Maternal Health and Green Spaces in China: A Longitudinal Analysis of MMR Based on Spatial Panel Model

Jin, Ping; Gao, Yufang; Liu, Lingbo; Peng, Zhenghong; Wu, Hao

doi:10.3390/healthcare7040154

Cited by 10 publications

(14 citation statements)

References 50 publications

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“…Maternal health interventions, including access to high-quality care during pregnancy, delivery, and after childbirth, are considered highly effective in reducing the burden of maternal mortality and morbidity, particularly in low-resource settings [1,4,5]. Various factors contribute to access to quality maternal health services, from those well-documented, such as poverty, distance to health care facilities, access to information, quality health services, and cultural beliefs and practices [6], to those that have been identified most recently, including green space coverage [7]. However, it is important for local stakeholders to identify which barriers are most prevalent in their communities.…”

Section: Introductionmentioning

confidence: 99%

Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

Milkowska-Shibata¹,

Aye

et al. 2020

IJERPH

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The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community health survey administered between 2016 and 2017 in Mandalay, the largest city in central Myanmar, and analyzed for associations between determinants of maternal health care choices and related outcomes. The study showed that late antenatal care was underutilized (41.7%), and antenatal care attendance was significantly associated with geographical setting, household income, education, and access to transportation (p ≤ 0.05). Less than one-third of women gave birth at home and 18.5% of them did so without the assistance of traditional birth attendants. Household education level was a significant predictor for home delivery (p < 0.01). Utilization of postnatal care services was irregular (47.9%–70.9%) and strongly associated with women’s places of delivery (p < 0.01). Efforts geared towards improving maternal health outcomes should focus on supporting traditional birth attendants in their role of facilitating high-quality care and helping women reach traditional health facilities, as well as on maternal health literacy based on culturally appropriate communication.

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Section: Introductionmentioning

confidence: 99%

Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

Milkowska-Shibata¹,

Aye

et al. 2020

IJERPH

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“…The seven longitudinal cohort studies recruited 133,363 participants, whereas the remaining 13 cross-sectional studies recruited a total of 202 million citizens. These studies were conducted in China (6 studies), 31,[37][38][39][40][41] Japan (3 studies), [42][43][44] Hong Kong (2 studies), 29,45 South Korea (2 studies), 46,47 Taiwan (2 studies), 48,49 and New Zealand (2 studies). 50,51 One study each was reported from Thailand, 52 Vietnam, 53 and Australia.…”

Section: Peer Reviewmentioning

confidence: 99%

“…18 studies had participants of both genders. One study included only women 38 and another included only men. 30…”

Section: Peer Reviewmentioning

confidence: 99%

“…residential surrounding greenness examined in the studies encompassed public open spaces such as parks, natural spaces, and bushland, 30 urban green spa ces, 39,41,[45][46][47][48][49] trees, grass, plants, and natural vegetation, 29 woodland and farmland, 44 walkable green streets and spaces, 42 parks, gardens, and green areas, 40 natural areas such as parks, beaches, and fields, 50 parks, forests, wetlands, and grasslands, 38 grass, forests, and parks, 52 vegetation and city parks, 43 green and walkable neighbourhoods, 51 and green spaces of urban or rural residence areas. 31,37,53 in 10 studies, the exposure to greenness was measured by normalised The influence of residential greenness on mortality in the Asia-Pacific region: a systematic review and meta-analysis The influence of residential greenness on mortality in the Asia-Pacific region: a systematic review and meta-analysis…”

Section: Definition and Measurement Of Residential Greennessmentioning

confidence: 99%

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The influence of residential greenness on mortality in the Asia-Pacific region: a systematic review and meta-analysis

Kua

Lee²

2021

Perspect Public Health

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Aims: To critically appraise the evidence of the impact of exposure to salutogenic green environment on mortality, which is an important endpoint in epidemiological and clinical studies. Methods: We searched for studies published and indexed in three databases (PubMed, AMED, and CINAHL Plus) from inception until 31 March 2020, complemented with a search of cited literature for articles describing the effects of greenness on mortality in Asia-Pacific region. Eligible articles were screened and data were extracted independently by two reviewers. A random-effects model was utilised to obtain pool hazard ratio (HR) and risk ratio of all-cause mortality outcome. Results: The search identified 3239 studies, of which 20 studies reporting 133,363 participants from longitudinal cohort studies and 202 million people from population-based prevalence studies were included in the review. The majority of the studies (60%) were conducted in high-income countries in Asia-Pacific. All participants of the longitudinal cohort studies were aged 60 years or older, whereas the prevalence studies involved people of all age groups. A significant protective association of green environment exposure with all-cause mortality was reported in 18 studies. Pooled results from five studies showed increased level of greenness exposure was associated with a significant decrease in all-cause mortality (pooled HR = 0.97; 95% confidence interval (CI) = 0.93 to 1.02; p < 0.01; I²= 87.8%). Meta-analysis of total number of deaths in different quartiles of green spaces noted decreased risks of mortality with all causes of death with increased surrounding greenness. Conclusions: Some limited evidence suggests that populations exposed to the greener environment have a lower risk of mortality, implying the potential role of greenness in increasing longevity. Further studies with standardised design and outcome reporting should be conducted in low- and middle-income countries and in populations of low socioeconomic status to glean more generalisable and complete evidence for public health policy implications.

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“…General health is affected by personal, socioeconomic, and environmental factors [6]. Further, body-mass-index (BMI) is associated with greenness and the presence of nature [7].…”

Section: Neighborhood Greenness Obesity and Physical Activitymentioning

confidence: 99%

Sedentariness of College Students Is Negatively Associated with Perceived Neighborhood Greenness at Home, but Not at University

Loder

Poppel

2019

IJERPH

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Previous studies reported contradictory evidence for associations between perceived greenness and obesity mediated by physical activity, focusing on people's homes or general greenness. Data are lacking in other environments. We studied the association of perceived greenness at home and at university with BMI and physical activity. An online survey collected data from 601 participants, living and studying in and around the city of Graz, Austria; mean age of 24 years. Greenness was assessed using questions on quality of and access to green space; Body mass index (BMI) was derived from self-reported measures; physical activity and sedentariness were measured using the IPAQ questionnaire (short version). On average, BMI was 22.6 (SD = 3.7), physical activity was 63.3 (SD = 51.7) METh/week, and participants spent 5.8 (SD = 4.0) h/day sitting. Regression analyses revealed no associations between perceived greenness and BMI and physical activity for all environments, but a negative association for sedentariness and perceived greenness at home, but not at university. The results indicate a relation between perceived greenness and sedentariness, which differs for the home-and study environment.

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Maternal Health and Green Spaces in China: A Longitudinal Analysis of MMR Based on Spatial Panel Model

Cited by 10 publications

References 50 publications

Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

The influence of residential greenness on mortality in the Asia-Pacific region: a systematic review and meta-analysis

Sedentariness of College Students Is Negatively Associated with Perceived Neighborhood Greenness at Home, but Not at University

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