Association between diurnal temperature range and outpatient visits for urticaria disease in Lanzhou, China: a distributed lag nonlinear analysis.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Archives of Occupational and Environmental Health Pub Date : 2024-01-01 Epub Date: 2023-11-11 DOI:10.1007/s00420-023-02019-x

Yi Wu, Jing Zhang, Guodong Luo, Jianhong Zhang, Xiangdong Zhang, Bei Liao, Chunrui Shi

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引用次数: 0

Abstract

Background: A growing number of epidemiological studies have shown that daily temperatures are associated with urticaria. However, the relationship between daily changes in temperature and urticaria is unclear.

Objectives: To assess the diurnal temperature difference (DTR) effects on urticaria outpatient visits in Lanzhou, China.

Methods: Urticaria outpatient visits data during 2011-2019 were collected from three major tertiary hospitals in Lanzhou. Daily temperature data from the official website of China Meteorological Administration. Assessment of the relationship between urticaria outpatient volume and DTR in Lanzhou City using a distributed lag nonlinear model.

Results: A total of 83,022 urticaria visits were enrolled. There was a nonlinear relationship between DTR and urticaria outpatient visits and a lagged effect of DTR impact. The effects of high DTR on urticaria visits were not seen in all populations but in the male population and in the 15-59 age group. High DTR (P95: 18.2 °C) was associated with a 27% (95% CI: 0.01, 60.53%) and 31% (95% CI: 1.60, 68.99%) increase in the number of urticaria visits in the 21-day lag effect for the male cohort and the 15-59 year old cohort, respectively, compared with 11.5 °C, respectively.

Conclusions: Our study suggests that DTR is a potential risk factor for urticaria. The results of this study may provide a scientific basis for local governments to improve preventive measures in the health care system.

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中国兰州地区荨麻疹患者日间气温变化与门诊就诊的关系:一种分布滞后非线性分析。

背景:越来越多的流行病学研究表明，日常温度与荨麻疹有关。然而，每日温度变化与荨麻疹之间的关系尚不清楚。目的:评估昼夜温差(DTR)对中国兰州荨麻疹门诊就诊的影响。方法:收集兰州市3家三级医院2011-2019年荨麻疹门诊就诊数据。每日气温资料来自中国气象局官方网站。用分布滞后非线性模型评价兰州市荨麻疹门诊人数与DTR的关系结果:共有83022例荨麻疹患者被纳入研究。DTR与荨麻疹门诊次数之间存在非线性关系，DTR影响存在滞后效应。高DTR对荨麻疹就诊的影响并非在所有人群中都可见，但在男性人群和15-59岁年龄组中可见。与11.5°C相比，高DTR (P95: 18.2°C)与21天滞后效应中男性队列和15-59岁队列的荨麻疹就诊数量分别增加27% (95% CI: 0.01, 60.53%)和31% (95% CI: 1.60, 68.99%)相关。结论:本研究提示DTR是荨麻疹的潜在危险因素。本研究结果可为地方政府改善卫生保健系统的预防措施提供科学依据。

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

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.