COVID-19爆发前后的PM2.5对紧急精神障碍的影响:基于人口的准实验和案例交叉研究
Junwen Tao1, Junwei Yan2, Hong Su1
1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China; Anhui Province Key Laboratory of Major Autoimmune Disease, Hefei, China.
Environmental pollution (Barking, Essex : 1987)
|July 12, 2023
概括
在中国,COVID-19大流行减少了与微颗粒物 (PM2.5) 暴露相关的精神障碍风险. 较低的PM2.5水平可能有利于心理健康,强调需要继续努力控制空气污染.
科学领域:
- 环境健康 环境健康
- 精神卫生流行病学 精神卫生流行病学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行带来了重大的心理健康挑战.
- 微粒颗粒物 (PM2.5) 暴露是精神疾病的已知危险因素.
- COVID-19疫情对PM2.5精神障碍协会的影响仍然不清楚.
研究的目的:
- 调查中国COVID-19爆发前后的PM2.5暴露与精神障碍之间的关联.
- 量化COVID-19疫情对紧急诊所访问和精神疾病住院的影响.
- 评估PM2.5相关精神障碍风险的变化在疫情爆发后.
主要方法:
- 利用了2016-2021年在中国合肥市心理障碍急诊室访问和住院的每日数据.
- 员工中断时间序列分析,以评估COVID-19爆发的影响.
- 使用时间分层的案例交叉分析来检查疫情爆发前后的PM2.5暴露关联.
主要成果:
- 随着COVID-19的爆发,精神疾病总数立即下降,EDV减少了15%,住院病例减少了44%.
- 在疫情爆发之前,PM2.5暴露与精神障碍风险增加有关,但此后这种关联显著减弱.
- 年轻人 (0-45岁) 即使在疫情爆发后也仍然容易受到PM2.5暴露.
结论:
- 在中国COVID-19爆发后,与PM2.5相关的紧急精神障碍的风险下降.
- 在大流行期间降低PM2.5度可能会给心理健康带来好处.
- 持续努力减轻空气污染在后COVID-19时代对于公共心理健康至关重要.
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