Ambient temperature and injury-related emergency department visits in China and its Provinces: a large national case-crossover study.

IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES
Guanhao He, Yuan Wang, Tao Liu, Xiao Deng, Jianxiong Hu, Yuliang Er, Pengpeng Ye, Qijiong Zhu, Ye Jin, Cuirong Ji, Ziqiang Lin, Fengrui Jing, Leilei Duan, Wenjun Ma
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Abstract

Background: Temperature-related risks on non-accidental morbidity or mortality have been well documented. However, limited studies have investigated the injury morbidity risk and burden attributed to ambient temperature.

Objective: The current study aimed to assess the injury morbidity risk and burden attributed to ambient temperature in China.

Methods: A time-stratified case-crossover study was conducted in 31 provincial-level administrations across mainland China, and 11.5 million injury-related emergency department visits recorded in National Injury Surveillance System (NISS) during 2006-2021 were included in the study. An injury case refers to a patient who takes the first visit to the outpatient or emergency department in NISS due to an injury. Daily meteorological data were collected from the fifth generation of European ReAnalysis-Land. A two-stage approach, including a conditional logistic regression and a multilevel meta-analysis, was applied to estimate the temperature-injury association, which were then applied to assess the morbidity burden attributable to temperature.

Results: We observed that injury risk increased 1.2% (95%CI: 1.0%-1.4%) for a 1 °C increase in daily mean temperature with higher risk for males, children aged 0-4, and residents in tropical and subtropical zone. We also found that animal injury, violence and attack, and injury in agricultural area were more susceptible to temperature. Compared to the 2020s, we projected 5.7 times increase of injury cases and 10.4 times of attributable fraction due to temperature change driven by global warming in the 2090s under SSP5-8.5 scenario in China. Our findings might be informative for injury prevention in the context of climate change in China.

Conclusion: Our findings identify susceptible populations, regions and mechanism-specific injuries when exposure to ambient temperature, which could be informative for injury prevention in the context of climate change in China. https://doi.org/10.1289/EHP16878.

中国及其各省环境温度与伤害相关急诊就诊:一项大型全国性病例交叉研究
背景:温度对非意外发病或死亡的相关风险已被充分记录。然而,对环境温度引起的损伤发病风险和负担的研究有限。目的:了解中国环境温度对人体伤害的致病风险和负担。方法:在中国大陆31个省级行政部门进行时间分层病例交叉研究,并纳入2006-2021年国家伤害监测系统(NISS)记录的1150万例与伤害相关的急诊就诊。受伤病例是指因受伤而首次到NISS门诊或急诊科就诊的患者。每日气象数据收集自第五代欧洲reanalysisland。采用两阶段方法,包括条件逻辑回归和多水平荟萃分析,来估计温度与伤害的关联,然后用于评估归因于温度的发病率负担。结果:我们观察到,日平均温度每升高1°C,男性、0-4岁儿童以及热带和亚热带居民的伤害风险增加1.2% (95%CI: 1.0%-1.4%)。我们还发现,动物伤害、暴力袭击和农业地区的伤害更容易受到温度的影响。与20世纪20年代相比,在SSP5-8.5情景下,我们预测20世纪90年代中国因全球变暖导致的温度变化造成的伤害病例增加了5.7倍,可归因比例增加了10.4倍。我们的研究结果可能为中国气候变化背景下的伤害预防提供信息。结论:我们的研究结果确定了暴露于环境温度下的易感人群、区域和机制特异性损伤,这可能为中国气候变化背景下的伤害预防提供信息。https://doi.org/10.1289/EHP16878。
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
Environmental Health Perspectives
Environmental Health Perspectives 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
14.40
自引率
2.90%
发文量
388
审稿时长
6 months
期刊介绍: Environmental Health Perspectives (EHP) is a monthly peer-reviewed journal supported by the National Institute of Environmental Health Sciences, part of the National Institutes of Health under the U.S. Department of Health and Human Services. Its mission is to facilitate discussions on the connections between the environment and human health by publishing top-notch research and news. EHP ranks third in Public, Environmental, and Occupational Health, fourth in Toxicology, and fifth in Environmental Sciences.
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