台湾与环境条件相关的职业群体急诊室就诊率(ERVs)。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ayushi Sharma, Kang Yajing, Min-Chun Lin, Liwen Deng, Yu-Kai Lin, Lin-Han Chianghsieh, Fung-Chang Sung, Yu-Chun Wang
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引用次数: 0

摘要

目的:这项基于人口的研究探讨了台湾不同职业群体因各种原因、循环系统疾病和呼吸系统疾病导致的急诊就诊率:这项以人口为基础的研究探讨了台湾不同职业群体因各种原因、循环系统疾病和呼吸系统疾病导致的急诊就诊率(ERVs)与环境平均温度的关系:方法:研究人员从台湾卫生福利部获取了 2009 年至 2018 年期间每日特定地区-年龄-性别的急诊室就诊记录。采用分布式滞后非线性模型(DLNM)估算了日平均气温与各职业组别所有原因疾病、循环系统疾病和呼吸系统疾病的ERVs之间的暴露-反应关系。随机效应荟萃分析用于汇总总体累积相对风险(RR)和 95% 置信区间(CI):暴露-反应曲线显示,在所有职业组别中,全因疾病和呼吸系统疾病的ERV随着气温升高而增加。这些效应在年轻(20-64 岁)和户外工作者中持续增强。相比之下,寒流期间循环系统疾病的 ERVs 风险显著增加,女工的风险更高。有趣的是,与男性相比,女性工人(无论在室内还是室外工作)在炎热天气中患呼吸系统 ERV 的风险一直较高。年轻工人(20-64 岁)患急慢性呼吸道病毒的风险较高,这可能是由于其工作性质更容易暴露于极端温度所致。值得注意的是,室外男工(工会成员)患各种原因的 ERV 的风险最高,其次是农民和私人雇员,而室内工人的风险最低。相反,室内女工和女农民患呼吸系统 ERV 的风险最高。同样,在寒冷条件下,长期暴露于室外的女性农民患循环系统 ERV 的风险最高:我们的研究结果凸显了不同职业环境下与温度相关的健康风险的复杂性。从人群层面了解易受影响的职业群体,可为政策制定者和医疗保健从业人员提供有价值的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Emergency room visits (ERVs) among occupational groups associated with ambient conditions in Taiwan.

Emergency room visits (ERVs) among occupational groups associated with ambient conditions in Taiwan.

Objective: This population-based study explored emergency room visits (ERVs) from all-causes, circulatory and respiratory diseases among different occupational groups in Taiwan associated with ambient average temperature.

Method: Daily area-age-sex specific ERVs records were obtained from the Taiwan's Ministry of Health and Welfare from 2009 to 2018. Distributed lag-nonlinear model (DLNM) was used to estimate the exposure-response relationships between daily average temperature and ERVs for all-causes, circulatory and respiratory diseases by occupational groups. Random-effects meta-analysis was used to pool the overall cumulative relative risk (RR) and 95% confidence interval (CI).

Results: The exposure-response curves showed ERVs of all-cause and respiratory diseases increased with rising temperature across all occupational groups. These effects were consistently stronger among younger (20-64 years old) and outdoor workers. In contrast, ERVs risk from circulatory diseases increased significantly during cold snaps, with a substantially higher risk for female workers. Interestingly, female workers, regardless of indoor or outdoor work, consistently showed a higher risk of respiratory ERVs during hot weather compared to males. Younger workers (20-64 years old) exhibited a higher risk of ERVs, likely due to job profiles with greater exposure to extreme temperatures. Notably, the highest risk of all-causes ERVs was observed in outdoor male laborers (union members), followed by farmers and private employees, with the lowest risk among indoor workers. Conversely, female indoor workers and female farmers faced the highest risk of respiratory ERVs. Again, female farmers with consistent outdoor exposure had the highest risk of circulatory ERVs during cold conditions.

Conclusion: Our findings highlighted the complexity of temperature-related health risks associated with different occupational contexts. The population-level insights into vulnerable occupational groups could provide valuable comprehension for policymakers and healthcare practitioners.

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来源期刊
International Archives of Occupational and Environmental Health
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.
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