Exploring the short-term effects of extreme temperatures on tuberculosis incidence in Shantou, China: a Coastal City perspective.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Archives of Occupational and Environmental Health Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI:10.1007/s00420-024-02100-z
Yaqian Su, Ruiming Chen, Zhuanghao Chen, Jianxiong Lin, Hui Fu, Zicheng Cao, Qiaocheng Chang, Liping Li, Suyang Liu
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Abstract

Objective: Coastal cities, due to their proximity to coastlines and unique climatic conditions, face growing challenges from extreme temperature events associated with climate change. Research on the impact of extreme temperatures on tuberculosis (TB) in these cities is limited, and findings from different regions lack consensus. This study focuses on Shantou, a coastal city in China, to investigate the influence of extreme temperatures on TB within this distinctive geographical context.

Methods: Distributed Lag Non-Linear Models (DLNM) were employed to evaluate the effect of extreme temperatures on TB incidence risk in Shantou, a coastal city in China, spanning from 2014 to 2021. Daily TB case data were provided by the Shantou Tuberculosis Prevention and Control Institute. Daily meteorological information was sourced from the Reliable Prognosis website, while daily air pollutant data were obtained from the China Air Quality Online Monitoring and Analysis Platform.

Results: The study revealed a significant association between extreme temperatures and TB incidence, with the impact peaking at a lag of 27 days after exposure. Notably, extreme cold temperatures led to a temporary decrease in TB incidence with a lag of 1-2 days. Subgroup analysis indicated that males had a notably higher risk of TB under extreme temperature conditions compared to females. Additionally, individuals aged 65 years and above showed a significant cumulative effect in such conditions.

Conclusions: This research enhances our comprehension of the effects of extreme temperatures on TB in coastal cities and carries substantial public health implications for TB prevention in China.

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探索极端气温对中国汕头结核病发病率的短期影响:从沿海城市的视角。
目的:沿海城市由于靠近海岸线和独特的气候条件,面临着与气候变化相关的极端气温事件带来的日益严峻的挑战。有关极端气温对这些城市结核病(TB)影响的研究十分有限,不同地区的研究结果也缺乏共识。本研究以中国沿海城市汕头为研究对象,探讨极端气温在这一独特地理环境下对结核病的影响:方法:采用分布式滞后非线性模型(DLNM)评估极端气温对中国沿海城市汕头结核病发病风险的影响,时间跨度为 2014 年至 2021 年。每日结核病例数据由汕头市结核病防治所提供。每日气象信息来自可靠预报网站,每日空气污染物数据来自中国空气质量在线监测与分析平台:研究结果表明,极端气温与肺结核发病率之间存在显著关联,其影响在暴露后 27 天达到峰值。值得注意的是,极端低温导致肺结核发病率暂时下降,滞后期为 1-2 天。分组分析表明,在极端气温条件下,男性患结核病的风险明显高于女性。此外,65 岁及以上的人在这种条件下表现出明显的累积效应:这项研究加深了我们对极端气温对沿海城市肺结核影响的理解,对中国的肺结核预防工作具有重要的公共卫生意义。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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