates to Quality of Life in Park Users in Colombia," IJERPH, MDPI, vol. 14(10), pages 1-10, October.
    2. Antoni Colom & Miguel Fiol & Maurici Ruiz & Montserrat Compa & Marga Morey & Manuel Moñino & Dora Romaguera, 2018. "Association between Access to Public Open Spaces and Physical Activity in a Mediterranean Population at High Cardiovascular Risk," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Phi-Yen Nguyen & Thomas Astell-Burt & Hania Rahimi-Ardabili & Xiaoqi Feng, 2021. "Green Space Quality and Health: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-38, October.
    2. Zhonghua Gou & Xiaohuan Xie & Yi Lu & Maryam Khoshbakht, 2018. "Quality of Life (QoL) Survey in Hong Kong: Understanding the Importance of Housing Environment and Needs of Residents from Different Housing Sectors," IJERPH, MDPI, vol. 15(2), pages 1-16, January.
    3. Peter Congdon, 2019. "Obesity and Urban Environments," IJERPH, MDPI, vol. 16(3), pages 1-6, February.
    4. Sadegh Fathi & Hassan Sajadzadeh & Faezeh Mohammadi Sheshkal & Farshid Aram & Gergo Pinter & Imre Felde & Amir Mosavi, 2020. "The Role of Urban Morphology Design on Enhancing Physical Activity and Public Health," IJERPH, MDPI, vol. 17(7), pages 1-29, March.
    5. David Rojas-Rueda & Elida Vaught & Daniel Buss, 2021. "Why a New Research Agenda on Green Spaces and Health Is Needed in Latin America: Results of a Systematic Review," IJERPH, MDPI, vol. 18(11), pages 1-16, May.
    6. Dahlia Stott & DeAndra Forde & Chetan Sharma & Jonathan M. Deutsch & Michael Bruneau & Jennifer A. Nasser & Mara Z. Vitolins & Brandy-Joe Milliron, 2024. "Interactions with Nature, Good for the Mind and Body: A Narrative Review," IJERPH, MDPI, vol. 21(3), pages 1-26, March.
    7. Charlotte Wendelboe-Nelson & Sarah Kelly & Marion Kennedy & John W. Cherrie, 2019. "A Scoping Review Mapping Research on Green Space and Associated Mental Health Benefits," IJERPH, MDPI, vol. 16(12), pages 1-49, June.
    8. Zhonghui Zheng & Ping Zhang & Fangzheng Yuan & Yunque Bo, 2022. "Scientometric Analysis of The Relationship between a Built Environment and Cardiovascular Disease," IJERPH, MDPI, vol. 19(9), pages 1-18, May.
    9. Clare A. Bartels & Estelle V. Lambert & Marié E. M. Young & Tracy Kolbe-Alexander, 2023. "If You Build It Will They Come? Park Upgrades, Park Use and Park-Based Physical Activity in Urban Cape Town, South Africa—The SUN Study," IJERPH, MDPI, vol. 20(3), pages 1-24, January.
    10. Lei Yang & Yuping Mao & Jeroen Jansz, 2018. "Chinese Urban Hui Muslims’ Access to and Evaluation of Cardiovascular Diseases-Related Health Information from Different Sources," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
    11. Antoni Colom & Maurici Ruiz & Julia Wärnberg & Montserrat Compa & Josep Muncunill & Francisco Javier Barón-López & Juan Carlos Benavente-Marín & Elena Cabeza & Marga Morey & Montserrat Fitó & Jordi Sa, 2019. "Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study," IJERPH, MDPI, vol. 16(5), pages 1-17, March.
    12. Vincenza Gianfredi & Maddalena Buffoli & Andrea Rebecchi & Roberto Croci & Aurea Oradini-Alacreu & Giuseppe Stirparo & Alessio Marino & Anna Odone & Stefano Capolongo & Carlo Signorelli, 2021. "Association between Urban Greenspace and Health: A Systematic Review of Literature," IJERPH, MDPI, vol. 18(10), pages 1-23, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1382-:d:1502247. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.