与美国过渡到夏令时相关的所有原因和特定原因死亡率:全国范围,时间序列,观察性研究
Shi Zhao1,2, Wangnan Cao3, Gengze Liao4
1School of Public Health, Tianjin Medical University, Tianjin, China.
BMJ medicine
|March 11, 2024
概括
日光节约时间的转变并没有增加美国整体死亡率. 然而,秋季的标准时间转变对死亡率产生了保护作用,特别是在老年人和特定的人口统计学方面.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 时间生物学 时间生物学
背景情况:
- 节约日光时间 (DST) 改变昼夜节律,可能会影响健康.
- 之前关于DST和死亡率的研究已经产生了混合的结果.
- 了解DST对死亡率的影响对于公共卫生政策至关重要.
研究的目的:
- 为了调查DST过渡与美国全因和因特定死亡率之间的关联.
- 分析春季和秋季DST变化对死亡风险的影响.
- 为了确定可能更容易受到DST转型影响的人口群体.
主要方法:
- 全国时间序列观察性研究,使用美国每周死亡率数据 (2015-2019).
- 分析了超过1390万例死亡,检查了包括阿尔茨海默氏症,痴呆症,循环,恶性瘤和呼吸系统疾病在内的原因.
- 统计分析以评估DST转换周围的死亡率比率和置信区间.
主要成果:
- 没有发现春季DST过渡和增加全因死亡率之间的显著关联.
- 在秋季DST过渡 (回归标准时间) 后观察到所有原因死亡风险的显著下降.
- 秋季DST的这种保护作用在75岁以上的个人,非西班牙裔白人人口和东部时区的人群中更为明显.
结论:
- 黄昏时间的转变会影响美国的死亡率,但不会增加整体死亡人数.
- 秋天的标准时间转移似乎对死亡率产生了保护作用.
- 调查结果可以为正在进行的关于夏令时实施的政策辩论提供信息.
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