在波士顿,马萨诸塞州极端高温期间,气候适应能力适应和精神病紧急服务的利用:差异分析差异分析
Flannery Black-Ingersoll1, Mary D Willis2, Justin S White3
1Department of Environmental Health, Boston University School of Public Health, 715 Albany St, Boston, MA 02118, USA.
Environment international
|December 19, 2025
概括
极端的高温会增加心理健康的风险. 波士顿 - 波士顿 - 波士顿
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 极端高温事件越来越多地与不良的心理健康结果有关.
- 对极端高温和心理健康影响的适应策略需要评估.
- 这项研究检查了马萨诸塞州波士顿的干预措施,重点关注精神病紧急服务.
研究的目的:
- 评估全市对极端高温事件的干预措施的有效性.
- 评估热量咨询和气候适应计划对精神病紧急服务使用的影响.
主要方法:
- 准实验性研究设计,使用差异估计器.
- 分析与热暴露相关的每日精神病急救服务遭遇 (过度热的热度指数≥90°F,热事件的热度指数≥100°F).
- 对时间变化进行调整的波松回归分析,以估计发病率比率 (IRR).
主要成果:
- 在使用心理急救服务和热量咨询警报方面没有发现显著差异 (IRR=1.06,95%CI:0.93,1.19).
- 在实施气候适应计划后,没有观察到精神病紧急服务使用的显著差异 (IRR=1.03,95% CI:0.97,1.09).
- 调查结果基于110,656次 (2005-2021) 和48,973次 (2014-2019) 的遭遇.
结论:
- 评估的全市干预措施,包括热量咨询和气候适应计划,没有证明在极端高温事件期间对精神病医疗服务的使用产生保护作用.
- 需要进一步的研究来制定有效的适应策略,以减轻与极端高温相关的心理健康风险.
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