Suicide is a critical public health issue with rates varying across regions and demographic groups.Recent evidence suggests that ambient temperature may influence suicide risk.This study examines the association betwe...Suicide is a critical public health issue with rates varying across regions and demographic groups.Recent evidence suggests that ambient temperature may influence suicide risk.This study examines the association between temperature and suicide in Thailand’s tropical climate,focusing on Chiang Mai and Bangkok provinces,and quantifies the attributable burden.Daily suicide and meteorological data from 2002 to 2021 were analyzed using a time-stratified case-crossover approach with a distributed lag nonlinear model,adjusted for relative humidity.Province-specific estimates were pooled through a multivariate meta-regression model.The study found a positive,mostly linear association between temperature and suicide risk,with a relative risk(RR)of 1.70(95%CI:1.35,2.15)across the temperature range.Approximately 24.61%of suicides were attributable to temperature,with 12.05%due to hot temperatures above the 66th percentile.The pooled attributable fractions were higher in the 0−64 age group compared to those aged≥65,while differences between sexes were not statistically significant.This study highlights the significant association between higher ambient temperatures and increased suicide risks in Thailand,emphasizing the need to integrate climate considerations into mental health and suicide prevention policies.Further research across diverse climatic zones is essential for understanding climate influences on mental health globally.展开更多
Although numerous studies have investigated premature deaths attributable to temperature,effects of temperature on years of life lost(YLL)remain unclear.We estimated the relationship between temperatures and YLL,and q...Although numerous studies have investigated premature deaths attributable to temperature,effects of temperature on years of life lost(YLL)remain unclear.We estimated the relationship between temperatures and YLL,and quantified the YLL per death caused by temperature in China.We collected daily meteorological and mortality data,and calculated the daily YLL values for 364 locations(2013–2017 in Yunnan,Guangdong,Hunan,Zhejiang,and Jilin provinces,and 2006–2011 in other locations)in China.A time-series design with a distributed lag nonlinear model was first employed to estimate the location-specific associations between temperature and YLL rates(YLL/100,000 population),and a multivariate meta-analysis model was used to pool location-specific associations.Then,YLL per death caused by temperatures was calculated.The temperature and YLL rates consistently showed U-shaped associations.A mean of 1.02(95%confidence interval:0.67,1.37)YLL per death was attributable to temperature.Cold temperature caused 0.98 YLL per death with most from moderate cold(0.84).The mean YLL per death was higher in those with cardiovascular diseases(1.14),males(1.15),younger age categories(1.31 in people aged 65–74 years),and in central China(1.34)than in those with respiratory diseases(0.47),females(0.87),older people(0.85 in people R75 years old),and northern China(0.64)or southern China(1.19).The mortality burden was modified by annual temperature and temperature variability,relative humidity,latitude,longitude,altitude,education attainment,and central heating use.Temperatures caused substantial YLL per death in China,which was modified by demographic and regional characteristics.展开更多
Rare diseases are chronic and serious,featuring early onset at birth or in childhood,rapid deterioration and high mortality rate,which creates a burden on society and public health systems.Of the known rare diseases,8...Rare diseases are chronic and serious,featuring early onset at birth or in childhood,rapid deterioration and high mortality rate,which creates a burden on society and public health systems.Of the known rare diseases,80 percent are genetic in origin,and half of those affected worldwide are children.In China,the rare disease patients are over 10 million,and70 percent of the patients are children(Song et al.,2012;Liu et al.,2010).展开更多
文摘Suicide is a critical public health issue with rates varying across regions and demographic groups.Recent evidence suggests that ambient temperature may influence suicide risk.This study examines the association between temperature and suicide in Thailand’s tropical climate,focusing on Chiang Mai and Bangkok provinces,and quantifies the attributable burden.Daily suicide and meteorological data from 2002 to 2021 were analyzed using a time-stratified case-crossover approach with a distributed lag nonlinear model,adjusted for relative humidity.Province-specific estimates were pooled through a multivariate meta-regression model.The study found a positive,mostly linear association between temperature and suicide risk,with a relative risk(RR)of 1.70(95%CI:1.35,2.15)across the temperature range.Approximately 24.61%of suicides were attributable to temperature,with 12.05%due to hot temperatures above the 66th percentile.The pooled attributable fractions were higher in the 0−64 age group compared to those aged≥65,while differences between sexes were not statistically significant.This study highlights the significant association between higher ambient temperatures and increased suicide risks in Thailand,emphasizing the need to integrate climate considerations into mental health and suicide prevention policies.Further research across diverse climatic zones is essential for understanding climate influences on mental health globally.
基金We thank Professor Antonio Gasparrini for providing assistance during statistical analysis.This work was supported by the National Key Research and Development Program of China(2018YFA0606200)Guangzhou Science and Technology Project(201704020194)+3 种基金and the Guangdong Health Innovation Platform.The funders were not involved in the research and preparation of the article,including study designcollection,analysis,and interpretation of datawriting of the articleand the decision to submit it for publication.
文摘Although numerous studies have investigated premature deaths attributable to temperature,effects of temperature on years of life lost(YLL)remain unclear.We estimated the relationship between temperatures and YLL,and quantified the YLL per death caused by temperature in China.We collected daily meteorological and mortality data,and calculated the daily YLL values for 364 locations(2013–2017 in Yunnan,Guangdong,Hunan,Zhejiang,and Jilin provinces,and 2006–2011 in other locations)in China.A time-series design with a distributed lag nonlinear model was first employed to estimate the location-specific associations between temperature and YLL rates(YLL/100,000 population),and a multivariate meta-analysis model was used to pool location-specific associations.Then,YLL per death caused by temperatures was calculated.The temperature and YLL rates consistently showed U-shaped associations.A mean of 1.02(95%confidence interval:0.67,1.37)YLL per death was attributable to temperature.Cold temperature caused 0.98 YLL per death with most from moderate cold(0.84).The mean YLL per death was higher in those with cardiovascular diseases(1.14),males(1.15),younger age categories(1.31 in people aged 65–74 years),and in central China(1.34)than in those with respiratory diseases(0.47),females(0.87),older people(0.85 in people R75 years old),and northern China(0.64)or southern China(1.19).The mortality burden was modified by annual temperature and temperature variability,relative humidity,latitude,longitude,altitude,education attainment,and central heating use.Temperatures caused substantial YLL per death in China,which was modified by demographic and regional characteristics.
文摘Rare diseases are chronic and serious,featuring early onset at birth or in childhood,rapid deterioration and high mortality rate,which creates a burden on society and public health systems.Of the known rare diseases,80 percent are genetic in origin,and half of those affected worldwide are children.In China,the rare disease patients are over 10 million,and70 percent of the patients are children(Song et al.,2012;Liu et al.,2010).
