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Title Neighborhood greenness and burden of non-communicable diseases in Sub-Saharan Africa: A multi-country cross-sectional study.
Full text https://escholarship.org/uc/item/0gs4k70z
Date 2021
Author(s) Iyer, Hari; James, Peter; Valeri, Linda; Bajunirwe, Francis; Nankya-Mutyoba, Joan; Njelekela, Marina; Chiwanga, Faraja; Sewram, Vikash; Ajayi, IkeOluwapo; Adebamowo, Clement; Dalal, Shona; Reid, Todd; Rebbeck, Timothy; Adami, Hans-Olov; Holmes, Michelle
Abstract Population growth, demographic transitions and urbanization in sub-Saharan Africa (SSA) will increase non-communicable disease (NCD) burden. We studied the association between neighborhood greenness and NCDs in a multi-country cross-sectional study. Among 1178 participants, in adjusted models, a 0.11 unit NDVI increase was associated with lower BMI (β: -1.01, 95% CI: -1.35, -0.67), and lower odds of overweight/obesity (aOR: 0.73, 95% CI: 0.62, 0.85), diabetes (aOR: 0.77, 95% CI: 0.62, 0.96), and having ≥3 allostatic load components compared to none (aOR: 0.66, 95% CI: 0.52, 0.85). Except for diabetes, these remained statistically significant after Bonferroni correction. We observed no association between NDVI and hypertension or cholesterol. Our findings are consistent with health benefits of neighborhood greenness reported in other countries, suggesting greening strategies could be considered as part of broader public health interventions for NCDs.
Subject(s) Environmental epidemiology; Greenness; Non-communicable diseases; Obesity; Sub-saharan Africa; Vegetation; Africa South of the Sahara; Cross-Sectional Studies; Humans; Noncommunicable Diseases; Overweight; Risk Factors
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Rights public
Identifier qt0gs4k70z
Repository Berkeley - University of California
Added to C-A: 2024-02-05;08:53:14