Protective effects of low temperature on the risk of hospitalization for mental and behavioral disorders: a time series study.

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Xian Gao, Shaojun Liu, Xinyang Jing, Ran Wang, Mei Song, Xiaoli Liu, Xueyi Wang, Lan Wang, Cuixia An
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引用次数: 0

Abstract

Background: The high incidence of mental illness worldwide is a substantial economic burden on society. Temperature and the occurrence of mental and behavioral disorders (MDs) seem to have a relationship, but this has not been widely researched. Therefore, this study aimed to investigate the effect of temperature on the hospitalization rate of patients with MDs in a temperate monsoon climate region of northern China.

Methods: Patients with MDs hospitalized in the Mental Health Center of Hebei Medical University and Psychology Department in The third Hospital of Shijiazhuang, China, from January 2014 to December 2019 were included in the study. The delayed exposure - response relationship between temperature and the number of hospitalized MDs patients was analyzed using a quasi-Poisson generalized additive model combined with a distributed lag nonlinear model.

Results: With the reference of 15.3°C (temperature with the minimum hospitalizations), the single lag effect of low temperature (-2°C, 10th percentile) increased the hospitalization of patients with MDs, while the cumulative effect decreased the risk of hospitalization for some MD subtypes; it was an acute protective effect. The single and cumulative lag effect of high temperature statistically increased the hospitalization rates of patients with MDs. The optimum temperature for each subtype was different, and the males and the younger age group were more susceptible to high temperatures.

Conclusions: Low temperature has an acute protective effect on the hospitalization of patients with MDs. In comparison, high temperature increases hospitalization rates. Men and younger people are more affected by temperature, which provides early warning and health intervention measures for patients with corresponding temperature changes.

低温对精神和行为障碍住院风险的保护作用:一项时间序列研究
背景:精神疾病在世界范围内的高发病率是一个巨大的社会经济负担。温度与精神和行为障碍(MDs)的发生似乎有一定的关系,但这方面的研究尚未得到广泛的研究。因此,本研究旨在探讨中国北方温带季风气候区温度对MDs患者住院率的影响。方法:选取2014年1月至2019年12月在河北医科大学精神卫生中心和石家庄市第三医院心理科住院的MDs患者为研究对象。采用拟泊松广义加性模型结合分布滞后非线性模型分析了温度与MDs住院人数的延迟暴露-响应关系。结果:以15.3℃(最低住院率温度)为参考,低温(-2℃,第10百分位)的单一滞后效应增加了MD患者的住院率,而累积效应降低了部分MD亚型的住院风险;这是一种强烈的保护作用。高温的单一滞后效应和累积滞后效应均有统计学意义地增加MDs患者的住院率。各亚型的最适温度不同,雄虫和低龄虫对高温更敏感。结论:低温对MDs患者住院治疗具有急性保护作用。相比之下,高温会增加住院率。男性和年轻人受温度的影响更大,为相应温度变化的患者提供预警和健康干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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