精神疾病和更容易受到极端高温事件对健康的负面影响:系统性审查
Julia Meadows1, Adelle Mansour1, Maria Rosa Gatto1
1Centre of Research Excellence in Healthy Housing, Melbourne School of Population and Global Health, Centre for Health Policy, University of Melbourne, Parkville, Victoria, Australia.
Psychiatry research
|December 27, 2023
概括
患有精神疾病的人面临极端高温暴露的更高风险,特别是在单个炎热的日子里. 针对性公共卫生干预对于这种脆弱的人群在炎热事件期间至关重要.
科学领域:
- 环境健康 环境健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 气候变化正在全球范围内增加极端高温事件.
- 极端的高温对健康构成重大风险,在患有精神疾病的人群中观察到更高的脆弱性.
- 现有的研究缺乏对这种特定脆弱性的全面审查,以指导干预.
研究的目的:
- 系统地审查有关精神疾病作为热暴露对发病率和死亡率影响的修饰因素的证据.
- 综合有关在炎热事件期间患有和没有精神疾病的个体之间的差异性健康结果的发现.
主要方法:
- 在六个主要数据库 (2000-2022) 中进行了系统的文献搜索.
- 包括22项观察性研究,并使用叙事合成进行分析.
- 使用RoBANS,ROBIS和GRADE工具评估了偏差风险和证据确定性.
主要成果:
- 所有检查单个高温天的研究都发现,精神疾病患者的发病率和死亡率较差.
- 调查热浪的研究报告了关于热浪对该人口的影响的混合发现.
- 在单日极热事件中观察到一致的负面影响.
结论:
- 在高温的日子里,被诊断患有精神疾病的个人需要有针对性的政策和服务支持.
- 需要进一步的研究来探索特定的精神疾病和控制混因素.
- 公共卫生战略应优先考虑保护患有精神疾病的个人免受极端高温的影响.
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