环境温度和心理健康:系统审查和元分析
Rhiannon Thompson1, Emma L Lawrance2, Lily F Roberts3
1School of Public Health, Imperial College London, London, UK.
The Lancet. Planetary health
|July 12, 2023
概括
气温上升与增加的自杀率和精神健康住院病例有关. 气候变化可能会加剧这些影响,需要适应策略和进一步研究温度.
科学领域:
- 环境健康 环境健康
- 精神病学是一个精神病学.
- 适应气候变化 适应气候变化
背景情况:
- 越来越多的证据表明,室外环境温度会影响心理健康.
- 由于持续的气候变化,这种关联是一个重大问题.
- 该研究全面分析了有关温度和心理健康的现有证据.
研究的目的:
- 系统地审查和元分析环境温度和心理健康结果之间的关联.
- 综合当前关于环境温度如何影响心理健康的证据.
主要方法:
- 流行病学和观察性研究的系统审查和元分析.
- 搜索了多个数据库 (科学网,Embase,PsychINFO,PubMed) 到2022年4月.
- 包括研究人类对环境温度的反应与心理健康结果的研究;不包括受控或身体健康研究.
- 聚合数据的定性综合和随机效应元分析.
- 使用标准化方法评估偏见风险和证据质量.
主要成果:
- 审查中包括了114项研究,19项适合进行元分析.
- 平均月体温上升1°C与自杀率上升1.5%有关.
- 热浪与精神疾病住院病例增加9.7%有关.
- 定性综合显示温度 (绝对,变化,热浪) 与自杀,精神疾病住院和社区福祉之间的积极关联,尽管证据质量有所不同.
结论:
- 温度升高和变异性与更高的自杀率和精神病住院率相关.
- 气候变化引起的温度变化需要积极的卫生系统适应策略.
- 进一步高质量,标准化的研究对于深入了解这些影响至关重要.
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