痴呆症和与温度相关的死亡率和住院的风险在德国
Risto Conte Keivabu1, Emilio Zagheni1, Anne Fink2
1Digital and Computational Demography Lab, Max Planck Institute for Demographic Research, Rostock, Germany.
概括
极端温度会增加死亡风险,特别是在痴呆症患者中. 暴露于寒冷会显著增加痴呆症患者住院和死亡的风险,突出了针对性公共卫生战略的需要.
科学领域:
- 环境健康 环境健康
- 老年学是一门学科.
- 神经学 神经学
背景情况:
- 极端温度带来健康风险,特别是对于有先前疾病的老年人来说.
- 预计气候变化将增加对有害温度水平的暴露.
- 痴呆症对极端温度脆弱性的影响尚不清楚.
研究的目的:
- 研究痴呆症如何影响对极端温度的脆弱性.
- 量化热和冷对老年人住院和死亡率的影响.
- 确定暴露于极端温度的痴呆症患者的特定风险.
主要方法:
- 利用德国50岁以上25万个人的个人健康索赔数据 (2004-2019).
- 将住宅位置数据与高分辨率气象数据联系起来.
- 应用个人级固定效应模型来评估温度对住院和死亡的影响,控制季节性和并发症.
主要成果:
- 暴露于热和冷都会增加死亡风险.
- 暴露于寒冷,但不是热量,与增加住院患者有关.
- 患有痴呆症的个体经历了放大风险:热量增加了他们的死亡率,寒冷增加了死亡率的八倍和住院.
- 患有痴呆症的老年人 (80岁以上) 面临着来自寒冷和热量暴露的最高死亡风险.
结论:
- 极端温度,特别是寒冷,对老年人口的健康构成重大风险.
- 痴呆症大大加剧了极端温度对健康的不利影响,特别是死亡率.
- 有针对性的干预措施对于保护弱势群体,特别是痴呆症患者,免受气候变化相关的温度影响至关重要.
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