Research on the Influence of Neighborhood Environment on Respiratory Health and Optimization of Neighborhood Environment

JIA Yanfei; ZHANG Zhiqi; DING Yue

doi:10.12409/j.fjyl.202304100176

Landscape Architecture > 2023 > 30(12): 40-48. > DOI: 10.12409/j.fjyl.202304100176

JIA Y F, ZHANG Z Q, DING Y. Research on the Influence of Neighborhood Environment on Respiratory Health and Optimization of Neighborhood Environment[J]. Landscape Architecture, 2023, 30(12): 40-48 doi: 10.12409/j.fjyl.202304100176.

Citation:

PDF (10456 KB)

Research on the Influence of Neighborhood Environment on Respiratory Health and Optimization of Neighborhood Environment

More Information

Author Bio:
JIA Yanfei, Ph.D., is an associate professor and master supervisor in the School of Architecture and Urban Planning, Huazhong University of Science and Technology, and a member of Hubei Engineering and Technology Research Center of Urbanization. His research focuses on healthy city, historical and cultural heritage, and urban design

ZHANG Zhiqi is a master student in the School of Architecture and Urban Planning, Huazhong University of Science and Technology, and a member of Hubei Engineering and Technology Research Center of Urbanization. His research focuses on healthy city, historical and cultural heritage, and urban design

DING Yue is a master student in the School of Architecture and Urban Planning, Huazhong University of Science and Technology, and a member of Hubei Engineering and Technology Research Center of Urbanization. Her research focuses on healthy city, historical and cultural heritage, and urban design
Received Date: April 09, 2023
Revised Date: October 12, 2023
Available Online: November 29, 2023
Issue Publish Date: December 09, 2023

Graphical Abstract

Abstract

Abstract

Objective
Building a healthy China is an important part of urban construction. At present, respiratory diseases have become one of the diseases that seriously affect the physical and mental health of residents, unhealthy living environments, especially unhealthy neighborhood environments where people live for a long time, are important triggers of respiratory diseases. Exploring the impact of the neighborhood environment on respiratory diseases has become a key concern in the construction of a healthy China.

Methods
Based on the hospitalization information about respiratory diseases in the respiratory department of a tertiary hospital in a prefecture-level city during the period from 2015 to 2018, this research probes into the influence of neighborhood environment on respiratory health. Specifically, the research statistically analyzes relevant data on the patients with respiratory disease and derives the overall characteristics thereof using the SPSS software, explores the spatial distribution characteristics of such diseased population using the spatial regression analysis method, and analyzes the local Moran’s I using the GeoDa software. In addition, the research selects some potential influencing factors in the neighborhood environment, and investigates the correlation between respiratory diseases and the neighborhood environment by virtue of the ordered logistic regression model.

Results
1) The proportion of male patients in the diseased population mentioned above is significantly higher than that of female ones, the number of elderly male patients and middle-aged female ones is relatively high, and seasonal changes have a greater impact on children’s illnesses without any significant impact on other age groups. 2) The spatial distribution of patients is characterized by scattered clustering, and the southern part of the research area is characterized by significant high-aggregation clustering. As to spatial clustering characteristics, the diseased population presents significant high-high aggregation characteristic. 3) Respiratory diseases are affected by a number of neighborhood environment factors. For example, high-density living environment may affect the health of human respiratory system, perfect transportation service facilities are a powerful means to reduce air pollution and promote respiratory health, and street greening can significantly improve people’s respiratory health at the community level. 4) Community L, a representative community with high prevalence of respiratory disease, is selected as an example for optimization design of neighborhood environment from the four aspects of walking space, building space, green space and street scale, so as to provide a reference for researches on the relationship between neighborhood environment and respiratory health and on the healthy design of neighborhood environment.

Conclusion
Respiratory diseases are influenced by factors such as neighborhood environment, social environment, and distributional characteristics of community groups. In this research, it was found that floor area ratio is the main negative factor affecting the respiratory health of residents; the density of transportation facilities, street view greenness, and sky openness can all have a positive impact on respiratory health to a certain extent. In summary, this research explores specific paths for optimizing the design of healthy neighborhood environments, and explores the combination of tool analysis language and spatial design language in the interdisciplinary research field of urban environment and respiratory health, providing reference and inspiration for the development of healthy city construction and related research.
- healthy city,
- healthy space,
- neighborhood environment,
- respiratory disease,
- regression analysis,
- streetscape

FullText(HTML)

References (46)

References

[1]	习近平.高举中国特色社会主义伟大旗帜为全面建设社会主义现代化国家而团结奋斗: 在中国共产党第二十次全国代表大会上的报告[R/OL].（2022-10-25）[2023-02-10]. https://www.gov.cn/xinwen/2022-10/25/content_5721685.htm XI J P. Holding High the Great Banner of Socialism with Chinese Characteristics and Unitedly Striving for the Comprehensive Construction of a Modernized Socialist Country: Report at the 20th National Congress of the Communist Party of China (CPC) [R/OL]. (2022-10-25) [2023-02-10]. https://www.gov.cn/xinwen/2022-10/25/content_5721685.htm
[2]	SIDDHARTHAN T,GRIGSBY M,MORGAN B,et al. Prevalence of Chronic Respiratory Disease in Urban and Rural Uganda[J]. Bulletin of the World Health Organization,2019,97 (5): 318. doi: 10.2471/BLT.18.216523
[3]	GBD2019 Diseases and Injuries Collaborators. Global Burden of 369 Diseases and Injuries in 204 Countries and Territories,1990−2019: A Systematic Analysis for the Global Burden of Disease Study 2019[J]. The Lancet,2020,396 (10258): 1204-1222. doi: 10.1016/S0140-6736(20)30925-9
[4]	肖扬，张宇航，卢珊，等.基于多源数据的多维度居住环境主观绿化评价水平与心理健康研究:以上海市里弄为例[J].风景园林，2021，28(11):108-113. XIAO Y,ZHANG Y H,LU S,et al. Exploring the Relationship Between Multi-Dimensional Residential Greening Perceived Neighborhoods Greenness Level and Residents’ Mental Health Based on Multi-Source Data: A Case Study of Shanghai Lilong[J]. Landscape Architecture,2021,28 (11): 108-113.
[5]	王兰，孙文尧，古佳玉.健康导向城市设计的方法建构及实践探索:以上海市黄浦区为例[J].城市规划学刊，2018(5):71-79. WANG L,SUN W Y,GU J Y. The Methodological Development of Health-Oriented Urban Design and Its Practical Exploration: A Case Study of Huangpu District,Shanghai[J]. Urban Planning Forum,2018 (5): 71-79.
[6]	PHUNG D,HIEN T T,LINH H N,et al. Air Pollution and Risk of Respiratory and cardiovascular Hospitalizations in the Most Populous City in Vietnam[J]. Science of the Total Environment,2016,557-558: 322-330. doi: 10.1016/j.scitotenv.2016.03.070
[7]	CHEN F L,CHEN Z F. Cost of Economic Growth: Air Pollution and Health Expenditure[J]. Science of the Total Environment,2021,755: 142543. doi: 10.1016/j.scitotenv.2020.142543
[8]	LUONG L T M,DANG T N,HUONG N T T,et al. Particulate Air Pollution in Ho Chi Minh City and Risk of Hospital Admission for Acute Lower Respiratory Infection (ALRI) Among Young Children[J]. Environmental Pollution,2020,257: 113424. doi: 10.1016/j.envpol.2019.113424
[9]	GBD 2019 Risk Factors Collaborators. Global Burden of 87 Risk Factors in 204 Countries and Territories,1990−2019: A Systematic Analysis for the Global Burden of Disease Study 2019[J]. The Lancet,2020,396 (10258): 1223-1249. doi: 10.1016/S0140-6736(20)30752-2
[10]	COHEN A J,BRAUER M,BURNETT R,et al. Estimates and 25-Year Trends of the Global Burden of Disease Attributable to Ambient Air Pollution: An Analysis of Data from the Global Burden of Diseases Study 2015[J]. The Lancet,2017,389 (10082): 1907-1918. doi: 10.1016/S0140-6736(17)30505-6
[11]	RAASCHOU-NIELSEN O,ANDERSEN Z J,BEELEN R,et al. Air Pollution and Lung Cancer Incidence in 17 European Cohorts: Prospective Analyses from the European Study of Cohorts for Air Pollution Effects (ESCAPE)[J]. The Lancet Oncology,2013,14 (9): 813-822. doi: 10.1016/S1470-2045(13)70279-1
[12]	LEE K K,BING R,KIANG J,et al. Adverse Health Effects Associated with Household Air Pollution: A Systematic Review,Meta-Analysis,and Burden Estimation Study[J]. The Lancet Global Health,2020,8 (11): e1427-e1434. doi: 10.1016/S2214-109X(20)30343-0
[13]	KELISHADI R,POURSAFA P. Air Pollution and Non-respiratory Health Hazards for Children[J]. Archives of Medical Science,2010,6 (4): 483-495.
[14]	EZE I C,SCHAFFNER E,FISCHER E,et al. Long-Term Air Pollution Exposure and Diabetes in a Population-Based Swiss Cohort[J]. Environment International,2014,70: 95-105. doi: 10.1016/j.envint.2014.05.014
[15]	NAZAR W,NIEDOSZYTKO M. Air Pollution in Poland: A 2022 Narrative Review with Focus on Respiratory Diseases[J]. International Journal of Environmental Research and Public Health,2022,19 (2): 895. doi: 10.3390/ijerph19020895
[16]	KHOMENKO S,CIRACH M,PEREIRA-BARBOZA E,et al. Premature Mortality Due to Air Pollution in European Cities: A Health Impact Assessment[J]. The Lancet Planetary Health,2021,5 (3): e121-e134. doi: 10.1016/S2542-5196(20)30272-2
[17]	王兰，赵晓菁，蒋希冀，等.颗粒物分布视角下的健康城市规划研究:理论框架与实证方法[J].城市规划，2016，40(9):39-48. WANG L,ZHAO X J,JIANG X J,et al. Study on Healthy City Planning from the Perspective of Particulate Matter Distribution: Theoretic Framework and Empirical Methodology[J]. Urban Planning Forum,2016,40 (9): 39-48.
[18]	李振兴, 石羽, 黄娜, 等.呼吸系统健康的城市空间影响因素及规划对策[J].西部人居环境学刊, 2021, 36（5）: 40-49. LI Z X, SHI Y, HUANG N, et al. Effects of Urban Space on Respiratory System Health and Planning Strategies[J]. Journal of Human Settlements in West China, 2021, 36(5): 40-49.
[19]	MCCORMACK G R,SHIELL A. In Search of Causality: A Systematic Review of the Relationship Between the Built Environment and Physical Activity Among Adults[J]. International Journal of Behavioral Nutrition and Physical Activity,2011,8 (1): 125. doi: 10.1186/1479-5868-8-125
[20]	SAELENS B E, HANDY S L. Built Environment Correlates of Walking: A Review[J]. Medicine and Science in Sports and Exercise, 2008, 40: S550-66.
[21]	FOSTER S,GILES-CORTI B. The Built Environment,Neighborhood Crime and Constrained Physical Activity: An Exploration of Inconsistent Findings[J]. Preventive Medicine,2008,47 (3): 241-251. doi: 10.1016/j.ypmed.2008.03.017
[22]	MCCORMACK G R,FREHLICH L,BLACKSTAFFE A,et al. Active and Fit Communities. Associations Between Neighborhood Walkability and Health-Related Fitness in Adults[J]. International Journal of Environmental Research and Public Health,2020,17 (4): 1131. doi: 10.3390/ijerph17041131
[23]	WARBURTON D E R,NICOL C W,BREDIN S S D. Health Benefits of Physical Activity: The Evidence[J]. Canadian Medical Association Journal,2006,174 (6): 801-809. doi: 10.1503/cmaj.051351
[24]	袁媛，林静，谢磊.近15年来国外居民健康的邻里影响研究进展:基于CiteSpace软件的可视化分析[J].热带地理，2018，38(3):440-450. YUAN Y,LIN J,XIE L. Review of the Research in Foreign Countries in the Past 15 Years About Neighborhood Effects on Residents’ Health: A Visualized Analysis Based on CiteSpace Software[J]. Tropical Geography,2018,38 (3): 440-450.
[25]	谢波，郑依玲，李志刚，等.中国城市高密度居住环境对居民脑卒中的影响:对武汉的实证[J].城市规划，2021，45(5):30-39. XIE B,ZHENG Y L,LI Z G,et al. Influence of Urban High-Density Living Environment on Stroke Risk: A Case Study of Wuhan[J]. City Planning Review,2021,45 (5): 30-39.
[26]	王何王，张春阳.国内外住区空间环境对居民健康影响研究综述[J].南方建筑，2022(2):22-31. WANG H W,ZHANG C Y. Research Review of Influences of Residential Space Environments on Residents’ Health in China and Abroad[J]. South Architecture,2022 (2): 22-31.
[27]	王兰，蒋希冀，汪子涵，等.绿色空间对呼吸健康的影响研究综述及综合分析框架[J].风景园林，2021，28(5):10-15. WANG L,JIANG X J,WANG Z H,et al. A Review of Researches on the Impact of Green Space on Respiratory Health and Its Comprehensive Analysis Framework[J]. Landscape Architecture,2021,28 (5): 10-15.
[28]	王国玉，白伟岚，李新宇，等.北京地区消减PM_2.5等颗粒物污染的绿地设计技术探析[J].中国园林，2014，30(7):70-76. WANG G Y,BAI W L,LI X Y,et al. Research of Greenbelt Design Technology on PM_2.5 Pollution Reduction in Beijing[J]. Chinese Landscape Architecture,2014,30 (7): 70-76.
[29]	王纪武，张晨，冯余军.街谷空气污染研究评述及城市规划应对框架[J].城市发展研究，2012，19(5):82-86. doi: 10.3969/j.issn.1006-3862.2012.05.015 WANG J W,ZHANG C,FENG Y J. Research Review and Response Framework in Urban Planning for Air Pollution in Urban Street Canyons[J]. Urban Development Studies,2012,19 (5): 82-86. doi: 10.3969/j.issn.1006-3862.2012.05.015
[30]	RENALDS A,SMITH T H,HALE P J. A Systematic Review of Built Environment and Health[J]. Family and Community Health,2010,33 (1): 68-78. doi: 10.1097/FCH.0b013e3181c4e2e5
[31]	王兰，蒋希冀，孙文尧，等.城市建成环境对呼吸健康的影响及规划策略:以上海市某城区为例[J].城市规划，2018，42(6):15-22. WANG L,JIANG X J,SUN W Y,et al. Impact of Urban Built Environment on Respiratory Health and Its Planning Strategy: A Case Study of a District in Shanghai[J]. Urban Planning Review,2018,42 (6): 15-22.
[32]	GONG P,LIU H,ZHANG M N,et al. Stable Classification with Limited Sample: Transferring a 30-m Resolution Sample Set Collected in 2015 to Mapping 10-m Resolution Global Land Cover in 2017[J]. Science Bulletin,2019,64 (6): 370-373. doi: 10.1016/j.scib.2019.03.002
[33]	陈周，费鲜芸，高祥伟，等.高分辨率遥感影像分割的城市绿地提取研究[J].测绘通报，2020(12):17-20. doi: 10.13474/j.cnki.11-2246.2020.0382 CHEN Z,FEI X Y,GAO X W,et al. Extraction of Urban Green Space with High Resolution Remote Sensing Image Segmentation[J]. Bulletin of Surveying and Mapping,2020 (12): 17-20. doi: 10.13474/j.cnki.11-2246.2020.0382
[34]	GIVONI B. Climatic Aspects of Urban Design in Tropical Regions[J]. Atmospheric Environment. Part B. Urban Atmosphere,1992,26 (3): 397-406. doi: 10.1016/0957-1272(92)90015-K
[35]	KRÜGER E L,MINELLA F O,RASIA F. Impact of Urban Geometry on Outdoor Thermal Comfort and Air Quality from Field Measurements in Curitiba,Brazil[J]. Building and Environment,2011,46 (3): 621-634. doi: 10.1016/j.buildenv.2010.09.006
[36]	刘翠翠，李宇宏.健康生活导向下的西方城市公共空间发展研究[J].南方建筑，2021(5):22-29. LIU C C,LI Y H. Development of Public Spaces in Western Cities Based on Healthy Lifestyles[J]. South Architecture,2021 (5): 22-29.
[37]	余洋，蒋雨芊，张琦瑀.城市街道健康影响路径和空间要素研究[J].风景园林，2021，28(2):55-61. doi: 10.14085/j.fjyl.2021.02.0055.07 YU Y,JIANG Y Q,ZHANG Q Y. Research on Health Impact Pathways and Spatial Elements of Urban Streets[J]. Landscape Architecture,2021,28 (2): 55-61. doi: 10.14085/j.fjyl.2021.02.0055.07
[38]	OKE T R. Canyon Geometry and the Nocturnal Urban Heat Island: Comparison of Scale Model and Field Observations[J]. International Journal of Climatology,2010,1 (3): 237-254.
[39]	GIRIDHARAN R,GANESAN S,LAU S S Y. Daytime Urban Heat Island Effect in High-Rise and High-Density Residential Developments in Hong Kong[J]. Energy and Buildings,2004,36 (6): 525-534. doi: 10.1016/j.enbuild.2003.12.016
[40]	GIRIDHARAN R,LAU S S Y,GANESAN S,et al. Urban Design Factors Influencing Heat Island Intensity in High-Rise High-Density Environments of Hong Kong[J]. Building and Environment,2007,42 (10): 3669-3684. doi: 10.1016/j.buildenv.2006.09.011
[41]	肖乾坤，成雅田，李思韬，等.街谷绿化消减机动车排放污染物的研究方法与进展[J].应用生态学报，2022，33(11):3127-3136. doi: 10.13287/j.1001-9332.202211.022 XIAO Q K,CHENG Y T,LI S T,et al. Research Methods and Progress on the Reduction Effects of Vehicle Emission Pollutants by Street Canyon Greening[J]. Chinese Journal of Applied Ecology,2022,33 (11): 3127-3136. doi: 10.13287/j.1001-9332.202211.022
[42]	侯韫婧，赵晓龙，战美伶，等.公共健康视角下东北老工业社区公园“体绿结合”空间优化研究:以哈尔滨为例[J].风景园林，2021，28(5):92-98. HOU Y J,ZHAO X L,ZHAN M L,et al. Research on Space Optimization of “Combination of Physical Activity and Green Space” in Northeast Old Industrial Community Park from the Perspective of Public Health: Taking Harbin as a Case Study[J]. Landscape Architecture,2021,28 (5): 92-98.
[43]	SCHULZ A J,ISRAEL B A,ZENK S N,et al. Psychosocial Stress and Social Support as Mediators of Relationships Between Income,Length of Residence and Depressive Symptoms Among African American Women on Detroit’s Eastside[J]. Social Science and Medicine,2006,62 (2): 510-522. doi: 10.1016/j.socscimed.2005.06.028
[44]	WIGHT R G,BOTTICELLO A L,ANESHENSEL C S. Socioeconomic Context,Social Support,and Adolescent Mental Health: A Multilevel Investigation[J]. Journal of Youth and Adolescence,2006,35 (1): 109-120. doi: 10.1007/s10964-005-9009-2
[45]	CUMMINGS J L,JACKSON P B. Race,Gender,and SES Disparities in Self-Assessed Health,1974−2004[J]. Research on Aging and International Bimonthly Journal,2008,30 (2): 137-168.
[46]	袁菲菲.城市绿地景观绿视率影响因素研究[J].安徽农业科学, 2012, 40（6）: 3412-3413. YUAN F F. Primary Exploration About the Impact Factors on Green Looking Ratio of Urban Green Landscape[J] Journal of Anhui Agricultural Sciences, 2012, 40(6): 3412-3413.

[1]	SHAO Yuhan, YIN Sinan, MA Dongbo, YIN Yuting. Identification and Spatial Mapping of Locality of Streetscapes in Shanghai Hengfu Historic and Cultural Preservation Area[J]. Landscape Architecture, 2025, 32(2): 110-119. DOI: 10.3724/j.fjyl.202403180161
[2]	LIU Binyi, YANG Yilun. Evaluation of Kuang-ao Degree in Dynamic Circular Viewing of Urban Streetscape[J]. Landscape Architecture, 2022, 29(8): 64-70. DOI: 10.14085/j.fjyl.2022.08.0064.07
[3]	XU Zhen, ZHOU Shuang, CHEN Fei. Multi-dimensional Evaluation of Streetscape Blue and Green Spaces in Shaoxin, Zhejiang[J]. Landscape Architecture, 2022, 29(7): 111-117. DOI: 10.14085/j.fjyl.2022.07.0111.07
[4]	Lenovo Tech Park Streetscape Gentrification[J]. Landscape Architecture, 2021, 28(S1): 40-41.
[5]	WANG Lan, JIANG Xiji, WANG Zihan, (USA) Anne Vernez Moudon. A Review of Researches on the Impact of Green Space on Respiratory Health and Its Comprehensive Analysis Framework[J]. Landscape Architecture, 2021, 28(5): 10-15. DOI: 10.14085/j.fjyl.2021.05.0010.06
[6]	SHAO Yuhan, YIN Yuting, XUE Zhenying. Evaluation and Comparison of Streetscape Comfort in Beijing and Shanghai Based on A Big Data Approach with Street Images[J]. Landscape Architecture, 2021, 28(1): 53-59. DOI: 10.14085/j.fjyl.2021.01.0053.07
[7]	SHAO Yuhan, XUE Zhenying, YIN Yuting, MA Dongbo. Research on the Fairness of Streetscape Visual Compensation: Taking Shanghai Low Hierarchical Street as a Case Study[J]. Landscape Architecture, 2020, 27(9): 109-115. DOI: 10.14085/j.fjyl.2020.09.0109.07
[8]	YE Yu, ZHANG Lingzhu, YAN Wentao, ZENG Wei. Measuring Street Greening Quality from Humanistic Perspective: A Large-scale Analysis Based on Baidu Street View Images and Machine Learning Algorithms[J]. Landscape Architecture, 2018, 25(8): 24-29.
[9]	LI Xiang-yi, CAO Lei*, MA Chao, LI Wei-rong. Research on Avian Abundance and Their Correlationship with Environmental Variables at Coastal Wet-land in Tianjin[J]. Landscape Architecture, 2018, 25(6): 107-112.
[10]	LIU Dong-yun, LI Peng-li, YING Xiao-chen. Streetscape as Important Urban Public Realm with a Case Study of Beijing CBD Core Area[J]. Landscape Architecture, 2017, 24(10): 44-49. DOI: 10.14085/j.fjyl.2017.10.0044.06