热浪与精神障碍:国家应急和气象服务数据研究

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2024-02-07 DOI:10.1016/j.ejpsy.2023.100249
Nausicaa Christodoulou , Karine Laaidi , Gregory Fifre , Michel Lejoyeux , Marine Ambar Akaoui , Pierre A. Geoffroy
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引用次数: 0

摘要

背景和目标热浪造成的威胁与日俱增。然而,在了解极端气温对精神健康的影响方面还存在很大差距。本研究旨在探讨极端气温与精神疾病急诊就诊率之间的关联。方法我们对 2015 年至 2022 年 6 月 1 日至 9 月 15 日期间气温超过百分位数 90、95、97.5、99.5 和 99.9 的法国医院精神疾病急诊就诊率进行了准泊松回归,并与关注期间前后两个双周内气温低于百分位数 50 的天数进行了比较。我们还研究了连续三天超过特定百分位数的累积效应。结果在分析的1,198,953名精神病患者中,我们发现在超过百分位数90的日子里,痴呆症的相对风险(RR)增加了5%至17%(RR=1.05,CI=1.02-1.07)、95(RR=1.05,CI=1.02-1.08)、97.5(RR=1.07,CI=1.03-1.11)、99.5(RR=1.09,CI=1.01-1.17)和99.9(RR=1.17,CI=1.03-1.32)。累积热效应也显示风险增加了 4% 至 44%。在精神病方面,我们观察到百分位数90(RR=1.05,CI=1.01-1.08)、95(RR=1.06,CI=1.02-1.11)和97.5(RR=1.07,CI=1.01-1.15)的累积热效应增加了5%到7%。与此相反,情绪障碍的 RR 值在 90 百分位数(RR=0.93,CI=0.91-0.95)、95 百分位数(RR=0.92,CI=0.89-0.94)和 97.5 百分位数(RR=0.90,CI=0.87-0.93)以及累积效应中从 14% 降至 7%。
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Heatwaves and mental disorders: A study on national emergency and weather services data

Background and objectives

Heatwaves pose an increasing threat. However, there is a significant gap in understanding the impact of extreme temperatures on mental health. This study aimed to examine the associations between extreme temperatures and emergency visits for psychiatric disorders.

Method

We conducted quasi-Poisson regressions on emergency visits’ rate for psychiatric reasons in French hospitals on days exceeding the percentiles 90, 95, 97.5, 99.5, and 99.9, between June 1st and September 15th, from 2015 to 2022, compared to days whose temperatures were below the 50th percentile during the two fortnights before and after our period of interest. We also examined the cumulative effect of three consecutive days exceeding the specified percentiles.

Results

Among the analyzed 1,198,953 psychiatric visits, we found an increased relative risk (RR) for dementia ranging from 5 % to 17 % on days exceeding percentiles 90 (RR=1.05, CI=1.02–1.07), 95 (RR=1.05, CI=1.02–1.08), 97.5 (RR=1.07, CI=1.03–1.11), 99.5 (RR=1.09, CI=1.01–1.17), and 99.9 (RR=1.17, CI=1.03–1.32). The cumulative heat effect also showed an increased risk ranging from 4 % to 44 %. For psychoses, we observed increases from 5 % to 7 % for the cumulative heat effect of percentiles 90 (RR=1.05, CI=1.01–1.08), 95 (RR=1.06, CI=1.02–1.11), and 97.5 (RR=1.07, CI=1.01–1.15). Conversely, mood disorders exhibited a decreased RR from 14 % to 7 % for percentiles 90 (RR=0.93, CI=0.91–0.95), 95 (RR=0.92, CI=0.89–0.94), and 97.5 (RR=0.90, CI=0.87–0.93), as well as for the cumulative effects.

Conclusion

This study highlights the associations between weather conditions, extreme temperatures and psychiatric disorders and emphasize the importance of considering mental health management during future heatwaves.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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