Short-term ambient ozone exposure increases the risk of hospitalization with depression: a multi-city time-stratified case-crossover study.

IF 2.9 4区医学 Q2 PSYCHIATRY

Journal of Mental Health Pub Date : 2024-12-01 Epub Date: 2023-11-10 DOI:10.1080/09638237.2023.2278102

Xi Gao, Jia Li, Xueli Zhang, Wanyanhan Jiang, Jiaqiang Liao, Lian Yang

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引用次数: 0

Abstract

Background: Depression, the most common mental illness worldwide, has been studied and air pollution has been found to increase the risk of depression hospitalization, but research results on ozone (O₃) remain limited. In this context, we investigated the relationship between short-term O₃ exposure and depression-related hospital admissions (HAs).

Methods: The 10,459 records of HAs for depression from medical institutions across in 9 cities, China, were collected between 1 January 2017, and 31 December 2018. Air pollutants and meteorological data was obtained from provincial ecological environment monitoring stations in the study area. Conditional Poisson regression was employed to estimate the association between O₃ and hospitalizations for depression, with data stratification by sex, age, weather, and economic level.

Results: Short-term O₃ exposure was positively associated with the number of depression-related hospitalizations (Relative risk: 1.04 [95% CI: 1.02, 1.05]). O₃ had a significant effect on the risk of depression-related hospitalizations on warm days (P = 0.021, Relative risk: 1.05 [1.03, 1.08]). The high gross domestic product group was more likely to be affected by O₃ exposure-associated depression-related hospitalizations (P = 0.005, Relative risk: 1.03 [1.01, 1.05]).

Conclusions: Short-term changes to O₃ exposure may increase the risk of depression related hospitalizations, especially on warm days.

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短期环境臭氧暴露增加抑郁症住院风险：一项多城市时间分层病例交叉研究。

背景：抑郁症是世界上最常见的精神疾病，人们已经对其进行了研究，并发现空气污染会增加抑郁症住院的风险，但对臭氧（O3）的研究结果仍然有限。在此背景下，我们调查了短期O3暴露与抑郁症相关入院（HA）之间的关系。方法：收集2017年1月1日至2018年12月31日期间中国9个城市医疗机构的10459份抑郁症HA记录。大气污染物和气象数据来自研究区域内的省级生态环境监测站。采用条件泊松回归来估计O3与抑郁症住院之间的关系，并按性别、年龄、天气和经济水平对数据进行分层。结果：短期O3暴露与抑郁症相关住院人数呈正相关（相对危险度：1.04[95%CI:1.02,1.05]）。O3对温暖天气抑郁症相关住院风险有显著影响（P = 0.021，相对风险：1.05[1.03，1.08]）。高国内生产总值组更容易受到O3暴露相关抑郁相关住院的影响（P = 0.005，相对风险：1.03[1.01，1.05]）。结论：O3暴露的短期变化可能会增加抑郁症相关住院的风险，尤其是在温暖的日子。

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

Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

6.40

自引率

3.00%

发文量

117

期刊介绍： The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.