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首页> 外文期刊>The Science of the Total Environment >Effects of ambient temperature on bacillary dysentery: A multi-city analysis in Anhui Province, China
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Effects of ambient temperature on bacillary dysentery: A multi-city analysis in Anhui Province, China

机译：环境温度对细菌性痢疾的影响：安徽省多城市分析

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摘要

Background: Rising ambient temperature is expected to increase incidence of bacillary dysentery (BD), but few studies have compared the temperature-BD effects of different age groups and cities in China, especially in a multi-city setting.Objectives: We used city-specific data including BD cases and meteorological variables to determine the relationship between BD incidence and temperature at provincial level.Methods: Weekly BD disease surveillance data and meteorological variables were collected in all 16 prefecture-level cities in Anhui Province of China. Firstly, city-specific weekly mean temperature-BD incidence associations were estimated with Distributed Lag Nonlinear Model (DLNM). Secondly, city-specific estimates were pooled at province-level through multivariate meta-analysis. Also, we conducted subgroup analyses for ages (children 5 years old and population of other ages) and urbanization of cities (high and low level), respectively.Results: In Anhui, BD morbidity risk increased with increasing weekly mean temperature. Relative risks (RR) at the 90th percentile (27.5 degrees C) versus the 50th percentile (17 degrees C) of weekly mean temperature were 1.42 (95% confidence interval (CI): 1.16, 1.75) and 2.02 (95% CI: 1.76, 2.32) for children 5 and population of other ages, respectively. The relative risk of high temperature on other ages group was higher than that of children under five years old (p = 0.006). Children under 5 in high urbanized cities appeared to bemore vulnerable to the effects of ambient high temperature (RR: 1.56, 95% CI: 1.20, 1.92) than in low urbanized cities (RR: 1.01, 95% CI: 0.70, 1.46), the difference between two intervals was statistically significant (p = 0.044).Conclusions: This study suggests that high temperaturesmay be an important trigger of BD incidence, and especially lead to a substantial burden of BD for high urbanized cities in Anhui Province of China. (C) 2019 Published by Elsevier B.V.
机译：背景：预计气温升高会增加细菌性痢疾（BD）的发病率，但很少有研究比较中国不同年龄段和城市的温度对BD的影响，尤其是在多城市环境中。方法：在安徽省全部16个地级市收集每周的BD疾病监测数据和气象变量，确定各省的BD发病率和气温之间的关系。首先，使用分布式滞后非线性模型（DLNM）估算特定城市的每周平均温度与BD的发生率关联。其次，通过多元荟萃分析在省一级汇总了特定城市的估计数。此外，我们分别对年龄（5岁以下的儿童和其他年龄的人口）和城市化程度（高和低）进行了亚组分析。结果：在安徽，BD发病率风险随每周平均温度的升高而增加。每周平均温度的第90个百分点（27.5摄氏度）与第50个百分点（17摄氏度）的相对风险（RR）为1.42（95％置信区间（CI）：1.16，1.75）和2.02（95％CI：1.76） ，2.32）分别针对<5岁的儿童和其他年龄的人群。其他年龄组的高温相对危险度高于五岁以下儿童（p = 0.006）。与城市化程度低的城市（RR：1.01，95％CI：0.70，1.46）相比，城市化程度较高的城市中的5岁以下儿童似乎更容易受到环境高温的影响（RR：1.56，95％CI：1.20，1.92），结论：本研究表明，高温可能是导致BD发病的重要诱因，特别是给中国安徽省高城市化城市带来了BD的沉重负担。 （C）2019由Elsevier B.V.发布

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  • 来源
    《The Science of the Total Environment》 |2019年第25期|1206-1213|共8页
  • 作者

    Hao Yanbin; Liao Wenmin; Ma Wanwan; Zhang Jin; Zhang Na; Zhong Shuang; Wang Zhe; Yang Lianping; Huang Cunrui;

  • 作者单位

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Guangzhou 510080, Guangdong, Peoples R China|Gannan Med Univ, Dept Prevent Med, Ganzhou 341000, Jiangxi, Peoples R China;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Guangzhou 510080, Guangdong, Peoples R China;

    Anhui Prov Ctr Dis Control & Prevent, Hefei 230601, Anhui, Peoples R China;

    Anhui Prov Ctr Dis Control & Prevent, Hefei 230601, Anhui, Peoples R China;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Guangzhou 510080, Guangdong, Peoples R China;

    Sun Yat Sen Univ, Sch Govt, Ctr Chinese Publ Adm Res, Guangzhou 510080, Guangdong, Peoples R China;

    Chinese Ctr Dis Control & Prevent, Beijing 102206, Peoples R China;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Guangzhou 510080, Guangdong, Peoples R China;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Guangzhou 510080, Guangdong, Peoples R China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Temperature; Bacillary dysentery; Urbanization; Children; China;

    机译：温度;细菌性痢疾;城市化;儿童;中国;

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