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ERH研究文章|空气污染对精神障碍急诊室就诊的影响:共病身体障碍和个人特征的风险和影响改变

23 8月 2024 gabriels

Emerging evidence suggests that exposure to ambient air pollution negatively impacts mental health. However, little is known about potential moderators of such effects, including pre-existing physical disorders and personal characteristics. This study investigated if the effects of daily changes in levels of air pollutants among individuals with mental disorders (MDs) vary depending on comorbid physical disorders, age, sex, or race/ethnicity. We used a time-stratified case-crossover design that compared the levels of PM2.5 and NO2 on days leading up to MD-related emergency room (ER) visits to levels on control days. The sample consisted of individuals with MDs for their primary diagnosis, including both patients with a second diagnosis and those without. We conducted a stratified analysis to examine potential effect modifications by individuals’ demographic characteristics (sex, age, and race/ethnicity) or a diagnosis of a physical disorder (cardiovascular disease, diabetes mellitus, and respiratory disease). We found that both PM2.5 and NO2 were significantly associated with ER visits for MDs. Per 10 µg m−3 increase in daily PM2.5 and per 10 ppb increase in NO2 concentration were associated with 1.07% (95% CI: 0.81%, 1.34%) and 0.56% (95% CI: 0.42%, 0.69%) increase in ER visits for MDs, respectively. We also found significantly greater susceptibility among younger persons (below 18 years old), Black, and individuals with respiratory disease. Exposures to both PM2.5 and NO2 were significantly associated with ER visits for MDs, and these adverse effects were more pronounced among youth, Black and individuals with respiratory disease as a comorbid physical disorder.

文章介绍

Effects of air pollution on emergency room visits for mental disorders: risks and effect modification by comorbid physical disorders and personal characteristics

Eun-hye Yoo, John E Roberts and Kai Chen

通讯作者：

Eun-hye Yoo，美国纽约州立大学布法罗分校

期刊介绍

Environmental Research: Health

Environmental Research: Health(ERH)是一本多学科、开放获取的期刊，致力于在环境和公共卫生的层面上应对重要的全球挑战。并在影响/未来风险、复原力、环境减缓、环境适应、环境安全和最广泛意义上的解决方案方面进行努力。我们鼓励所有的研究方法，包括定性、定量、实验、理论和应用方法、暴露评估、实施研究以及政策分析。