机构:[1]Department of Respirator Medicine, The Fifth People’s Hospital ofDongguan, Dongguan, China[2]The First Affiliated Hospital of GuangzhouUniversity of Traditional Chinese Medicine, Guangzhou, China[3]MedicalCollege, Jinan University, Guangzhou, China[4]School of Public Health,Guangdong Pharmaceutical University, Guangzhou, China[5]GuangdongProvincial Institute of Public Health, Guangdong Provincial Center for DiseaseControl and Prevention, Guangzhou 511430, China[6]Nanhai Hospital ofSouthern Medical University, Foshan, China
There are significant associations between ambient temperature and respiratory disease mortality. However, few studies have assessed the morbidity burdens of various respiratory diseases that are attributable to different temperature ranges in subtropical regions.
Daily outpatient visits, weather variables, and air pollution data were collected from January 2013 to August 2017 in a hospital in Dongguan city. A standard time series quasi-Poisson regression with a distributed lag non-linear model (DLNM) was applied to estimate the associations between daily mean temperature and morbidity for total respiratory diseases, bronchiectasis, chronic obstructive pulmonary disease (COPD), and asthma. Attributable fractions were then calculated to quantify disease burden relative to different temperature components. Finally, we conducted stratified analysis by age group.
Both low and high temperatures were associated with an increased risk of morbidity secondary to respiratory diseases. Compared with the optimum temperature, the accumulated relative risk (RR) during the seven lag days was 1.13 with a 95% confidence interval (CI) of 1.01-1.26 for extreme heat and 1.02 (95% CI: 0.99-1.05) for extreme cold. Heat-related respiratory morbidity risk was higher than cold-related risk for the total population, but an opposite result was observed for the elderly. About 8.4% (95% CI: 2.8-13.3%) of respiratory morbidity was attributable to non-optimal temperatures, and moderate heat was responsible for most of the excess respiratory morbidity (7.5, 95% CI: 2.4-12.2%).
We found that exposure to non-optimal temperatures increased the risk of respiratory morbidity in subtropical region, and moderate heat contributed to most of the temperature-related respiratory morbidities. This indicates a need for further examination of moderate, rather than extreme, heat in subtropical region.
基金:
National Key R&D Program of China supported this study (No.
2018YFA0606202) and the Guangzhou Science and Technology Program key
projects (No. 201704020194).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2018]版:
大类|2 区环境科学与生态学
小类|2 区环境科学2 区公共卫生、环境卫生与职业卫生
最新[2025]版:
大类|2 区环境科学与生态学
小类|1 区公共卫生、环境卫生与职业卫生2 区环境科学
第一作者:
第一作者机构:[1]Department of Respirator Medicine, The Fifth People’s Hospital ofDongguan, Dongguan, China
共同第一作者:
通讯作者:
通讯机构:[5]GuangdongProvincial Institute of Public Health, Guangdong Provincial Center for DiseaseControl and Prevention, Guangzhou 511430, China[6]Nanhai Hospital ofSouthern Medical University, Foshan, China
推荐引用方式(GB/T 7714):
Zhao Yiju,Huang Zhao,Wang Shengyong,et al.Morbidity burden of respiratory diseases attributable to ambient temperature: a case study in a subtropical city in China.[J].Environmental health : a global access science source.2019,18(1):89.doi:10.1186/s12940-019-0529-8.
APA:
Zhao Yiju,Huang Zhao,Wang Shengyong,Hu Jianxiong,Xiao Jianpeng...&Ma Wenjun.(2019).Morbidity burden of respiratory diseases attributable to ambient temperature: a case study in a subtropical city in China..Environmental health : a global access science source,18,(1)
MLA:
Zhao Yiju,et al."Morbidity burden of respiratory diseases attributable to ambient temperature: a case study in a subtropical city in China.".Environmental health : a global access science source 18..1(2019):89