中国成年人的极端温度事件和痴呆症死亡率:一个基于人口的,案例交叉研究
Tingting Liu1, Chunxiang Shi2, Jing Wei3
1Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China.
International journal of epidemiology
|September 10, 2023
概括
极端温度事件 (ETE),如热浪和寒流,显著增加痴呆症死亡风险. 减少对这些事件的暴露可能有助于预防痴呆症死亡,特别是在夏季妇女.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 极端温度事件 (ETE) 对痴呆症死亡率的影响尚不清楚.
- 量化ETE暴露与痴呆症死亡率之间的关联对于公共卫生干预至关重要.
研究的目的:
- 调查暴露于极端温度事件和痴呆症死亡率之间的关系.
- 评估热浪和寒流对痴呆症死亡的影响.
主要方法:
- 一项以人口为基础的病例交叉研究涉及中国江苏省 (2015-2020) 57,791例痴呆症死亡.
- 使用经过验证的网格数据集分析了每日平均温度,评估了热浪和寒浪的强度和持续时间.
- 使用条件后勤回归模型来评估ETE暴露的累积和滞后效应.
主要成果:
- 根据各种强度和持续时间标准定义的ETE暴露与痴呆症死亡率增加有关.
- 热浪 (P95_3d) 将痴呆的死亡率提高了75%,而寒浪 (P5_3d) 则增加了30%.
- 据估计,6.14%的痴呆症死亡归因于热浪 (P90_2d) 和寒冷 (P10_2d) 暴露;热浪的影响在女性中更强烈.
结论:
- 热浪和寒冷暴露都与痴呆症死亡风险增加有关.
- 减少暴露于极端温度可能是预防痴呆症死亡的一种策略.
- 这些发现表明,特别注意保护妇女免受夏季热浪的影响.
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