Environmental heterogeneity in human health studies. A compositional methodology for Land Use and Land cover data

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Zaldo-Aubanell, Quim
Serra, Isabel
Bach, Albert
Knobel, Pablo
Campillo López, Ferran
Belmonte, Jordina
Daunis-i-Estadella, Pepus
Maneja Zaragoza, Roser
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cc-by-nc-nd, (c) Zaldo-aubanell et al., 2021
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The use of Land use and Land cover (LULC) data is gradually becoming more widely spread in studies relating the environment to human health. However, little research has acknowledged the compositional nature of these data. The goal of the present study is to explore, for the first time, the independent effect of eight LULC categories (agricultural land, bare land, coniferous forest, broad-leaved forest, sclerophyll forest, grassland and shrubs urban areas, and waterbodies) on three selected common health conditions: type 2 diabetes mellitus (T2DM), asthma and anxiety, using a compositional methodological approach and leveraging observational health data of Catalonia (Spain) at area level. We fixed the risk exposure scenario using three covariates (socioeconomic status, age group, and sex). Then, we assessed the independent effect of the eight LULC categories on each health condition. Our results show that each LULC category has a distinctive effect on the three health conditions and that the three covariates clearly modify this effect.
Journal or Serie
Science of the Total Environment, vol. 806, part 1, p. 150308