Environmental drivers of CVD DALYs: 20-year macro-level evidence from China's administrative data.

ABSTRACT: Cardiovascular diseases (CVD) account for 40% of deaths in China, with increasing prevalence associated with rapid urbanization and aging populations. Current research lacks comprehensive analysis of macro-scale environment-socioeconomic interactions. This study establishes a framework analyzing five environmental determinants of CVD disability-adjusted life years (DALYs): air quality (M₁), green space accessibility (M₂), public service facilities (M₃), natural conservation status (M₄), and transportation infrastructure (M₅). Using 2000-2019 national and provincial data, we applied partial least squares structural equation modeling (PLS-SEM) to quantify direct/mediated effects, complemented by spatial heatmaps. Results reveal: (1) urba

SUBMITTER: Li Y 

PROVIDER: S-EPMC12777405 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature