The effects of weather on the incidence of sudden sensorineural hearing loss: A 5-year population-based study
The effects of weather on the incidence of sudden sensorineural hearing loss: A 5-year population-based study
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DOI：
10.1159/000091268
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发表时间：
2006-01-01
影响因子：
1.6
通讯作者：
Wu, Chuan-Song
中科院分区：
文献类型：
--
作者：
Lin, Herng-Ching;Lee, Hsin-Chien;Wu, Chuan-Song
目的：本研究利用台湾五年人口资料，以环境温度、相对湿度、大气压力、降雨量及总日照时数为重点，探讨天气状况与台湾突发性感音神经性耳聋(SSNHL)发病率的关系。方法：资料来源为台湾国民健康保险研究资料库(NHIRD)，资料涵盖1998-2002年间，以不明原因突发性耳聋(ICD-9-CM代码3882)为主要诊断资料，共有8712名首次入院病人。在控制了时间趋势效应后，本研究采用自回归综合移动平均回归方法来评估气候因素和月份因素对SSNHL发病率的影响。结果：尽管环境温度、相对湿度与总人口SSNHL发病率有显著相关性，但在调整季节性、月份和趋势后，SSNHL发病率与气候参数之间的显著关系消失。结论：经季节、月份和趋势调整后，SSNHL的月发病率与天气状况没有显著关系。因此，天气是SSNHL发病的触发因素的理论不被本研究支持。版权所有(C)2006 S.Karger AG，巴塞尔。
Objective: This study utilizes 5-year population data to examine the association between weather conditions and the incidence of sudden sensorineural hearing loss ( SSNHL) in Taiwan with a specific focus on ambient temperature, relative humidity, atmospheric pressure, rainfall and total hours of sunshine. Method: The data, covering the period from 1998 to 2002, is sourced from the Taiwan National Health Insurance Research Database ( NHIRD), with a total of 8712 first-time admissions being identified from the database by a principal diagnosis of unspecified sudden hearing loss ( ICD-9-CM code 3882). After controlling for time trend effects, this study adopted the autoregressive integrated moving average regression method as a means of evaluating the effects of climatic and monthly factors on SSNHL incidence rates. Results: Although significant associations were found between ambient temperature, relative humidity and the SSNHL incidence rates for the total population, after adjusting for seasonality, months and trends, the significant relationship between SSNHL incidence rates and the climatic parameters disappeared. Conclusions: This study has demonstrated that after adjusting for seasonality, months and trends, there is no significant relationship between monthly SSNHL incidence rates and weather conditions. Therefore, the theory that weather is a triggering factor in SSNHL pathogenesis is not supported by this study. Copyright (C) 2006 S. Karger AG, Basel.