{"doi":"10.1097/ee9.0000000000000087","title":"The contribution of residential greenness to mortality among men with prostate cancer: a registry-based cohort study of Black and White men","abstract":"Background: Black men with prostate cancer (CaP) experience excess mortality compared with White men. Residential greenness, a health promoting contextual factor, could explain racial disparities in mortality among men with CaP. Methods: We identified Pennsylvania Cancer Registry cases diagnosed between January 2000 and December 2015. Totally, 128,568 participants were followed until death or 1 January 2018, whichever occurred first. Residential exposure at diagnosis was characterized using the Normalized Difference Vegetation Index (NDVI) with 250 m resolution. We estimated hazard ratios (HRs) using Cox models, adjusting for area-level socioeconomic status, geographic healthcare access, and segregation. To determine whether increasing residential greenness could reduce racial disparities, we compared standardized 10-year mortality Black-White risk differences under a hypothetical intervention fixing NDVI to the 75th percentile of NDVI experienced by White men. Results: We observed 29,978 deaths over 916,590 person-years. Comparing men in the highest to lowest NDVI quintile, all-cause (adjusted HR [aHR]: 0.88, 95% confidence interval [CI]: 0.84, 0.92, P trend < 0.0001), prostate-specific (aHR: 0.88, 95% CI: 0.80, 0.99, P trend = 0.0021), and cardiovascular-specific (aHR: 0.82, 95% CI: 0.74, 0.90, P trend < 0.0001) mortality were lower. Inverse associations between an interquartile range increase in NDVI and cardiovascular-specific mortality were observed in White (aHR: 0.90, 95% CI: 0.86, 0.93) but not Black men (aHR: 0.97, 95% CI: 0.89, 1.06; P het = 0.067). Hypothetical interventions to increase NDVI led to nonsignificant reductions in all-cause (−5.3%) and prostate-specific (−23.2%), but not cardiovascular-specific mortality disparities (+50.5%). Discussion: Residential greenness was associated with lower mortality among men with CaP, but findings suggest that increasing residential greenness would have limited impact on racial disparities in mortality.","journal":"Environmental Epidemiology","year":2020,"id":96954,"datarank":1.4654391029940785,"base_score":3.5263605246161616,"endowment":3.5263605246161616,"self_citation_contribution":0.5289540786924243,"citation_network_contribution":0.9364850243016543,"self_endowment_contribution":0.5289540786924243,"citer_contribution":0.9364850243016543,"corpus_percentile":85.80490446352596,"corpus_rank":1836,"citation_count":33,"citer_count":23,"citers_with_citation_signal":20,"citers_with_endowment":20,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5189,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":298304,"name":"Linda Valeri","orcid":"0000-0003-0664-1194","position":1,"is_corresponding":false},{"id":242719,"name":"Peter James","orcid":"0000-0002-2858-1973","position":2,"is_corresponding":false},{"id":304720,"name":"Jarvis T. Chen","orcid":"0000-0002-7412-1783","position":3,"is_corresponding":false},{"id":104572,"name":"Jaime E. Hart","orcid":"0000-0002-0826-1163","position":4,"is_corresponding":false},{"id":86191,"name":"Francine Laden","orcid":"0000-0002-2813-2174","position":5,"is_corresponding":false},{"id":337318,"name":"Michelle D. Holmes","orcid":"0000-0002-8664-2172","position":6,"is_corresponding":false},{"id":6446,"name":"Timothy R. Rebbeck","orcid":"0000-0002-4799-1900","position":7,"is_corresponding":false},{"id":337317,"name":"Hari S. Iyer","orcid":"0000-0002-7596-9049","position":0,"is_corresponding":true}],"reference_count":55,"raw_metadata":null,"created_at":"2026-07-18T22:35:34.520494Z","pmid":"32337472","pmcid":"PMC7147390","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}