Public Health最新文献

{"title":"Anxiety and depression in only children versus children with siblings: A cross-sectional study among Chinese medical students.","authors":"Siyuan Chang, Yafeng Jiang, Tianlong Huang, Kaying Ho, Yejun Tan, Lemei Zhu, Yu Nie, Layun Qin, Meiyan Song, Fen Li, Jin Kang","doi":"10.1016/j.puhe.2024.11.012","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.11.012","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the characteristics, overall anxiety and depression status, and influencing factors of only-child and non-only-child students by examining a medical student population in the post-COVID-19 era.</p><p><strong>Study design: </strong>This study was a cross-sectional design.</p><p><strong>Methods: </strong>An online questionnaire survey was administered among medical students. The psychological problems related to depression and anxiety were measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7), respectively, which were scored via a Likert-4 scale. Statistical analysis was employed to explore the characteristics and overall differences between only-child and non-only-child students, along with the factors affecting their anxiety and depression.</p><p><strong>Results: </strong>A total of 1688 participants were enrolled. No significant differences were observed in the prevalence of anxiety (χ² = 1.154, P = 0.283) and depression (χ² = 0.313, P = 0.576) between only-child and non-only-child students. School level, single status, and desire for only child status are associated with anxiety and depression in the two groups. Region and loneliness are merely related to anxiety and depression among only-child students, while gender, willingness to apply for medical school, and equal treatment are associated with anxiety and depression among non-only-child students.</p><p><strong>Conclusion: </strong>Our study found the factors that are associated with depression or anxiety inthe only-child and non-only-child medical students jointly and separately, which could provide a new theoretical basis for the psychological intervention of medical students, that is, to identify the high risk factors of depression and anxiety from the perspective of only child and non-only child.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"162-168"},"PeriodicalIF":3.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between cumulative loneliness and risk of cardiovascular diseases in middle-aged and older adults: A longitudinal study.","authors":"Zhao Hu, Lu Tang, Yiqiang Zhan","doi":"10.1016/j.puhe.2024.12.048","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.048","url":null,"abstract":"<p><strong>Objective: </strong>Previous longitudinal studies have investigated the association between baseline loneliness and the risk of developing cardiovascular diseases (CVD). Nevertheless, the cumulative effect of loneliness on CVD remains uncertain. The objective of this study is to assess the relationship between the cumulative duration of loneliness and the risk of CVD in middle-aged and older adults.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Methods: </strong>The study utilized data from a sample of 8353 adults aged 45 years and older who participated in the China Health and Retirement Longitudinal Study (CHARLS). Loneliness was assessed biennially between 2011 and 2015, and categorized into four groups: never, one time point, two time points, and three time points. The Cox Proportional Hazards Regression Model was employed to estimate hazard ratios (HRs) and corresponding 95 % confidence intervals (CIs).</p><p><strong>Results: </strong>Following a mean follow-up period of 4.7 years (standard deviation: 0.7 years), a total of 1314 cases of CVD were identified, including 913 cases of heart disease and 504 cases of stroke. After adjusting for potential confounding factors, individuals who experienced loneliness at one time point (HR, 1.21; 95 % CI: 1.06, 1.38), two time points (HR, 1.23; 95 % CI: 1.03, 1.45), and three time points (HR, 1.50; 95 % CI: 1.19, 1.89) had a significantly higher risk of developing CVD compared to those who never experienced loneliness.</p><p><strong>Conclusions: </strong>Cumulative loneliness was associated with increased risk of CVD in middle-age and older adults. Additional research is warranted to delve into the underlying mechanisms, while it is advisable to contemplate social interventions aimed at addressing loneliness.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"156-161"},"PeriodicalIF":3.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence of zero-risk transmission of HIV in the era of antiretroviral therapy: A systematic review and meta-analyses.","authors":"Emma Grundtvig Gram, Ida Ege Biering, Ole Olsen, Gregers Jacob Gram","doi":"10.1016/j.puhe.2024.12.008","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.008","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to assess the evidence on sexual transmission of HIV in high-income settings between serodiscordant couples where the index partner infected with HIV is on antiretroviral therapy.</p><p><strong>Study design: </strong>Systematic review and meta-analyses.</p><p><strong>Methods: </strong>We performed a systematic search in four databases: Embase, MEDLINE, The Cochrane Library, and Web of Science on September 24, 2022. We assessed the risk of bias with ROBINS-I and pooled estimates in meta-analyses using a Poisson regression model with a random effect of the study and population size. The study protocol was pre-registered at PROSPERO. The study involved high-income countries.</p><p><strong>Results: </strong>The search identified 6886 studies, of which six were included for review. Altogether, studies reported zero linked transmissions among 2383 couples, more than 160,000 acts of intercourse, and 3578 couple years. The risk estimate from overall meta-analyses was 0.000 95%CI (0.000-0.103) per 100 couple-years.</p><p><strong>Conclusion: </strong>This systematic review and meta-analyses provide epidemiological evidence for a low risk of HIV transmission under antiretroviral therapy in high-income countries and thus cannot reject the theoretical \"treatment as prevention\" paradigm.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"149-155"},"PeriodicalIF":3.9,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of dog bite and strike related hospital admissions in Scotland, 1997 to 2022.","authors":"A E Taylor, O Ogharanduku, J Connor, S Bridgman","doi":"10.1016/j.puhe.2024.12.049","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.049","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the epidemiology of dog-related injuries leading to hospital admission in Scotland and to estimate the direct health care costs.</p><p><strong>Study design: </strong>A retrospective, longitudinal analysis of Scottish hospital admissions coded under the W54 ICD-10 code 'bitten or struck by dog', 1997-2022.</p><p><strong>Methods: </strong>Hospital admissions episodes coded under W54 were extracted from the SMR1/01 dataset. Descriptive analyses were performed. Incidence rate ratios (IRR) were calculated using negative binomial distribution. Direct NHS health cost estimates were calculated.</p><p><strong>Results: </strong>Incidence of dog bite and strike related admissions near tripled between 1997 and 2022, from 5.9 to 17.2 per 100,000 population with an annual IRR of 1.047 (P < 0.001). Incidence has risen most steeply in adults, with all age groups over 15 years having an IRR between 1.040 and 1.065 (P < 0.001). Incidence of overnight admissions doubled, and zero-day admissions increased by five times. Hospital admissions were 2.4 times higher in the most deprived quintile compared to the least deprived. Setting of bite was not consistently recorded, but young age groups were more likely to have the home setting recorded. Admissions related to dog bites or strikes resulted in an estimated £28.6 million of direct health care costs, from the admission alone, over the 25-year period.</p><p><strong>Conclusion: </strong>Dog bites and strikes can be devastating injuries. Unfortunately, over the last 25 years there has been a steep rise in incidence in Scotland, despite attempts at control through legislation. Further work to better understand the health and wider costs of these injuries, the epidemiology to inform preventative interventions, and improved co-ordination through inter-sectoral collaboration is recommended.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"142-148"},"PeriodicalIF":3.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What substance use services are advertised by local governments? An analysis of data from county websites in New York state.","authors":"Zoe Lindenfeld, Amanda I Mauri, Diana Silver","doi":"10.1016/j.puhe.2024.12.045","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.045","url":null,"abstract":"<p><strong>Objective: </strong>To assess the substance use disorder (SUD) prevention and response activities that county governments in New York advertise.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>We coded websites of county public health, mental health, emergency, and social service departments to identify whether any government agency provided information about ten evidence-based SUD services. We calculated the number and percentage of counties advertising each service, overall and by county size (medium/large and small).</p><p><strong>Results: </strong>The most common services advertised on county websites were Resource Lists (91.4 %), Naloxone Training, Education, or Distribution (74.1 %), and Addiction/Overdose Education (62.1 %), and the least common were Syringe Exchange (31.0 %) and Anti-Stigma Training or Resources (13.8 %). When counties were assessed by population size, each service was advertised by a higher percentage of medium/large counties than small counties.</p><p><strong>Conclusions: </strong>Despite public health researchers recommending that government responses to the overdose crisis include the SUD services examined here, many counties do not provide information to their constituents about several important services. Thus, even if these services are available, they may be unknown to residents.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"133-135"},"PeriodicalIF":3.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health, social, and violence profiles of women in treatment for psychoactive substance use in Madrid.","authors":"Anabel Ramírez-López, Carmen Meneses-Falcón, Nuria Romo-Avilés","doi":"10.1016/j.puhe.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.009","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe the profile of women seeking treatment for the use of psychoactive substances in the city of Madrid. The study used a sample of 1968 women who sought treatment at the Addiction Care Centers (CAD) of the Madrid City Council in the year 2022, which accounted for 22.9 % of the total population attended.</p><p><strong>Study design: </strong>This quantitative study used secondary data provided by the Institute of Addictions (General Subdirectorate of Addictions, Madrid Salud). The analyses included bivariate analysis, correspondence analysis, K-means clustering, and ANOVA.</p><p><strong>Methods: </strong>Bivariate analysis was conducted to determine the association between the principal psychoactive substance and sociodemographic characteristics. Statistically significant results were employed to develop a correspondence analysis and used to conduct a K-means clustering analysis. The objective was to determine the profile of the women who sought treatment at the CAD of the Institute of Addictions (General Subdirectorate of Addictions of Madrid Salud).</p><p><strong>Results: </strong>The results revealed three profiles of women: 1) women who use cocaine and heroin, were unemployed with children, and had lower education; 2) women who used cannabis were not working, had no children, and had intermediate education; 3) women who used alcohol had children, higher education, and were working. All three profiles were associated with situations of domestic violence, where the percentages were very high in each of the profiles, regardless of the principal substance of use and the sociodemographic and health characteristics.</p><p><strong>Conclusions: </strong>The results highlight the need for tailored addiction treatment approaches that address the distinct social and health profiles of women in Madrid, including challenges such as motherhood, drug-related infections, and violence. These findings emphasize the importance of providing specialized services to approach the complex needs of women undergoing addiction treatment.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"127-132"},"PeriodicalIF":3.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between the triglyceride glucose-body mass index and memory-related diseases: A nationwide cohort study.","authors":"Xiaoyan Ni, Yiwei Zhang, Weixian Zhang, Yi Wen, Yujing Wang, Mingmin Wang","doi":"10.1016/j.puhe.2024.12.046","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.046","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the longitudinal association between the triglyceride glucose-body mass index (TyG-BMI) index and memory-related diseases (MDs) among Chinese adults.</p><p><strong>Study design: </strong>Nationwide cohort study.</p><p><strong>Methods: </strong>Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS), which is an ongoing nationally representative prospective cohort study. The exposure was the participants' TyG-BMI index at baseline from 2011 to 2012. MDs were acquired by self-reporting questions in 2018. Cox proportional hazards regression models were conducted to assess the relationship between the TyG-BMI index and MDs.</p><p><strong>Results: </strong>During a median follow-up of 7.0 years, a total of 197 incident MDs events occurred. After multivariate adjustments for established MD-related risk factors, participants with the highest tertile of the TyG-BMI index had a higher risk of MDs (HR: 1.65; 95 % CI: 1.02-2.09; P-trend <0.001) relative to individuals with the lowest tertile. Furthermore, the subgroup analyses of the association remained consistent.</p><p><strong>Conclusion: </strong>A high TyG-BMI index was associated with an increased risk of MDs. Our study suggests that monitoring long-term changes in the TyG-BMI index could assist with the early identification and prevention of MDs among individuals at high risk.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"136-141"},"PeriodicalIF":3.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of dengue in South American countries, 1990-2019: Estimates from the Global Burden of Disease study 2019.","authors":"C S Navarro, P A S Vaz de Castro, G R de Araújo, I R Ávila, V E M de Araújo, F R Martins-Melo, M Carneiro, J M T Bezerra","doi":"10.1016/j.puhe.2024.12.019","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.019","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the main dengue metrics generated by the Global Burden of Disease (GBD) Study 2019 for South American countries between 1990 and 2019.</p><p><strong>Study design: </strong>A descriptive study was carried out using the metrics obtained by the GBD Study 2019.</p><p><strong>Methods: </strong>The metrics of incidence, years of life lost due to premature death (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) were evaluated, grouped by sex and country, between 1990 and 2019. The metrics were presented with age-standardized rates per 100,000 inhabitants and their respective uncertainty intervals (95%UI).</p><p><strong>Results: </strong>The five countries with the highest DALY rates in 2019 were Suriname [78.60 DALYs per 100,000 inhabitants (95%UI 20.06-117.82)], Colombia [57.76 DALYs per 100,000 inhabitants (95%UI 44.35-69.97)], Guyana [29.21 DALYs per 100,000 inhabitants (95%UI 18.21-31.13)], Venezuela [22.58 DALYs per 100,000 inhabitants (95%UI 12.68-31.13)] and Brazil [18.86 DALYs per 100,000 inhabitants (95%UI 12.33-23.43)]. Between 2000 and 2010, there was a relative increase in DALY rates in practically all countries, with the highest percentages in Bolivia (222.5%), Venezuela (158.66%), Brazil (127.50%), Paraguay (90.22%) and Suriname (36.04%). Between 2010 and 2019, all countries showed a relative reduction in DALY rates.</p><p><strong>Conclusions: </strong>This study contributed to the understanding of the dengue burden on the South American continent, pointing to a relative increase between 2000 and 2010 and a relative reduction between 2010 and 2019 in practically all countries.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"121-126"},"PeriodicalIF":3.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased adherence to the DASH dietary pattern in community dwelling older adults: Findings from two National Health and Nutrition Surveys.","authors":"Miri Lutski, Aliza H Stark, Rita Dichtiar, Shay Y Lubel, Efrat Monsnego-Ornan, Tali Sinai","doi":"10.1016/j.puhe.2024.12.037","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.037","url":null,"abstract":"<p><strong>Objectives: </strong>To assess adherence to the Dietary Approaches to Stop Hypertension (DASH) diet over a decade among community-dwelling older adults, with and without hypertension and to examine associated factors.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Data from two cross-sectional Israel National Health and Nutrition Surveys (NHNS) for older adults, from 2005 to 2006 (NHNS1) and 2014-2015 (NHNS2) were analysed. Trained personnel conducted face-to-face interviews and collected demographic, health, and lifestyle data, along with anthropometric measurements. Adherence to the DASH diet was determined from a single 24-h dietary recall using Mellen's DASH score. Logistic regression analyses were applied to estimate odds ratios (ORs) and 95 % confidence intervals (CIs) for high DASH adherence (scores ≥4.5) versus low adherence (scores <4.5). Individual nutrient targets of the DASH diet were also assessed.</p><p><strong>Results: </strong>The dataset was comprised of 1722 participants from NHNS1 and 916 from NHNS2. Following adjustment for potential confounders, the OR for DASH adherence among participants in NHNS2 was 1.65 (95 % CI 1.34-2.04) compared to NHNS1. NHNS2 participants reported better adherence to DASH nutrient recommendations for saturated fatty acids, total fat, protein, dietary fibre, and calcium among individuals with and without hypertension. No statistically significant differences were found for cholesterol, potassium, and sodium target intakes between surveys.</p><p><strong>Conclusions: </strong>A positive trend towards healthier dietary patterns was identified among both the hypertensive and non-hypertensive older adults over a 10-year period. This underscores the importance of ongoing monitoring to appropriately address changing population needs and promote healthy dietary practices.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"112-120"},"PeriodicalIF":3.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of short-term exposure to air pollution on the admission of ischemic stroke and its interaction with meteorological factors.","authors":"Kailun Pan, Fen Lin, Kai Huang, Songbing Zeng, Mingwei Guo, Jie Cao, Haifa Dong, Jianing Wei, Qiujiang Xi","doi":"10.1016/j.puhe.2024.12.042","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.042","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the associations, potential effects, and interactions between short-term exposure to air pollution and the risk of ischemic stroke (IS).</p><p><strong>Study design: </strong>An ecological study.</p><p><strong>Methods: </strong>Daily data on IS incidents, air pollution, and meteorological conditions were collected from 2017 to 2021 in Gannan. A time-stratified case-crossover design, combined with a distributional lag nonlinear model, was employed to analyze the relationship between air pollution exposure and the admission of IS. Additionally, the interaction between air pollutants and meteorological factors was examined using bivariate response surface modeling. The study also conducted stratified analyses based on gender, age, marital status, medical insurance purchase status, and season of admission.</p><p><strong>Results: </strong>In the single lag day structure, extremely low levels of PM2.5 (RR = 1.11, 95 % CI: 1.03-1.20) and PM10 (RR = 1.10, 95 % CI: 1.02-1.20) peaked on lag 3. Conversely, extremely high levels of NO2 (RR = 1.05, 95 % CI: 1.01-1.10), CO (RR = 1.19, 95 % CI: 1.03-1.37), and extremely low levels of O3 (RR = 1.09, 95 % CI: 1.01-1.19) exhibited a greater relative risk on lag 4. In the cumulative lag-day structure, extremely high levels of NO2 exhibited the most significant hazard effect at lag 05 (RR = 1.27, 95 % CI: 1.01-1.52), while extremely low levels of CO at lag 02 (RR = 1.15, 95 % CI: 1.05-1.24) and extremely low levels of O3 at lag 01 (RR = 1.20, 95 % CI: 1.04-1.40) also demonstrated notable associations. In the subgroup stratum, the association between air pollution and IS was found to be more significant in patients who were male, aged <65 years, married, had medical insurance, and were admitted during the cold season. The lowest number of IS hospitalisations occurred under low relative humidity conditions alongside increasing concentrations of CO.</p><p><strong>Conclusions: </strong>Short-term exposure to air pollution was positively associated with an increased risk of IS. This association was influenced by factors such as being male, aged <65 years, married, having medical insurance, and admissions during the cold season. Additionally, an interaction was observed between air pollutants and meteorological factors. These findings carry significant public health implications for the prevention of IS.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"103-111"},"PeriodicalIF":3.9,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}