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首页> 外文期刊>International Journal of Environmental Research and Public Health >Differential Effects of Temperature Extremes on Hospital Admission Rates for Respiratory Disease between Indigenous and Non-Indigenous Australians in the Northern Territory
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Differential Effects of Temperature Extremes on Hospital Admission Rates for Respiratory Disease between Indigenous and Non-Indigenous Australians in the Northern Territory

机译：极端温度对北领地澳大利亚土著居民和非土著澳大利亚人呼吸道疾病住院率的不同影响

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The health gap between Indigenous and non-Indigenous Australians may be exacerbated by climate change if temperature extremes have disproportionate adverse effects on Indigenous people. To explore this issue, we analysed the effect of temperature extremes on hospital admissions for respiratory diseases, stratified by age, Indigenous status and sex, for people living in two different climates zones in the Northern Territory during the period 1993–2011. We examined admissions for both acute and chronic respiratory diagnoses, controlling for day of the week and seasonality variables. Our analysis showed that: (1) overall, Indigenous hospital admission rates far exceeded non-Indigenous admission rates for acute and chronic diagnoses, and Top End climate zone admission rates exceeded Central Australia climate zone admission rates; (2) extreme cold and hot temperatures were associated with inconsistent changes in admission rates for acute respiratory disease in Indigenous and non-Indigenous children and older adults; and (3) no response to cold or hot temperature extremes was found for chronic respiratory diagnoses. These findings support our two hypotheses, that extreme hot and cold temperatures have a different effect on hospitalisations for respiratory disease between Indigenous and non-Indigenous people, and that these health risks vary between the different climate zones. We did not, however, find that there were differing responses to temperature extremes in the two populations, suggesting that any increased vulnerability to climate change in the Indigenous population of the Northern Territory arises from an increased underlying risk to respiratory disease and an already greater existing health burden.
机译：如果极端温度对土著人民的不利影响不成比例，那么气候变化可能会加剧澳大利亚土著居民和非土著澳大利亚人之间的健康差距。为了探讨这个问题，我们分析了极端温度对1993-2011年间居住在北领地两个不同气候区的人们按年龄，土著身份和性别分类的呼吸道疾病住院人数的影响。我们检查了急性和慢性呼吸系统疾病的入院率，控制了星期几和季节性变量。我们的分析表明：（1）总体而言，在急诊和慢性诊断中，土著医院的住院率远远超过非土著住院率，高端气候区的住院率超过了中澳大利亚气候区的住院率; （2）极端的低温和高温与土著和非土著儿童及老年人急性呼吸道疾病的入院率变化不一致有关; （3）对于慢性呼吸系统诊断，未发现对极端温度或极端温度有反应。这些发现支持了我们的两个假设，即极端的高温和低温对土著和非土著人的呼吸系统疾病住院治疗有不同的影响，并且这些健康风险在不同的气候区之间也有所不同。但是，我们没有发现两个人口对极端温度的反应有不同，这表明北领地土著人口对气候变化的任何增加的脆弱性都是由于呼吸道疾病的潜在风险增加和已经存在的疾病增加健康负担。

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