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Short-term associations between precipitation and gastrointestinal illness-related hospital admissions: A multi-city study in Texas.
Du, Shichao; Chien, Lung-Chang; Bush, Kathleen F; Giri, Sharmila; Richardson, Leigh Ann; Li, Mo; Jin, Qingxu; Li, Tianxing; Nicklett, Emily Joy; Li, Ruosha; Zhang, Kai.
Afiliación
  • Du S; Department of Sociology, School of Social Development and Public Policy, Fudan University, Shanghai, China. Electronic address: sdu@fudan.edu.cn.
  • Chien LC; Department of Epidemiology and Biostatistics, School of Public Health, University of Nevada at Las Vegas, Las Vegas, NV, USA. Electronic address: lung-chang.chien@unlv.edu.
  • Bush KF; Center for Environmental Health, New York State Department of Health, Albany, NY, USA. Electronic address: Kathleen.Bush@health.ny.gov.
  • Giri S; Department of Quantitative Health Sciences, Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, USA. Electronic address: Giri.Sharmila@mayo.edu.
  • Richardson LA; Department of Epidemiology and Biostatistics, School of Public Health, University of Nevada at Las Vegas, Las Vegas, NV, USA. Electronic address: richal7@unlv.nevada.edu.
  • Li M; Department of Civil and Environmental Engineering, University of California, Irvine, CA, USA. Electronic address: mo.li@uci.edu.
  • Jin Q; Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, USA; Resilient, Intelligent, Sustainable, and Energy-efficient (RISE) Infrustructure Material Labatory, Michigan State University, East Lansing, MI, USA. Electronic address: billjin@egr.msu.edu.
  • Li T; Department of Computer Science and Engineering, Michigan State University, East Lansing, MI, USA. Electronic address: litianx2@msu.edu.
  • Nicklett EJ; Department of Social Work, College for Health, Community and Policy, The University of Texas at San Antonio, San Antonio, TX, USA. Electronic address: Emily.Nicklett@utsa.edu.
  • Li R; Department of Biostatistics and Data Science, The University of Texas Health Science Center at Houston, Houston, TX, USA. Electronic address: Ruosha.Li@uth.tmc.edu.
  • Zhang K; Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA. Electronic address: kzhang9@albany.edu.
Sci Total Environ ; 951: 175247, 2024 Nov 15.
Article en En | MEDLINE | ID: mdl-39111450
ABSTRACT
The ongoing climate change crisis presents challenges to the global public health system. The risk of gastrointestinal illness (GI) related hospitalization increases following extreme weather events but is largely under-reported and under-investigated. This study assessed the association between precipitation and GI-related hospital admissions in four major cities in Texas. Daily data on GI-related hospital admissions and precipitation from 2004 to 2014 were captured from the Texas Department of State Health Services and the National Climate Data Center. Distributed lagged nonlinear modeling approaches were employed to examine the association between precipitation and GI-related hospital admissions. Results showed that the cumulative risk ratios (RRs) of GI-related hospital admissions were elevated in the 2 weeks following precipitation events; however, there were differences observed across study locations. The cumulative RR of GI-related hospitalizations was significantly higher when the amount of daily precipitation ranged from 3.3 mm to 13.5 mm in Dallas and from 6.0 mm to 24.5 mm in Houston. Yet, substantial increases in the cumulative RRs of GI-related hospitalizations were not observed in Austin or San Antonio. Age-specific and cause-specific GI-related hospitalizations were also found to be associated with precipitation events following the same pattern. Among them, Houston depicted the largest RR for overall GI and subgroup GI by age and cause, particularly for the overall GI among children aged 6 and under (RR = 1.35; 95 % CI = 1.11, 1.63), diarrhea-caused GI among children aged 6 and under (RR = 1.38, 95 % CI = 1.13, 1.69), and other-caused GI among children age 6 and under (RR = 1.46; 95 % CI = 1.12, 1.80). The findings underscore the need for public health interventions and adaptation strategies to address climate change-related health outcomes such as GI illness associated with extreme precipitation events.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lluvia / Ciudades / Enfermedades Gastrointestinales / Hospitalización Límite: Adolescent / Adult / Child / Child, preschool / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Sci Total Environ Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lluvia / Ciudades / Enfermedades Gastrointestinales / Hospitalización Límite: Adolescent / Adult / Child / Child, preschool / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Sci Total Environ Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos