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评估热浪对韩国残疾人的影响
Yeji Kang1, Ingul Baek1, Jongchul Park2
1Kongju National University, 56 Gongjudaehak-Ro, Gongju, 32588, South Korea.
Scientific reports
|February 11, 2024
概括
与普通人群相比,残疾人面临着明显更高的热浪风险. 这项研究强调,残疾是导致热带疾病的关键因素.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 热浪对公众健康构成重大威胁,不成比例地影响弱势群体.
- 了解与热相关疾病 (HRI) 风险的社会经济差异对于有针对性的干预至关重要.
研究的目的:
- 调查韩国残疾人和其他社会经济因素对热浪的相对风险.
- 量化残疾对与热相关疾病风险的影响,与其他人口和社会经济属性相比.
主要方法:
- 利用了2011-2020年的韩国医疗保健大数据,涵盖了七个主要城市.
- 使用分布式滞后非线性模型 (DLNM) 来评估与热浪相关的相对风险 (RR).
- 分析了HRI患者数据,按残疾状况,年龄,收入和工作环境分层.
主要成果:
- 与非残疾人 (3.296) 相比,残疾人的HRIRR (5.075) 显著更高.
- 残疾成为最有影响力的因素,超过了与年龄,低收入和户外工作相关的风险.
- 年轻的残疾人比没有残疾的老年人 (RR 4.287) 更容易受到伤害 (RR 5.305).
- 在轻度 (4.413) 和严重 (4.013) 的残疾组之间没有发现RR的显著差异.
结论:
- 残疾是增加易受热浪和与热有关的疾病的主要决定因素.
- 公共卫生战略必须优先考虑残疾人,以减轻与热浪相关的死亡率和发病率.
- 进一步的研究应该探索在极端高温事件期间为残疾人群体提供具体机制和定制支持.
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