ArticleEnvironment international2018
Exploring links between greenspace and sudden unexpected death: A spatial analysis.
Article in Environment international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Green Space Quality and Health: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities.International journal of environmental research and public health · 2021Pooled it
- The land cover paradox: Characteristics of blue- and green spaces within and beyond high-risk suicide clusters.SSM - population health · 2025Article
- Fine particulate matter-sudden death association modified by ventricular hypertrophy and inflammation: a case-crossover study.Frontiers in public health · 2024Article
- Effect Modifications of Overhead-View and Eye-Level Urban Greenery on Heat-Mortality Associations: Small-Area Analyses Using Case Time Series Design and Different Greenery Measurements.Environmental health perspectives · 2023Article
- Investigation on urban greenspace in relation to sociodemographic factors and health inequity based on different greenspace metrics in 3 US urban communities.Journal of exposure science & environmental epidemiology · 2023Article
- Article
- Synthesis of Two Decades of US EPA's Ecosystem Services Research to Inform Environmental, Community, and Sustainability Decision Making.Sustainability · 2021Article
- "Freedom to Breathe": Youth Participatory Action Research (YPAR) to Investigate Air Pollution Inequities in Richmond, CA.International journal of environmental research and public health · 2021Article
- Urban Trees and Human Health: A Scoping Review.International journal of environmental research and public health · 2020Article
- A case-crossover analysis of the relationship of air pollution with out-of-hospital sudden unexpected death in Wake County, North Carolina (2013-2015).The Science of the total environment · 2019Article
- Low Childhood Nature Exposure is Associated with Worse Mental Health in Adulthood.International journal of environmental research and public health · 2019Article
- Developing a framework for stormwater management: leveraging ancillary benefits from urban greenspace.Urban ecosystems · 2019Article
- Protected Natural Areas: In Sickness and in Health.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Greenspace has been increasingly recognized as having numerous health benefits. However, its effects are unknown concerning sudden unexpected death (SUD), commonly referred to as sudden cardiac death, which constitutes a large proportion of mortality in the United States. Because greenspace can promote physical activity, reduce stress and buffer air pollutants, it may have beneficial effects for people at risk of SUD, such as those with heart disease, hypertension, and diabetes mellitus. Using several spatial techniques, this study explored the relationship between SUD and greenspace. We adjudicated 396 SUD cases that occurred from March 2013 to February 2015 among reports from emergency medical services (EMS) that attended out-of-hospital deaths in Wake County (central North Carolina, USA). We measured multiple greenspace metrics in each census tract, including the percentages of forest, grassland, average tree canopy, tree canopy diversity, near-road tree canopy and greenway density. The associations between SUD incidence and these greenspace metrics were examined using Poisson regression (non-spatial) and Bayesian spatial models. The results from both models indicated that SUD incidence was inversely associated with both greenway density (adjusted risk ratio [RR] = 0.82, 95% credible/ confidence interval [CI]: 0.69-0.97) and the percentage of forest (adjusted RR = 0.90, 95% CI: 0.81-0.99). These results suggest that increases in greenway density by 1 km/km
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Registered trials
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