非最佳温度和心血管住院之间的关联及其在残疾交叉点上的时间变化
Sera Kim1, Garam Byun2, Jong-Tae Lee3
1Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul 02841, Republic of Korea.
The Science of the total environment
|September 8, 2023
概括
残疾人 (PwD) 面临非最佳温度的更高风险,导致心血管疾病 (CVD) 住院患者的增加. 这些与温度相关的健康影响随着时间的推移而恶化,突显了需要包容性适应策略的必要性.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 关于残疾人的研究.
背景情况:
- 以前的研究已经确定了易受非最佳温度影响的人群,但残疾在很大程度上被忽视了.
- 由于越来越多的残疾人 (PwD) 及其相关的不利因素,了解残疾和与温度相关的健康影响的交叉关系至关重要.
- 这项研究解决了关于残疾状况如何影响非最佳温度和心血管疾病 (CVD) 住院治疗之间的关联的知识差距.
研究的目的:
- 调查非最佳温度和心血管疾病住院治疗之间的关联.
- 检查这些关联如何随着时间的推移而变化,特别是考虑到残疾的存在.
- 为发展包括残疾在内的公共卫生战略提供信息,以适应气候变化.
主要方法:
- 使用了韩国国家医疗保险服务-韩国国家样本队列 (2002-2019).
- 采用时空分层的案例交叉设计,采用有条件的准波松回归和分布式滞后非线性模型.
- 根据气象因素 (相对湿度,风速) 和公共假日进行调整,根据残疾状况分层分析.
主要成果:
- 非残疾人显示温度-心血管疾病住院风险的J形曲线.
- 残疾人 (PwD) 呈现M形曲线,与寒冷和中度低温相关的风险最高.
- 炎热和寒冷对心血管疾病住院的不良影响随着时间的推移在非残疾人群体中减少,但在PWD中增加.
结论:
- 残疾状况显著改变了非最佳温度对心血管疾病住院的影响.
- 在研究期间,Pwd表现出对极端热和极端寒的不适应.
- 研究结果强调,需要将残疾因素纳入与温度相关的健康差异和适应策略的研究中.
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