Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (4): 100-105.doi: 10.6040/j.issn.1671-7554.0.2024.0896

• Public Health & Preventive Medicine • Previous Articles     Next Articles

Association between extreme precipitation and other infectious diarrhea in China from 2014 to 2019

ZHANG Xiaochi1, LYU Tingting2, YU Wenhao1, LI Guoao1, GAO Shanshan3,4, ZHAO Qi1, WANG Liyou2   

  1. 1. Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Dezhou Center for Disease Control and Prevention, Dezhou 253700, Shandong, China;
    3. Department of Gastroenterology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong, China;
    4. Department of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Online:2025-04-10 Published:2025-04-08

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Abstract: Objective To provide a foundation for developing targeted prevention and control measures for other infectious diarrhea(OID)by investigating the association between extreme precipitation and the risk of in China from 2014 to 2019, and assessing the impact of climatic characteristics and drought levels on the OID risk associated with extreme precipitation. Methods Data on OID cases and hydrometeorological conditions were collected from 31 provinces, municipalities, and autonomous regions of China between 2014 and 2019. A two-stage time series analysis based on quasi-Poisson regression was employed to quantify the association between the frequency of extreme precipitation events and the risk of OID. Additionally, the modifying effects of natural sub-regions and drought levels(quantified by the 6-month standardized precipitation evapotranspiration index)were analyzed. Results A total of 5,595,698 OID cases were reported in the study area from 2014 to 2019. A significant positive association between the frequency of extreme precipitation events and the risk of OID was observed, with a relative risk of 1.03(95%CI: 1.03-1.04). The risk of OID associated with extreme precipitation was highest in the warm-temperate humid and sub-humid north China. In contrast, the risk in the subtropical humid central and south China, the tropic humid south China, and the temperate and warm-temperate desert of northwest China was significantly lower than in the warm-temperate humid and sub-humid north China(P<0.05). The modifying effect of drought levels was significant, with a higher risk of diarrhea associated with extreme precipitation under high drought conditions. Conclusion The frequency of extreme precipitation events is positively associated with the risk of OID which has provided a foundation for the development of region-specific prevention measures for OID.

Key words: Extreme precipitation, Other infectious diarrhea, Time series analysis, Association study

CLC Number: 

  • R183
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