Heat waves and morbidity: current knowledge and further direction-a comprehensive literature review.

Heat waves and morbidity: current knowledge and further direction-a comprehensive literature review.
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DOI:
10.3390/ijerph120505256
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发表时间:
2015-05-18
影响因子:
--
通讯作者:
Liu Q
Liu Q
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Li M;Gu S;Bi P;Yang J;Liu Q

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在过去的几十年里,几次毁灭性的热浪事件严重挑战了公共卫生。由于预计未来这些事件的严重程度和频率都将增加,因此必须评估热浪与可用于预警系统的健康指标之间的关系,以指导公共卫生应对措施。然而,在热浪对发病率的影响方面存在知识空白。在这项研究中,进行了全面的审查,以评估热浪和不同的发病率指标之间的关系,并确定脆弱人群。使用PubMed和ScienceDirect数据库检索1985年至2014年期间关于热浪与发病率之间关系的英文文献,使用以下MeSH术语和关键词:热浪、热浪、发病率、入院、住院、紧急呼叫、紧急医疗服务和门诊。最终分析中纳入了33项研究。大多数研究发现,热浪对发病率有短期的负面健康影响。老年人、儿童和男性在热浪期间更容易受到伤害,患有慢性病的人的医疗保健需求增加。一些社会因素,如较低的社会经济地位,可能会导致热敏感性。在研究方法和热浪定义方面,仍然存在不一致和不确定性。需要制定相关政策和准则,以保护弱势群体。在热浪预警系统中应采用气象指标,以指导公共卫生行动的有效实施。
In the past few decades, several devastating heat wave events have significantly challenged public health. As these events are projected to increase in both severity and frequency in the future, it is important to assess the relationship between heat waves and the health indicators that can be used in the early warning systems to guide the public health response. Yet there is a knowledge gap in the impact of heat waves on morbidity. In this study, a comprehensive review was conducted to assess the relationship between heat waves and different morbidity indicators, and to identify the vulnerable populations. The PubMed and ScienceDirect database were used to retrieve published literature in English from 1985 to 2014 on the relationship between heat waves and morbidity, and the following MeSH terms and keywords were used: heat wave, heat wave, morbidity, hospital admission, hospitalization, emergency call, emergency medical services, and outpatient visit. Thirty-three studies were included in the final analysis. Most studies found a short-term negative health impact of heat waves on morbidity. The elderly, children, and males were more vulnerable during heat waves, and the medical care demand increased for those with existing chronic diseases. Some social factors, such as lower socioeconomic status, can contribute to heat-susceptibility. In terms of study methods and heat wave definitions, there remain inconsistencies and uncertainties. Relevant policies and guidelines need to be developed to protect vulnerable populations. Morbidity indicators should be adopted in heat wave early warning systems in order to guide the effective implementation of public health actions.
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