Publication: Short-term effects of diurnal temperature range on hospital admission in Bangkok, Thailand
Issued Date
2020-05-15
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ISSN
18791026
00489697
00489697
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2-s2.0-85079290897
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Mahidol University
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SCOPUS
Bibliographic Citation
Science of the Total Environment. Vol.717, (2020)
Suggested Citation
Arthit Phosri, Tanasri Sihabut, Chate Jaikanlaya Short-term effects of diurnal temperature range on hospital admission in Bangkok, Thailand. Science of the Total Environment. Vol.717, (2020). doi:10.1016/j.scitotenv.2020.137202 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/53674
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Title
Short-term effects of diurnal temperature range on hospital admission in Bangkok, Thailand
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Abstract
© 2020 Elsevier B.V. Diurnal temperature range (DTR) is a key indicator reflecting climate stability. Many previous studies have examined the effects of ambient temperature, both hot and cold, on human morbidity and mortality, but few studies have evaluated health effects of DTR, especially those in developing countries. This study aimed to investigate the association between short-term exposure to DTR and hospital admissions for cardiovascular and respiratory diseases in Bangkok, Thailand. We obtained daily meteorological variables from the Thai Meteorological Department from January 2006 through December 2014 and daily hospital admissions from the National Health Security Office during the same period. Quasi-Poisson generalized linear regression model combined with distributed lag non-linear model was used to examine the association between DTR and cardiovascular and respiratory hospital admissions controlling for daily average temperature, relative humidity, day of the week, public holiday, and seasonal and long-term trend. A J-shape relationship between DTR and hospital admissions was observed. With 7.8 °C DTR as a reference value, the relative risks for cardiovascular and respiratory hospital admission associated with extremely high DTR (11.6 °C) at cumulative lag 0–21 (21-day cumulative effects) were 1.206 (95% CI: 1.002–1.452) and 1.021 (95% CI: 0.856–1.218), respectively. The effects of extremely high DTR relative to a reference value did not significantly differ between males and females, as well as between young people (<65 years) and the elderly (≥65 years) for both cardiovascular and respiratory admission. When stratifying the effects by season, the effect of extremely high DTR in winter was greater than that in summer and rainy season. This study showed that short-term exposure to extremely high DTR was significantly associated with increased risk of hospital admissions for cardiovascular disease in Bangkok, especially during winter. Results from this study could provide important scientific evidence for policy decision making to protect populations from adverse health effects of DTR.