[{"publisher":"Elsevier","das_tickbox":"1","language":[{"iso":"eng"}],"_id":"22480","article_processing_charge":"No","scopus_import":"1","date_created":"2026-07-27T12:30:23Z","author":[{"first_name":"Dengkai","full_name":"Chi, Dengkai","last_name":"Chi"},{"last_name":"Manoli","full_name":"Manoli, Gabriele","first_name":"Gabriele"},{"full_name":"Yang, Jun","last_name":"Yang","first_name":"Jun"},{"first_name":"Daniel","last_name":"Richards","full_name":"Richards, Daniel"},{"full_name":"Hahs, Amy","last_name":"Hahs","first_name":"Amy"},{"first_name":"Brenda","full_name":"Lin, Brenda","last_name":"Lin"},{"full_name":"McDonnell, Mark J.","last_name":"McDonnell","first_name":"Mark J."},{"first_name":"Ye","full_name":"Zhang, Ye","last_name":"Zhang"},{"full_name":"Zhu, Yue","last_name":"Zhu","first_name":"Yue"},{"first_name":"Yeshan","full_name":"Qiu, Yeshan","last_name":"Qiu"},{"full_name":"Wang, Jing","last_name":"Wang","first_name":"Jing"},{"full_name":"Zheng, Xing","last_name":"Zheng","first_name":"Xing"},{"last_name":"Burlando","full_name":"Burlando, Paolo","first_name":"Paolo"},{"id":"cf8e546b-a9b0-11f0-a43b-aa89ed1b56d6","first_name":"Simone","last_name":"Fatichi","full_name":"Fatichi, Simone"},{"first_name":"Puay Yok","full_name":"Tan, Puay Yok","last_name":"Tan"}],"article_number":"110188","intvolume":"       209","keyword":["Aggregation","Fragmentation","Green space exposure","Green space morphology","Green space structure","Landscape metrics","Shape complexity"],"publication":"Environment International","user_id":"2DF688A6-F248-11E8-B48F-1D18A9856A87","volume":209,"year":"2026","publication_status":"published","oa":1,"has_accepted_license":"1","OA_type":"gold","oa_version":"Published Version","abstract":[{"lang":"eng","text":"Background:\r\nThe spatial distribution of tree canopies influences ecological functions and residents’ exposure to green spaces. Although several studies have examined green space configuration at neighborhood scales, evidence on tree canopy configuration at the municipal scale, an operational unit for urban planning, remains limited.\r\nMethods:\r\nWe conducted a nationwide ecological study of 2,136 Swiss municipalities. Tree canopy coverage (PLAND), aggregation (AI, reflecting how tightly green patches are grouped together), patch density (PD, a measure of fragmentation), and area-weighted mean shape index (SHAPE_AM, a measure of shape complexity) were derived from 1-m canopy maps within municipality-specific populated areas. Natural-cause, cardiovascular, and cancer mortality (2017–2019) were obtained from the Swiss National Cohort. Fully adjusted negative binomial regression models estimated associations between canopy metric and mortality for each IQR increase in the metrics.\r\nResults:\r\nHolding configuration constant, each IQR increase in canopy coverage (∼18%) was associated with a 3.6% [B: −0.036; 95% CI: −0.078 – 0.005] reduction in cardiovascular mortality. Higher aggregation corresponded to a 4.3% [B: 0.043; 95% CI: 0.026–0.061], an 8.9% [B: 0.089; 95% CI: 0.059–0.119], and a 2.1% [B: 0.021; 95% CI: 0–0.042] higher number of natural-cause, cardiovascular, and cancer deaths respectively. Higher fragmentation was associated with a 3.3% [B: 0.033; 95% CI: 0.016–0.050], a 4.9% [B: 0.049; 95% CI: 0.020–0.078], and a 2.2% [B: 0.022; 95% CI: 0.001–0.043] increase in these causes respectively. No meaningful associations were observed between shape complexity and any mortality outcomes. Associations for aggregation and fragmentation were generally stronger in highly urbanized municipalities.\r\nConclusions:\r\nAt the municipal scale, mortality was lower where tree canopy was distributed across several moderately sized, spatially balanced patches rather than highly aggregated or highly fragmented structures. These findings suggest that urban greening strategies should optimize its spatial configuration to maximize health benefits."}],"DOAJ_listed":"1","day":"01","main_file_link":[{"open_access":"1","url":"https://doi.org/10.1016/j.envint.2026.110188"}],"pmid":1,"date_published":"2026-03-01T00:00:00Z","month":"03","citation":{"chicago":"Chi, Dengkai, Gabriele Manoli, Jun Yang, Daniel Richards, Amy Hahs, Brenda Lin, Mark J. McDonnell, et al. “Tree Canopy Configuration and Swiss Adult Mortality at the Municipal Level: A Nationwide Ecological Study.” <i>Environment International</i>. Elsevier, 2026. <a href=\"https://doi.org/10.1016/j.envint.2026.110188\">https://doi.org/10.1016/j.envint.2026.110188</a>.","apa":"Chi, D., Manoli, G., Yang, J., Richards, D., Hahs, A., Lin, B., … Tan, P. Y. (2026). Tree canopy configuration and Swiss adult mortality at the municipal level: A nationwide ecological study. <i>Environment International</i>. Elsevier. <a href=\"https://doi.org/10.1016/j.envint.2026.110188\">https://doi.org/10.1016/j.envint.2026.110188</a>","ista":"Chi D, Manoli G, Yang J, Richards D, Hahs A, Lin B, McDonnell MJ, Zhang Y, Zhu Y, Qiu Y, Wang J, Zheng X, Burlando P, Fatichi S, Tan PY. 2026. Tree canopy configuration and Swiss adult mortality at the municipal level: A nationwide ecological study. Environment International. 209, 110188.","short":"D. Chi, G. Manoli, J. Yang, D. Richards, A. Hahs, B. Lin, M.J. McDonnell, Y. Zhang, Y. Zhu, Y. Qiu, J. Wang, X. Zheng, P. Burlando, S. Fatichi, P.Y. Tan, Environment International 209 (2026).","ama":"Chi D, Manoli G, Yang J, et al. Tree canopy configuration and Swiss adult mortality at the municipal level: A nationwide ecological study. <i>Environment International</i>. 2026;209. doi:<a href=\"https://doi.org/10.1016/j.envint.2026.110188\">10.1016/j.envint.2026.110188</a>","mla":"Chi, Dengkai, et al. “Tree Canopy Configuration and Swiss Adult Mortality at the Municipal Level: A Nationwide Ecological Study.” <i>Environment International</i>, vol. 209, 110188, Elsevier, 2026, doi:<a href=\"https://doi.org/10.1016/j.envint.2026.110188\">10.1016/j.envint.2026.110188</a>.","ieee":"D. Chi <i>et al.</i>, “Tree canopy configuration and Swiss adult mortality at the municipal level: A nationwide ecological study,” <i>Environment International</i>, vol. 209. Elsevier, 2026."},"publication_identifier":{"issn":["0160-4120"],"eissn":["1873-6750"]},"extern":"1","doi":"10.1016/j.envint.2026.110188","type":"journal_article","external_id":{"pmid":["41812348"]},"title":"Tree canopy configuration and Swiss adult mortality at the municipal level: A nationwide ecological study","OA_place":"publisher","quality_controlled":"1","status":"public","date_updated":"2026-08-03T14:17:29Z","ddc":["550"],"tmp":{"image":"/images/cc_by.png","name":"Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)","short":"CC BY (4.0)","legal_code_url":"https://creativecommons.org/licenses/by/4.0/legalcode"},"article_type":"original"}]