دورية أكاديمية
أعرض في EDS

Associations between extreme precipitation and gastrointestinal-related hospital admissions in Chennai, India.

التفاصيل البيبلوغرافية
العنوان: Associations between extreme precipitation and gastrointestinal-related hospital admissions in Chennai, India.
المؤلفون: Bush KF; Department of Environmental Health Sciences., O'Neill MS, Li S, Mukherjee B, Hu H, Ghosh S, Balakrishnan K
المصدر: Environmental health perspectives [Environ Health Perspect] 2014 Mar; Vol. 122 (3), pp. 249-54. Date of Electronic Publication: 2013 Dec 17.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: National Institute of Environmental Health Sciences Country of Publication: United States NLM ID: 0330411 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-9924 (Electronic) Linking ISSN: 00916765 NLM ISO Abbreviation: Environ Health Perspect Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Research Triangle Park, N. C. National Institute of Environmental Health Sciences.
مواضيع طبية MeSH: Rain*, Gastrointestinal Diseases/*epidemiology , Hospitalization/*statistics & numerical data, Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Gastrointestinal Diseases/etiology ; Humans ; India/epidemiology ; Male ; Middle Aged ; Models, Theoretical ; Seasons ; Young Adult
مستخلص: Background: Understanding the potential links between extreme weather events and human health in India is important in the context of vulnerability and adaptation to climate change. Research exploring such linkages in India is sparse.
Objectives: We evaluated the association between extreme precipitation and gastrointestinal (GI) illness-related hospital admissions in Chennai, India, from 2004 to 2007.
Methods: Daily hospital admissions were extracted from two government hospitals in Chennai, India, and meteorological data were retrieved from the Chennai International Airport. We evaluated the association between extreme precipitation (≥ 90th percentile) and hospital admissions using generalized additive models. Both single-day and distributed lag models were explored over a 15-day period, controlling for apparent temperature, day of week, and long-term time trends. We used a stratified analysis to explore the association across age and season.
Results: Extreme precipitation was consistently associated with GI-related hospital admissions. The cumulative summary of risk ratios estimated for a 15-day period corresponding to an extreme event (relative to no precipitation) was 1.60 (95% CI: 1.29, 1.98) among all ages, 2.72 (95% CI: 1.25, 5.92) among the young (≤ 5 years of age), and 1.62 (95% CI: 0.97, 2.70) among the old (≥ 65 years of age). The association was stronger during the pre-monsoon season (March-May), with a cumulative risk ratio of 6.50 (95% CI: 2.22, 19.04) for all ages combined compared with other seasons.
Conclusions: Hospital admissions related to GI illness were positively associated with extreme precipitation in Chennai, India, with positive cumulative risk ratios for a 15-day period following an extreme event in all age groups. Projected changes in precipitation and extreme weather events suggest that climate change will have important implications for human health in India, where health disparities already exist.
Citation: Bush KF, O'Neill MS, Li S, Mukherjee B, Hu H, Ghosh S, Balakrishnan K. 2014. Associations between extreme precipitation and gastrointestinal-related hospital admissions in Chennai, India. Environ Health Perspect 122:249-254; http://dx.doi.org/10.1289/ehp.1306807.
References: World Health Stat Q. 1988;41(1):32-6. (PMID: 3376487)
Int J Environ Health Res. 2006 Jun;16(3):167-80. (PMID: 16611562)
Stat Methods Med Res. 1995 Sep;4(3):187-96. (PMID: 8548102)
Ambio. 2007 Jun;36(4):350-8. (PMID: 17626474)
Environ Health Perspect. 2001 Feb;109(2):155-9. (PMID: 11266326)
Epidemiol Infect. 2007 Feb;135(2):281-92. (PMID: 17291363)
Stat Med. 2010 Sep 20;29(21):2224-34. (PMID: 20812303)
Res Rep Health Eff Inst. 2011 Mar;(157):7-44. (PMID: 21648203)
PLoS One. 2012;7(6):e34651. (PMID: 22737206)
Emerg Infect Dis. 2009 Sep;15(9):1341-6. (PMID: 19788799)
Curr Probl Pediatr Adolesc Health Care. 2010 Jan;40(1):2-18. (PMID: 20114000)
Science. 2000 Sep 8;289(5485):1766-9. (PMID: 10976073)
Environ Res. 2009 May;109(4):465-78. (PMID: 19328462)
Biostatistics. 2000 Sep;1(3):279-92. (PMID: 12933509)
Can Commun Dis Rep. 2000 Dec 15;26(24):211-4. (PMID: 11211600)
Am J Prev Med. 2008 Nov;35(5):451-8. (PMID: 18929971)
Am J Public Health. 1996 Feb;86(2):237-9. (PMID: 8633742)
J Water Health. 2009 Mar;7(1):1-8. (PMID: 18957770)
Appl Environ Microbiol. 2009 Mar;75(5):1248-55. (PMID: 19124594)
Int J Biometeorol. 2006 Jul;50(6):385-91. (PMID: 16575582)
Nature. 2005 Nov 17;438(7066):310-7. (PMID: 16292302)
Epidemiology. 1997 Nov;8(6):615-20. (PMID: 9345659)
Int J Epidemiol. 2007 Oct;36(5):1030-7. (PMID: 17664224)
J Epidemiol Community Health. 2000 Jan;54(1):45-51. (PMID: 10692962)
Epidemiology. 2000 May;11(3):320-6. (PMID: 10784251)
Environ Health Perspect. 1999 Feb;107 Suppl 1:191-206. (PMID: 10229718)
J Occup Environ Med. 2009 Jan;51(1):13-25. (PMID: 19136869)
J Toxicol Environ Health A. 2004 Oct 22-Nov 26;67(20-22):1667-77. (PMID: 15371208)
Clin Geriatr Med. 2007 Nov;23(4):833-56, vii. (PMID: 17923341)
Environ Health Perspect. 2011 Jun;119(6):765-70. (PMID: 21273162)
Environ Health Perspect. 2011 Sep;119(9):a394-7. (PMID: 21885367)
Lancet. 2000 Feb 5;355(9202):442-50. (PMID: 10841124)
Proc Biol Sci. 2008 Jan 22;275(1631):123-32. (PMID: 17999952)
Am J Public Health. 2001 Aug;91(8):1194-9. (PMID: 11499103)
Ecohealth. 2011 Mar;8(1):93-108. (PMID: 21785890)
Bull World Health Organ. 2008 Sep;86(9):710-7. (PMID: 18797647)
Am J Epidemiol. 1992 Feb 1;135(3):281-90. (PMID: 1546704)
Int J Environ Health Res. 2003 Mar;13(1):81-94. (PMID: 12745350)
Perspect Public Health. 2010 Jan;130(1):15-6. (PMID: 20333943)
Biometrics. 1990 Dec;46(4):1005-16. (PMID: 1964808)
Indian J Med Res. 2000 Nov;112:178-82. (PMID: 12452126)
معلومات مُعتمدة: P30 ES017885 United States ES NIEHS NIH HHS; R01 ES016932 United States ES NIEHS NIH HHS; R-01 ES016932 United States ES NIEHS NIH HHS
تواريخ الأحداث: Date Created: 20131219 Date Completed: 20141031 Latest Revision: 20240323
رمز التحديث: 20240323
مُعرف محوري في PubMed: PMC3948034
DOI: 10.1289/ehp.1306807
PMID: 24345350
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-9924
DOI:10.1289/ehp.1306807