量化空气污染和温度对慢性下呼吸道疾病住院费用的影响
Huanhuan Jia1, Shuqi Xu1, Shang Gao2
1School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, China.
环境因素显著增加了慢性下呼吸道疾病 (CLRD) 的住院费用. 像SO2和NO2这样的空气污染物和极端温度不成比例地影响特定的年龄组和性别,影响医疗保健支出.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 慢性下呼吸道疾病 (CLRDs) 对健康和经济造成重大负担.
- 环境暴露越来越被认为是CLRDs的主要贡献者.
- 了解这些联系对于有效的公共卫生政策至关重要.
研究的目的:
- 量化环境暴露对CLRD患者住院费用的影响.
- 分析人口异质性,以应对环境因素.
- 为CLRDs提供准确和有效的成本控制政策.
主要方法:
- 利用来自七家三级医院的住院数据 (2017-2020年).
- 收集环境监测和气象数据.
- 采用通用添加剂和分布式滞后非线性模型来评估污染物和温度的暴露-反应和滞后效应.
主要成果:
- 增加的PM2.5,PM10,SO2和NO2度与更高的住院费用相关.
- 对于PM2.5,SO2和NO2的滞后效应在6天后达到峰值;PM10在5天后达到峰值.
- 颗粒物对儿童和老年人影响最大;SO2和NO2对15-59岁的年龄组产生了影响. 低温增加了老人和妇女的成本.
结论:
- 空气污染物和CLRD住院费用之间存在显著的关联,人口异质性显著.
- SO2和NO2在15-59岁年龄组中表现出明显的影响,而颗粒物对年轻和老年人群产生了影响.
- 极低的温度显著影响了老年人和患有CLRD的妇女的住院费用.
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