Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (8): 107-113.doi: 10.6040/j.issn.1671-7554.0.2018.050

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Relationship between diurnal temperature range and outpatient visits of respiratory diseases in summer

WEI Ran1, ZHANG Anran1, LI Jiawei1, HU Wenqi1, XUE Li1, LIN Junfen2, MA Wei1,3   

  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, Zhejiang, China;
    3. Shandong University Climate Change and Health Center, Jinan 250012, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To quantitatively analyze the influence of the diurnal temperature range(DTR)on outpatient visit of respiratory diseases in summer. Methods The outpatient visit data were collected from the electronic medical record(EMR)of respiratory diseases in the Third Peoples Hospital of Cangnan County, Zhejiang Province, China between July to September in 2010-2013. The daily meteorological data at the same period were collected. Generalized additive model(GAM)was used to explore the exposure-response relationship between DTR and risk of respiratory diseases, lag effects, cumulative lag effects, and impacts on different populations. Results A total of 27 770 cases of outpatients with respiratory diseases were collected and the DTR varied from 1.4 ℃ to 11.3 ℃. Increasing DTR significantly increased the number of outpatient with respiratory diseases with the maximum lag effect at lag 4 days and cumulative lag 13 days. The RRs for outpatient visit were 1.033(95%CI: 1.022-1.045)and 1.349(95%CI: 1.318-1.381)at lag 4 days and cumulative 13 days, respectively. Children(<15 years old)were more likely to be affected. Conclusion In Cangnan County, the increasing DTR in summer may significantly increase the incidence of respiratory diseases and lag effects exists. Special attention should be paid to the onset of childhood respiratory disease, and more positive measures 山 东 大 学 学 报 (医 学 版)56卷8期 -魏然,等.夏季日温差与医院门诊呼吸系统疾病就诊量的关系 \=-should be taken to minimize the effect of DTR.

Key words: Diurnal temperature range, Respiratory disease, Outpatient visit, Generalized additive model, Meteorological factor

CLC Number: 

  • R181.3
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