Associations of Residential Greenness with Diabetes Mellitus in Chinese Uyghur Adults

Shujun Fan, Zhenxiang Xue, Jun Yuan, Ziyan Zhou, Yuzhong Wang, Zhicong Yang, Boyi Yang, Guanghui Dong and Zhoubin Zhang
Additional contact information
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

IJERPH, 2019, vol. 16, issue 24, 1-11

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.

Keywords: greenness; diabetes; fasting glucose; Uyghur (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/24/5131/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/24/5131/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:24:p:5131-:d:298348

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().