As part of the EU-funded SAVIAH project, a regression-based methodology for mapping tra c-related air pollution was developed within a GIS environment. Mapping was carried out for NO2 in Amsterdam, Hudders® eld and Prague. In each centre, surveys of NO2 , as a marker for tra c-related pollution, were conducted using passive di usion tubes, exposed for four 2-week periods. A GIS was also established, containing data on monitored air pollution levels, road network, tra c volume, land cover, altitude and other, locally determined, features. Data from 80 of the monitoring sites were then used to construct a regression equation, on the basis of predictor environmental variables, and the resulting equation used to map air pollution across the study area. The accuracy of the map was then assessed by comparing predicted pollution levels with monitored levels at a range of independent reference sites. Results showed that the map produced extremely good predictions of monitored pollution levels, both for individual surveys and for the mean annual concentration, with r 2~0´7 9± 0´87 across 8± 10 reference points, though the accuracy of predictions for individual survey periods was more variable. In Hudders® eld and Amsterdam, further monitoring also showed that the pollution map provided reliable estimates of NO2 concentrations in the following year (r 2~0´5 9± 0´86 for n=20).
Neighbourhood green space was related to better cardiovascular and mental health in a New Zealand Health Survey, independent of individual risk factors. Although physical activity was higher in greener neighbourhoods, it did not fully explain the green space and health relationship.
BackgroundThere is mounting international evidence that exposure to green environments is associated with health benefits, including lower mortality rates. Consequently, it has been suggested that the uneven distribution of such environments may contribute to health inequalities. Possible causative mechanisms behind the green space and health relationship include the provision of physical activity opportunities, facilitation of social contact and the restorative effects of nature. In the New Zealand context we investigated whether there was a socioeconomic gradient in green space exposure and whether green space exposure was associated with cause-specific mortality (cardiovascular disease and lung cancer). We subsequently asked what is the mechanism(s) by which green space availability may influence mortality outcomes, by contrasting health associations for different types of green space.MethodsThis was an observational study on a population of 1,546,405 living in 1009 small urban areas in New Zealand. A neighbourhood-level classification was developed to distinguish between usable (i.e., visitable) and non-usable green space (i.e., visible but not visitable) in the urban areas. Negative binomial regression models were fitted to examine the association between quartiles of area-level green space availability and risk of mortality from cardiovascular disease (n = 9,484; 1996 - 2005) and from lung cancer (n = 2,603; 1996 - 2005), after control for age, sex, socio-economic deprivation, smoking, air pollution and population density.ResultsDeprived neighbourhoods were relatively disadvantaged in total green space availability (11% less total green space for a one standard deviation increase in NZDep2001 deprivation score, p < 0.001), but had marginally more usable green space (2% more for a one standard deviation increase in deprivation score, p = 0.002). No significant associations between usable or total green space and mortality were observed after adjustment for confounders.ConclusionContrary to expectations we found no evidence that green space influenced cardiovascular disease mortality in New Zealand, suggesting that green space and health relationships may vary according to national, societal or environmental context. Hence we were unable to infer the mechanism in the relationship. Our inability to adjust for individual-level factors with a significant influence on cardiovascular disease and lung cancer mortality risk (e.g., diet and alcohol consumption) will have limited the ability of the analyses to detect green space effects, if present. Additionally, green space variation may have lesser relevance for health in New Zealand because green space is generally more abundant and there is less social and spatial variation in its availability than found in other contexts.
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