PuSH - Publication Server of Helmholtz Zentrum München

Fuertes, E. ; Markevych, I. ; von Berg, A.* ; Bauer, C.P.* ; Berdel, D.* ; Koletzko, S.* ; Sugiri, D.* ; Heinrich, J.

Greenness and allergies: Evidence of differential associations in two areas in Germany.

J. Epidemiol. Community Health 68, 787-790 (2014)
Publ. Version/Full Text Volltext DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
BACKGROUND: Positive greenness effects on health are increasingly reported, although studies on allergic outcomes remain limited and conflicting. We examined whether residential greenness is associated with childhood doctor diagnosed allergic rhinitis, eyes and nose symptoms and aeroallergen sensitisation using two combined birth cohorts (GINIplus and LISAplus) followed from birth to 10 years in northern and southern Germany (Ntotal=5803). METHODS: Mean residential greenness in a 500 m buffer around the 10-year home addresses was defined using the Normalized Difference Vegetation Index, a green biomass density indicator. Longitudinal associations were assessed per study area (GINI/LISA South and GINI/LISA North) using generalised estimation equations adjusted for host and environmental covariates. RESULTS: Despite identical study designs and statistical modelling, greenness effects differed across the two study areas. Associations were elevated for allergic rhinitis and eyes and nose symptoms in the urban GINI/LISA South area. In contrast, risk estimates were significantly below one for these outcomes and aeroallergen sensitisation in rural GINI/LISA North. Area-specific associations were similar across buffer sizes and addresses (birth and 6 years) and remained heterogeneous after air pollution and population density stratification. CONCLUSIONS: Existing and future single-area studies on greenness and green spaces should be interpreted with caution.
Altmetric
Additional Metrics?
[➜Log in]
Edit extra informations Login
Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Use Regression-models; Escape Project; Pm2.5 Absorbency; Human Health; Urban Areas; Pollen; No2; Pmcoarse; Asthma; Spaces
ISSN (print) / ISBN 0143-005X
e-ISSN 1470-2738
Journal Journal of Epidemiology and Community Health
Quellenangaben Volume: 68, Issue: 8, Pages: 787-790 Article Number: , Supplement: ,
Publisher BMJ Publishing Group
Publishing Place London
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology (EPI)