温度和呼吸系统住院之间的关联:温度数据来源和暴露测量是否对影响评估有意义?
Desheng Zhao1, Wenjun Cheng2, Zien Jin3
1Department of Medical Administration, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China.
Environmental research
|November 30, 2025
概括
极端温度显著影响呼吸道疾病 (RD) 的住院. 不同的温度暴露测量方法产生了可比的结果,确保了对呼吸道疾病的可靠健康影响评估.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 生物气象学生物气象学
背景情况:
- 极端温度是呼吸道疾病 (RD) 的确立危险因素.
- 温度暴露评估的方法异质性导致健康影响研究的不确定性.
- 之前的研究缺乏对 RD 住院风险的不同温度测量方法的系统比较.
研究的目的:
- 用不同的温度暴露测量方法系统地比较温度和RD住院之间的关联.
- 评估不同数据源和暴露指标对温度-RD住院关系的影响.
- 评估各种温度评估方法的发现的一致性.
主要方法:
- 采用了时间分层的案例交叉设计.
- 分析了13217例在中国合肥市 (2018-2019) 的医院住院病例.
- 来自气象站,高分辨率网格,城市平均值和人口/地理编码权重的比较温度暴露.
主要成果:
- 所有温度暴露测量方法都显示了温度和RD住院之间的可比关联.
- 在不同温度数据源和暴露指标 (p > 0.05) 的暴露-反应模型中没有观察到统计学上显著的差异.
- 由于温度而导致的RD住院病人的比例在所有方法中都是相似的,包括按性别,年龄和疾病原因进行的子组分析.
结论:
- 来自气象站或高分辨率网格的温度数据,使用单个或复杂的暴露测量,可靠地评估温度对 RD 住院治疗的影响.
- 选择温度测量方法不会显著改变对呼吸道疾病的估计健康影响.
- 需要在不同地区和其他健康结果进行进一步的验证.
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