Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (8): 63-69.doi: 10.6040/j.issn.1671-7554.0.2018.122

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Impacts of heatwaves on the number of hypertensive outpatient visits in Cangnan County during 2011 and 2013

XUE Li1, HU Wenqi1, WEI Ran1, ZHANG Anran1, 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 investigate the impacts of heatwaves on the number of hypertensive outpatient visits in Cangnan County, Zhejing province during 2011 and 2013. Methods Data of hypertensive outpatients visits in the Third Peoples Hospital of Cangnan County and the daily meteorological data from July to September in 2011-2013 were collected and analyzed with generalized additive models(GAM)to evaluate their effects on different gender and age groups(elder group: ≥65 years, non-elder group: <65 years). Results From 2011 to 2013, a total of 7 heatwaves occurred in Cangnan County. The total number of hypertensive outpatient visits significantly increased on lag day 1(RR=1.20, 95%CI: 1.06-1.37). The heatwaves imposed the greatest effects on female patients on lag day 1(RR=1.40, 95%CI: 1.14-1.72). The number of visits increased on lag day 1 for the non-elder group(RR=1.22, 95%CI: 1.03-1.44), and on lag day 3 for the elder group(RR=1.25, 95%CI: 1.06-1.48). Conclusion Heatwaves are associated with an increase of hypertensive outpatient visits in Cangnan County. Females are vulnerable to heatwaves, and heatwaves can increase the number of outpatient visits in both elder group and non-elder group.

Key words: Heat wave, Hypertension, Generalized addictive models, Outpatient visits

CLC Number: 

  • R181.3
[1] Murray V, Ebi KL. IPCC special report on managing the risks of extreme events and disasters to advance climate change adaptation(SREX)[J]. J Epidemiol Community Health, 2012, 66(9): 759-760.
[2] 叶殿秀, 尹继福, 陈正洪, 等. 1961-2010年我国夏季高温热浪的时空变化特征[J]. 气候变化研究进展, 2013, 9(1): 15-20.
[3] Azhar GS, Mavalankar D, Nori-Sarma A, et al. Heat-related mortality in India: excess all-cause mortality associated with the 2010 Ahmedabad heat wave[J]. PLoS One, 2014, 9(3): e91831.doi: 10.1371/journal.pone.0091831.
[4] Sun X, Sun Q, Zhou X, et al. Heat wave impact on mortality in Pudong New Area, China in 2013[J]. Sci Total Environ, 2014, 493(15): 789-794.
[5] Yang J, Liu HZ, Ou CQ, et al. Impact of heat wave in 2005 on mortality in Guangzhou, China[J]. Biomed Environ Sci, 2013, 26(8): 647-654.
[6] Josseran L, Caillère N, Brunney D, et al. Syndromic surveillance and heat wave morbidity: a pilot study based on emergency departments in France[J]. BMC Med Inform Decis Mak, 2009, 9(1): 1-9.
[7] Monteiro A, Carvalho V, Oliveira T, et al. Excess mortality and morbidity during the July 2006 heat wave in Porto, Portugal[J]. Int J Biometeorol, 2013, 57(1): 155-167.
[8] Zhang K, Chen TH, Begley CE. Impact of the 2011 heat wave on mortality and emergency department visits in Houston, Texas[J]. Environ Health, 2015, 14: 11. doi: 10.1186/1476-069X-14-11.
[9] Schaffer A, Muscatello D, Broome R, et al. Emergency department visits, ambulance calls, and mortality associated with an exceptional heat wave in Sydney, Australia, 2011: a time-series analysis[J]. Environ Health, 2012, 11(1): 3.
[10] Knowlton K, Rotkin-Ellman M, King G, et al. The 2006 California heat wave: impacts on hospitalizations and emergency department visits[J]. Environ Health Perspect, 2009, 117(1): 61-67.
[11] Wang X, Bots ML, Yang F, et al. Prevalence of hypertension in China: a systematic review and meta-regression analysis of trends and regional differences[J]. J Hypertens, 2014, 32(10): 1919-1927.
[12] Lim SS, Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010[J]. Lancet, 2012, 380(9859): 2224-2260.
[13] 刘明波, 李镒冲, 刘世炜, 等. 2010年中国人群高血压疾病负担[J]. 中华流行病学杂志, 2014, 35(6): 680-683. LIU Mingbo, LI Yichong, LIU Shiwei, et al. Burden on blood-pressure-related diseases among the Chinese population in 2010[J]. Chinese Journal of Epidemiology, 2014, 35(6): 680-683.
[14] 刘玲, 张金良. 热浪与非意外死亡和呼吸系统疾病死亡的病例交叉研究[J]. 环境与健康杂志, 2010, 27(2): 95-99. LIU Ling, ZHANG Jinliang. Relationship between heat waves and daily death from non-accidental death and respiratory disease: a case-crossover study[J]. Journal of Environment and Health, 2010, 27(2): 95-99.
[15] Zeka A, Zanobetti A, Schwartz J. Individual-level modifiers of the effects of particulate matter on daily mortality[J]. Am J Epidemiol, 2006, 163(9): 849-859.
[16] Xia M, Zhang Y, Zhao Z, et al. Temperature modifies the acute effect of particulate air pollution on mortality in eight Chinese cities[J]. Sci Total Environ, 2012, 435-436(7): 215-221.
[17] 于凤英, 常平, 代玉田, 等. 高血压发病的气象因素分析及潜势回归预报的尝试[J].山东气象, 2011, 31(4): 35-39.
[18] 郑山, 王敏珍, 尚可政, 等. 高温热浪对北京3所医院循环系统疾病日急诊人数影响的病例-交叉研究[J]. 卫生研究, 2016, 45(2): 246-251. ZHENG Shan, WANG Minzhen, SHANG Kezheng, et al. A case-crossover analysis of heat wave and hospital emergency department visits for cardiovascular diseases in 3 hospitals in Beijing[J]. Journal Hygiene Research, 2016, 45(2): 246-251.
[19] Lin S, Luo M, Walker RJ, et al. Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases[J]. Epidemiology, 2009, 20(5): 738-746.
[20] 李瑞芳, 孙建娅, 张萍, 等. 高温作业工人高血压患病及影响因素分析[J].中国公共卫生, 2009, 25(7): 818-820. LI Ruifang, SUN Jianya, ZHANG Ping, et al. Influencing factors of hypertension in steel workers exposed to heat stress[J]. Chinese Journal of Public Health, 2009, 25(7): 818-820.
[21] Guo X, Zheng L, Wang J, et al. Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis[J]. Sleep Med, 2013, 14(4): 324-332.
[22] 刘娅, 杜宗豪, 王越, 等. 2010年北京热浪对医院急诊量的影响[J]. 华南预防医学, 2014, 40(4): 322-326. LIU Ya, DU Zonghao, WANG Yue, et al. Impacts of heat waves on emergency department visits in Beijing, 2010[J]. South China Journal of Preventive Medicine, 2014, 40(4): 322-326.
[23] Kenney WL, Craighead DH, Alexander LM. Heat waves, aging, and human cardiovascular health[J]. Med Sci Sports Exerc, 2014, 46(10): 1891-1899.
[24] 刘苑婷, 胡梦珏, 曾韦霖, 等. 广州市和兴宁市热浪对人群发病住院的短期效应研究[J]. 华南预防医学, 2015, 41(6): 512-516. LIU Yuanting, HU Mengjue, ZENG Weilin, et al. Short-term effect of heat wave on daily hospital admission in Guangzhou and Xingning[J]. South China Journal of Preventive Medicine, 2015, 41(6): 512-516.
[25] 胡梦珏, 马文军, 张永慧, 等. 社会经济因素对南方城市温度-死亡暴露反应关系的影响分析[J]. 中华预防医学杂志, 2014, 48(5): 401-405. HU Mengjue, MA Wenjun, ZHANG Yonghui, et al. Analysis of the impact of the Socio-economic factors on temperature-mortality association in southern China[J]. Chinese Journal of Preventive Medicine, 2014, 48(5): 401-405.
[26] Koken PJM, Piver WT, Ye F, et al. Temperature, air pollution, and hospitalization for cardiovascular diseases among elderly people in Denver[J]. Environ Health Perspect, 2003, 111(10): 1312-1317.
[27] Fouillet A, Rey G, Wagner V, et al. Has the impact of heat waves on mortality changed in France since the European heat wave of summer 2003? A study of the 2006 heat wave[J]. Int J Epidemiol, 2008, 37(2): 309-317.
[28] 许燕君, 刘涛, 宋秀玲, 等. 广东省居民对热浪的健康风险认知及相关因素[J]. 中华预防医学杂志, 2012, 46(7): 613-618. XU Yanjun, LIU Tao, SONG Xiuling, et al. Investigation on the perception of risk level of heat wave and its related factors in Guangdong province[J]. Chinese Journal of Preventive Medicine, 2012, 46(7): 613-618.
[29] 王金娜, 王永杰, 张颖, 等. 高等院校大学生热浪认知及应对行为的现况调查[J].环境与健康杂志, 2012, 29(9): 833-835.
[30] Choi JH, Hong YC. Seasonal variation of effect of air pollution on blood pressure[J]. J Epidemiol Community Health, 2007, 61(4): 314-318.
[31] Chuang KJ, Yan YH, Cheng TJ. Effect of air pollution on blood pressure, blood lipids, and blood sugar: a population-based approach[J]. J Occup Environ Med, 2010, 52(3): 258.
[32] 邓霞君, 蔡振群, 项晓美, 等. 浙江省空气质量及主要气象因子的影响分析[J]. 环境科学与技术, 2014, 37(2): 372-377. DENG Xiajun, CAI Zhengqun, XIANG Xiaomei, et al. Air quality in Zhejiang Province and the impact of main meteorological elements[J]. Environmental Science & Technology, 2014, 37(2): 372-377.
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