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首页> 外文期刊>The Science of the Total Environment >Impacts of heat and cold on hospitalizations for schizophrenia in Hefei, China: An assessment of disease burden
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Impacts of heat and cold on hospitalizations for schizophrenia in Hefei, China: An assessment of disease burden

机译：冷热对中国合肥精神分裂症住院的影响：疾病负担评估

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Background: Compared with risk data (e.g., RR or OR), attributable fraction (AF) provides more information on the formulation of policies and measures in the field of public health. However, to date, existing AF evidence is scarce for the relationship between temperature and the hospitalizations for SCZ.Objectives: Our primary goal is to estimate the attributable burden of hospitalizations for SCZ related to cold and heat, respectively. Furthermore, to identify vulnerable populations due to heat and cold.Methods: Poisson generalized linear models combined with DLNMs were used to estimate the association between hospitalizations for SCZ and temperature from 2005 to 2014. The minimum risk temperature (MRT) was used as a reference, to calculate the burden of disease caused by cold and heat.Results: We found that the majority hospitalizations attributed to heat (70.9%). In different individual levels, men are more sensitive to heat exposure while women are more vulnerable to cold. Among different age groups, the results showed that the attributable risk was slightly higher in the over-40s than in the under-40s. Besides, under different marital conditions, it showed that the unmarried had a little higher attributional risk than the married.Conclusions: We should pay attention to the impact of heat on hospitalizations for SCZ, especially in those over 40 years old, men and non-married. Our research will provide a basis for policymakers to develop intervention strategies to minimize the impact of adverse temperatures on hospitalizations for SCZ, thereby reducing the burden of disease. (C) 2019 Published by Elsevier B.V.
机译：背景：与风险数据（例如RR或OR）相比，归因分数（AF）提供了有关公共卫生领域政策和措施制定的更多信息。然而，迄今为止，关于温度与SCZ住院率之间关系的AF证据尚缺乏。目的：我们的主要目标是分别估计与寒冷和高温有关的SCZ住院负担。方法：采用Poisson广义线性模型结合DLNMs估计2005年至2014年SCZ住院治疗与温度之间的关联。以最低风险温度（MRT）为参考结果，我们发现大多数住院病人都归因于热（70.9％）。在不同的个人水平上，男性对热暴露更敏感，而女性对感冒更脆弱。结果显示，在不同年龄组中，40岁以上人群的归因风险略高于40岁以下人群。此外，在不同的婚姻状况下，表明未婚者比未婚者具有更高的归因风险。结论：我们应注意高温对SCZ住院的影响，尤其是在40岁以上，男性和未婚者中。已婚。我们的研究将为决策者制定干预策略提供依据，以最大程度地降低不利温度对SCZ住院治疗的影响，从而减轻疾病负担。 （C）2019由Elsevier B.V.发布

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