The Influence of Environment Factors on Chronic Non-Communicable Diseases in a Heavy Industry City—A Case of Xigu District of Lanzhou City

Abstract

Taking Xigu District of Lanzhou City as an example, this paper systematically analyzes the spatio-temporal distribution characteristics of patients with chronic non-communicable diseases (NCD) and compares the differences between heating period and non-heating period. Furthermore, the impact paths of natural environmental factors and built-up environmental factors on NCD are probed with the help of the geographic detector. The results are as follows: In time, the incidence of NCD in Xigu district fluctuated from 2012 to 2019. In space, there was an overall declining trend in high incidence rate from the central area to the surrounding areas, among which Xigucheng street was the high-risk area. The incidence of NCD in heating period was higher than that of in non-heating period, and the number of H-H cluster areas was witnessed an obviously increasing growth in Sijiqing Street. There are significant differences in the explanatory power of different factors (if any) for NCD. The explanatory power of each index in Xigu District is as follows: Facility > SO2 > NO2 > PM2.5 > food > Beverage Service > Green Facilities > Traffic Regulations > medical facilities. The interaction between plant facilities and SO2 has the strongest effect on NCD. Except for the negative correlation between greening and medical facilities and the incidence of NCD, all the influencing factors were positively correlated with NCD.