石家庄市气象要素对成人哮喘住院人数的影响

doi:10.3969/j.issn.1673-503X.2019.05.018

Abstract

Abstract: To investigate the impact of meteorological elements on adult asthma hospitalization,based on the adult asthma hospitalization records of Shijiazhuang Medical Insurance Center from January 1,2013 to December 31,2016,and the meteorological and environmental observations during the same periods,the generalized additive model (GAM) was used to analyze the exposure-response relationship between the meteorological elements and the number of adult asthma hospitalization after controlling the factors such as long-term trend,holiday effects,and air pollution.The results show that different elements have different impacts on the number of adult asthma hospitalization.With 1℃ increasing in daily mean air temperature (T),daily maximum temperature (T_max),and daily minimum temperature (T_min),the risk of adult asthma hospitalization decreased by 0.7%,0.6%,and 0.7%,respectively.The risk of adult asthma hospitalization increased by 0.6% with the increase of daily mean air pressure (P) by 1 hPa.The risk of adult asthma hospitalization decreased by 5.2% with 1 m·s^-1 increasing in daily mean wind speed (W_s).When relative humidity (RH) was less than 24%,the risk of adult asthma hospitalization reduced by 3.4% with RH increasing 1%.The risk of adult asthma hospitalization increased by 12.5% with RH increasing 1% when RH was greater than or equal to 92%.The effect of T,P,and W_s on the number of adult asthma hospitalization was strongest on the same day or on the followed day.Impacting characteristics of meteorological elements can provide a basis for healthy weather forecasting services and public defenses.

Key words: Asthma, Generalized additive model, Meteorological factors, Relative risk

CLC Number:

P458.1⁺24

LIU Hua-yue, FU Gui-qin, WANG Jie. The effect of meteorological elements on adult asthma hospitalization in Shijiazhuang[J]. Journal of Meteorology and Environment, 2019, 35(5): 137-143.

References

[1] Bateman E D,Hurd S S,Barnes P J,et al.Global strategy for asthma management and prevention:GINA executive summary[J].European Respiratory Journal,2008,31(1):143-178.
[2] Song W J,Kang M G,Chang Y S,et al.Epidemiology of adult asthma in Asia:toward a better understanding[J].Asia Pacific Allergy,2014,4(2):75-85.
[3] Nastos P T,Paliatsos A G,Papadopoulos M,et al.The effect of weather variability on pediatric asthma admissions in Athens,Greece[J].Journal of Asthma,2008,45(1):59-65.
[4] Makra L,Puskás J,Matyasovszky I,et al.Weather elements,chemical air pollutants and airborne pollen influencing asthma emergency room visits in Szeged,Hungary:Performance of two objective weather classifications[J].International Journal of Biometeorology,2015,59(9):1269-1289.
[5] 岳海燕,申双和.呼吸道和心脑血管疾病与气象条件关系的研究进展[J].气象与环境学报,2009,25(2):57-61.
[6] 牟喆,彭丽,杨丹丹,等.上海市天气和污染对儿童哮喘就诊人次的影响[J].中国卫生统计,2014,31(5):827-829.
[7] Buckley J P,Richardson D B.Seasonal modification of the association between temperature and adult emergency department visits for asthma:a case-crossover study[J].Environmental Health,2012,11:55.
[8] Abe T,Tokuda Y,Ohde S,et al.The relationship of short-term air pollution and weather to ED visits for asthma in Japan[J].The American Journal of Emergency Medicine,2009,27(2):153-159.
[9] Kljakovic M,Salmond C.A model of the relationship between consultation behaviour for asthma in a general practice and the weather[J].Climate Research,1998,10(2):109-113.
[10] 屈芳.环境气象因素对呼吸系统疾病影响的研究进展[J].气象科技进展,2013,3(6):35-44.
[11] D'Amato G,Liccardi G,D'Amato M,et al.Outdoor air pollution,climatic changes and allergic bronchial asthma[J].European Respiratory Journal,2002,20(3):763-776.
[12] Makra L,Tombácz S,Bálint B,et al.Influences of meteorological parameters and biological and chemical air pollutants on the incidence of asthma and rhinitis[J].Climate Research,2008,37(1):99-119.
[13] Cai J,Zhao A,Zhao J Z,et al.Acute effects of air pollution on asthma hospitalization in Shanghai,China[J].Environmental Pollution,2014,191:139-144.
[14] 张文增,甄国新,陈东妮,等.北京市顺义区大气污染物对呼吸系统疾病门诊量的影响[J].中国卫生统计,2017,34(2):275-279.
[15] 陈常中,陈星霖,魏晟.流行病学数据分析与易侕统计软件实现[M].上海:上海科学技术出版社,2016.
[16] 王敏珍,郑山,王式功,等.兰州市大气气态污染物与呼吸系统疾病日入院人数的时间序列分析[J].卫生研究,2012,41(5):771-775.
[17] 张青,李颖,骆月珍,等.杭州地区人体舒适度对自然死亡人数的影响[J].气象与环境学报,2017,33(3):101-106
[18] 蒋艳峰,王丽萍,尹岭,等.北京市气温对腹痛急诊日就诊人数的影响[J].兰州大学学报:自然科学版,2015,51(1):103-108.
[19] 付桂琴,刘华悦,贾俊妹.石家庄地区气温对慢性阻塞性肺病住院人数的影响[J].气象与环境学报,2017,33(2):101-106.
[20] 党冰.北京夏季三种天气敏感性疾病的气象诱因及预测研究[D].兰州:兰州大学,2014.
[21] 李雪源,景元书,吴凡,等.南京市呼吸系统疾病死亡率与气象要素的关系及预测[J].气象与环境学报,2012,28(5):46-48.
[22] 李英,李月丛,吕素青,等.石家庄市空气花粉散布规律及与气候因子的关系[J].生态学报,2014,34(6):1575-1586.
[23] 张书余.医疗气象预报[M].北京:气象出版社,2010,176.
[24] 王敏珍,郑山,王式功,等.气温与湿度的交互作用对呼吸系统疾病的影响[J].中国环境科学,2016,36(2):581-588.
[25] Barreca A I.Climate change,humidity,and mortality in the United States[J].Journal of Environmental Economics and Management,2012,63(1):19-34.
[26] Lin S,Luo M,Walker R J,et al.Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases[J].Epidemiology,2009,20(5):738-746.
[27] Anderson G B,Dominici F,Wang Y,et al.Heat-related emergency hospitalizations for respiratory diseases in the Medicare population[J].American Journal of Respiratory and Critical Care Medicine,2013,187(10):1098-1103.

The effect of meteorological elements on adult asthma hospitalization in Shijiazhuang

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 10

[1]	TAN Yu-long, YIN Ling, WANG Shi-gong, CHEN Lei, TAN Yuan-wen, KANG Yan-zhen. Comparative research of the effects of temperature change on ischemic cardio-cerebrovascular diseases in different regions [J]. Journal of Meteorology and Environment, 2019, 35(3): 94-99.
[2]	CHEN Pei-zhang, CHEN Dao-jin. Analysis of ozone pollution characteristics and meteorological factors over Lanzhou city [J]. Journal of Meteorology and Environment, 2019, 35(2): 46-54.
[3]	SUN Shi-qiang, LU Wen-han, GUO Jian-min, QIAN Yan-zhen, LU Jing-jing. Analysis of the epidemic characteristics of heat stroke and the influence of heat wave on it in Ningbo city from 2012 to 2016 [J]. Journal of Meteorology and Environment, 2019, 35(1): 66-71.
[4]	ZHU Hong-rui, LIU He-nan, ZHANG Hong-ling, YIN Chang-jiao. Characteristics of air quality and its relationship with meteorological factors in Harbin [J]. Journal of Meteorology and Environment, 2019, 35(1): 53-58.
[5]	HU Xiao, XU Lu, JIANG Fei-yan, YU Ke-ai. Seasonal characteristics of haze events with different intensity in Ningbo area [J]. Journal of Meteorology and Environment, 2018, 34(5): 31-38.
[6]	LIU Bo; DANG Bing; ZHANG Nan;WANG Shi-gong; YIN Ling; ZHANG Xiao-yun; LI Tan-shi;LU Zhen-hua. Comparison of various meteorological statistical forecasting models-Taking causing- stroke weather forecasting as an example [J]. Journal of Meteorology and Environment, 2018, 34(4): 126-133.
[7]	LI Chen, GUO Wen-li, WU Jin, JIN Chen-xi. Relationship between daily maximum electric power load and meteorological factors in summer in Beijing [J]. Journal of Meteorology and Environment, 2018, 34(3): 99-105.
[8]	ZHANG Yong, CHEN Lan-ying, LIU Ting, XIAO Juan. Change characteristics and prediction model about concentration of anions in the Emei mountain scenic spot [J]. Journal of Meteorology and Environment, 2018, 34(2): 61-68.
[9]	ZHAO Xian-li, LI Li-guang, CAI Fu, WANG Hong-bo, ZHAO Zi-qi, DING Kang-kang. Effects of different sowing dates on growth process and yield of spring maize in southern Liaoning [J]. Journal of Meteorology and Environment, 2017, 33(6): 66-72.
[10]	XU Yu-xiu, JIANG Shan-shan, ZHOU Fu-ran, WEN Zhou, BAI Xue, SHI Hong-ting, HU Ming, ZHANG Cui-yan. Change trends of meteorological factors during the maize growth period and their relationships with meteorological yield in Jinzhou during 1981-2010 [J]. Journal of Meteorology and Environment, 2017, 33(5): 82-90.
[11]	LIU Chun-tao, MU Chen-ying, LI De-ping, GUO Can, ZHU Jun-han. Study on forecast method of Cherry yield in Laoshan District of Qingdao [J]. Journal of Meteorology and Environment, 2017, 33(5): 108-112.
[12]	FU Gui-qin, LIU Hua-yue, JIA Jun-mei. Influence of air temperature on the number of hospital admissions due to chronic obstructive pulmonary disease at Shijiazhuang region [J]. Journal of Meteorology and Environment, 2017, 33(2): 101-106.
[13]	PENG Jia-dong, JIANG Yuan-hua, LIAO Yu-fang, CHEN Long-sheng. Analysis of meteorological factors effecting on yield of Camellia oleifera and construction of yield forecasting model in Hu'nan province [J]. Journal of Meteorology and Environment, 2016, 32(3): 89-94.
[14]	YANG Wen-yan, YUAN Chao, SUN zhuo,BAI Ru-yu,WANG Bin-fei. Analysis of hypersensitive meteorological factors of cerebrovascular disease and its prediction model in Panjin [J]. Journal of Meteorology and Environment, 2014, 30(3): 85-90.
[15]	CONG Jing;SUN Li-juan. Distribution of negative oxygen ion concentration and its forecast model in Dalian, Liaoning province [J]. Journal of Meteorology and Environment, 2010, 26(4): 44-47.