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气温对过敏性皮肤病就诊的滞后效应

尹江帆 方芳 柳向东 周艺彪

上海预防医学2025,Vol.37Issue(11):938-945,8.
上海预防医学2025,Vol.37Issue(11):938-945,8.DOI:10.19428/j.cnki.sjpm.2025.250153

气温对过敏性皮肤病就诊的滞后效应

Lagged effects of ambient temperature on allergic skin diseases visits

尹江帆 1方芳 2柳向东 3周艺彪1

作者信息

  • 1. 复旦大学公共卫生学院,公共卫生安全教育部重点实验室,热带病学研究中心,上海 200032
  • 2. 上海市第八人民医院,上海 200235
  • 3. 上海交通大学医学院附属第六人民医院,上海 200233
  • 折叠

摘要

Abstract

[Objective]To investigate the impact of daily mean temperature on outpatient visits for allergic skin disease(ASD)and to provide a basis for formulating protective strategies for patients and sensitive groups.[Methods]Data on ASD visits from the Department of Dermatology at Shanghai Eighth People's Hospital between January 1,2017 and December 31,2019 were collected,along with corresponding meteorological and air pollution data.A distributed lag non-linear model(DLNM)was employed to examine the exposure-lag relationship between daily mean temperature and ASD visits.Stratified analyses were performed by disease type,gender,and age group.[Results]A total of 33 155 visits for ASD were recorded between 2017 and 2019.Both high and low temperatures were associated with increased ASD outpatient visits(T=-1.0℃,RR=2.208,P=0.043;T=29.4℃,RR=2.413,P=0.021).Chronic urticaria exhibited a heat effect,with the highest cumulative medical visit risk observed at a 14-day lag(RR=4.252,95%CI:2.134‒8.457).Both low and high temperatures increased daily outpatient visits for eczema.No association was found between daily mean temperature and the number of outpatient visits for atopic dermatitis.Subgroup analyses suggested that both high and low temperatures increased the risk of ASD visits among females and individuals aged≥60 years.[Conclusion]Both high and low ambient temperatures are associated with increased outpatient visits for ASD with females and individuals aged≥60 years showing higher susceptibility.

关键词

日均气温/过敏性皮肤病/分布滞后非线性模型/滞后效应

Key words

daily mean temperature/allergic skin disease/distributed lag non-linear model/lagged effect

分类

医药卫生

引用本文复制引用

尹江帆,方芳,柳向东,周艺彪..气温对过敏性皮肤病就诊的滞后效应[J].上海预防医学,2025,37(11):938-945,8.

上海预防医学

1004-9231

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