煤矿火灾对医院和救护车使用的长期影响:一个中断的时间序列研究
Tyler J Lane1, Catherine L Smith1, Caroline X Gao2
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
2014年黑泽伍德煤矿火灾导致精神健康和伤害的住院病例增加. 长期使用医疗服务的影响是复杂的,可能是由于烟雾或灾害干扰.
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:
- 2014年澳大利亚维多利亚州的黑泽伍德煤矿发生火灾,导致长时间暴露于烟雾中.
- 之前的研究表明,在火灾发生后,医疗服务的使用率增加.
- 这项研究调查了对医院和救护车使用的长期影响.
研究的目的:
- 为了评估黑泽伍德煤矿火灾对八年来住院和救护车出勤的影响.
- 通过地理暴露,人口因素和健康状况来分析卫生服务使用的变化.
主要方法:
- 使用维多利亚州医院和救护车数据,分别为2009-2022年和2013-2021年.
- 雇员中断时间序列分析和地理空间PM2.5暴露建模.
- 按性别,年龄和特定健康状况 (心血管,呼吸道,精神健康,受伤) 分层分析.
主要成果:
- 观察到整体住院病例和急诊病例的显著增加.
- 在整体救护车出勤率中发现的变化很小.
- 由于心理健康状况和伤害而入院的数量大幅增加;心血管病患者的入院数量也增加,而心血管救护车出院人数减少.
结论:
- 黑泽伍德煤矿火灾可能导致受影响社区医院使用率增加.
- 确切的原因仍然不确定,可能涉及直接暴露于烟雾或灾难的间接社会经济和行为影响.
- 需要进一步的研究来分辨直接的健康影响与更广泛的环境灾害对卫生服务参与的影响.
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