Air pollution is associated with primary health care visits for asthma in Sweden: A case-crossover design with a distributed lag non-linear model

2016 ◽  
Vol 17 ◽  
pp. 37-44 ◽  
Author(s):  
Tahir Taj ◽  
Kristina Jakobsson ◽  
Emilie Stroh ◽  
Anna Oudin
2021 ◽  
Author(s):  
Omid Aboubakri ◽  
Hamid Reza Shoraka ◽  
Joan Ballester ◽  
Rahim Sharafkhani

Abstract Background: This study aimed to estimate hospitalization risk/number attributed to air extreme temperatures using time-stratified case crossover study and distributed lag non-linear model in a region of Iran during 2015-2019.Methods: A time-stratified case crossover design based on aggregated exposure data was used in this study. In order to have no overlap bias in the estimations, a fixed and disjointed window by using one-month strata was used in the design. A conditional Poisson regression model allowing for over dispersion (Quasi-Poisson) was applied into Distributed Lag Non-linear Model (DLNM). Different approaches were applied to estimate Optimum Temperature (OT). In the model, the interaction effect between temperature and humidity was assessed to see if the impact of heat or cold on Hospital Admissions (HAs) are different between different levels of humidity.Results: The cumulative effect of heat during 21 days was not significant and it was the cold that had significant cumulative adverse effect on all groups. While the number of HAs attributed to any ranges of heat, including medium, high, extreme and even all values were negligible, but a large number was attributable to cold values; about 10000 HAs were attributable to all values of cold temperature, of which about 9000 were attributed to medium range and about 1000 and less than 500 were attributed to high and extreme values of cold, respectively.Conclusion: This study highlights the need for interventions in cold seasons by policymakers. The results inform researchers as well as policy makers to address both men and women and elderly when any plan or preventive program is developed in the area under study.


2011 ◽  
Vol 2011 (1) ◽  
Author(s):  
Eleni Sofianopoulou ◽  
Stephen Rushton ◽  
Tanja Pless-Mulloli

2013 ◽  
Vol 35 (4) ◽  
pp. 502-509 ◽  
Author(s):  
Eleni Sofianopoulou ◽  
Stephen P. Rushton ◽  
Peter J. Diggle ◽  
Tanja Pless-Mulloli

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


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