Temperature and mental health-related emergency department and hospital encounters among children, adolescents and young adults.
Temperature and mental health-related emergency department and hospital encounters among children, adolescents and young adults.
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DOI：
10.1017/s2045796023000161
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发表时间：
2023-04-17
影响因子：
8.1
通讯作者：
Sheffield, Perry
中科院分区：
文献类型：
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作者：
Niu, Li;Girma, Blean;Liu, Bian;Schinasi, Leah H. H.;Clougherty, Jane E. E.;Sheffield, Perry
我们研究了纽约市儿童、青少年和年轻人的高环境温度与急性心理健康相关医疗保健接触之间的关联。这项病例交叉研究包括2005年至2011年纽约市暖季（6月至8月）期间急诊科（艾德）就诊和医院就诊，主要诊断为3个年龄组（6-11岁、12-17岁和18-25岁）的患者的任何心理健康障碍。使用0-5滞后天的分布滞后非线性模型，通过拟合每个年龄组的条件logistic回归，我们计算了与温度升高相关的心理健康遭遇的累积比值比。分析按种族/民族、支付来源和精神健康类别分层，以阐明弱势亚群。在纽约市，在我们的研究期间，有82,982名6至25岁的年轻人与心理健康有关。对于6- 11岁的儿童来说，气温升高的日子与心理健康相关的艾德和医院接触的风险较高相关（比值比[OR]：1.28，95%置信区间[CI]：1.13-1.46），12- 17岁18 ~ 25岁年龄组OR值为1.09，95%CI为1.04-1.15。患有反应障碍的儿童，患有焦虑和双相情感障碍的青少年，患有精神病和反应障碍的年轻人以及黑人和非西班牙裔儿童和青少年对高温表现出脆弱性。我们发现，环境温度升高与儿童、青少年和青年时期的急性心理健康艾德或医院遭遇有关。
We examine the association between high ambient temperature and acute mental health-related healthcare encounters in New York City for children, adolescents and young adults. This case-crossover study included emergency department (ED) visits and hospital encounters with a primary diagnosis of any mental health disorder during warm-season months (June–August) in New York City from 2005 to 2011 from patients of three age groups (6–11, 12–17 and 18–25 years). Using a distributed lag non-linear model over 0–5 lag days, by fitting a conditional logistic regression for each age group, we calculated the cumulative odds ratios of mental health encounters associated with an elevated temperature. Analyses were stratified by race/ethnicity, payment source and mental health categories to elucidate vulnerable subpopulations. In New York City, there were 82,982 mental health–related encounters for young people aged 6 to 25 years during our study period months. Elevated temperature days were associated with higher risk of mental health–related ED and hospital encounters for the 6- to 11-year-olds (odds ratio [OR]: 1.28, 95% confidence interval [CI]: 1.13–1.46), for the 12- to 17-year-olds (OR: 1.17, 95% CI: 1.09–1.25) and for the 18- to 25-year-olds (OR: 1.09, 95% CI: 1.04–1.15). Children with reaction disorders, adolescents with anxiety and bipolar disorders, young adults with psychosis and reaction disorders and Black and non-Hispanic children and adolescents showed vulnerability to elevated temperature. We found that elevated ambient temperatures were associated with acute mental health ED or hospital encounters across childhood, adolescence and young adulthood.