Effects of ambient temperature on daily hospital admissions for mental disorders in Shanghai, China: A time-series analysis
Effects of ambient temperature on daily hospital admissions for mental disorders in Shanghai, China: A time-series analysis
复制标题
中国上海环境温度对精神障碍每日住院人数的影响：时间序列分析
DOI：
10.1016/j.scitotenv.2017.02.237
复制
发表时间：
2017-07-15
影响因子：
9.8
通讯作者：
Wang, Weibing
中科院分区：
文献类型：
--
作者：
Peng, Zhuoxin;Wang, Qi;Wang, Weibing
背景：极端环境温度对精神障碍（MD）风险影响的证据有限。在这项研究中，我们评估了每日平均温度对中国上海MD住院的短期影响。方法：我们获得了2008年1月至2015年12月上海MD的每日住院数据、每日气象和环境污染数据。调整时间趋势，空气污染，相对湿度和其他混杂因素，拟泊松广义加性模型（GAM）结合分布滞后非线性模型（DLNM）被用来分析的滞后暴露-反应之间的关系，每日平均温度和住院MDs.Results：在研究期间，MD的每日总住院人数为93971。以中位温度（18.3 ℃）为参考，温度高于阈值（24.6 ℃）与MD住院访视之间存在显著正相关，滞后0-1天。在滞后0-1天内，极端高温（33.1摄氏度，99%百分位数）与中位数温度相比的相对风险为1.266（95%置信区间：1.074-1.493）。寒冷的天气对住院MDs.Conclusions：这项研究表明，极端炎热的温度对MD构成重大风险，健康咨询和降温措施，应考虑易感人群。(C)2017爱思唯尔B. V.保留所有权利。
Background: Evidence for extreme ambient temperature effects on the risk of mental disorders (MDs) is limited. In this study, we evaluated the short-term effects of daily mean temperature on hospital admissions of MDs in Shanghai, China.Methods: We obtained daily hospital admission data for MDs, daily meteorological and ambient pollution data in Shanghai from January 2008 to December 2015. Adjusted for time trend, air pollution, relative humidity and other confounders, a quasi-Poisson generalized additive model (GAM) combined with a distributed lag non-linear model (DLNM) was used to analyze the lag-exposure-response relationship between daily mean temperature and hospital admissions for MDs.Results: Total daily hospital admissions for MDs during the study period were 93,971. With a reference of median temperature (18.3 degrees C), there was a significant positive association between the temperature above threshold (24.6 degrees C) and MD hospital admission visits at a lag of 0-1 days. The relative risks of extreme hot temperatures (33.1 degrees C, 99% percentile) over the lag 0-1 days compared to median temperature were 1.266 (95% confidence intervals: 1.074-1.493). No effect of cold weather on the hospital admissions for MDs was observed.Conclusions: This study suggests that extreme hot temperature poses significant risks on MD; health counseling and cooling measures should be considered for the susceptible population. (C) 2017 Elsevier B.V. All rights reserved.