环境温度变化和与艾滋病相关的死亡率:在103个县进行的时间分层病例交叉研究,中国
Faxue Zhang1, Shijie Zhu1, Dingyuan Zhao2
1Department of Occupational and Environmental Health, School of Public Health, Wuhan University, Wuhan 430071, China.
The Science of the total environment
|December 22, 2023
概括
气候变化影响艾滋病相关死亡率. 增加的日间温度范围 (DTR) 与更高的死亡风险有关,特别是在温暖的季节,突出了针对性公共卫生干预的必要性.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 气候变化给全球公共卫生带来了重大挑战.
- 包括艾滋病毒/艾滋病患者在内的弱势群体需要关注气候变化影响.
- 很少有研究探讨了气候变化与艾滋病相关死亡率之间的具体联系.
研究的目的:
- 调查环境温度变化与艾滋病毒/艾滋病患者死亡率之间的关联.
- 量化不同温度变化指标对艾滋病相关死亡的影响.
主要方法:
- 利用了来自艾滋病毒/艾滋病综合响应信息管理系统 (2013-2019) 的数据.
- 采用了具有条件后勤回归的时间分层案例交叉设计.
- 检查了日间温度范围 (DTR),邻近天之间的温度变化 (TCN) 和温度变化 (TV0-t) 作为暴露指标.
主要成果:
- DTR 1°C的增加与艾滋病相关死亡率上升5.28% (延迟0-6天).
- DTR与死亡率之间的关联在已婚个人和温暖的季节中更为强烈.
- 在温暖的季节 (7.32%) 与寒冷的季节 (5.16%) 相比,增加的DTR显示出更明显的风险增加.
结论:
- 昼间温度范围 (DTR) 被确定为艾滋病相关死亡的重要风险因素.
- 研究结果强调了将温度变化纳入艾滋病毒/艾滋病公共卫生战略的重要性.
- 需要进一步的研究和干预,以减轻气候变化相关的风险,对这一群体.
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