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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Xie, Xu Li, Yuan Mei, Shujiang Liao, Yuxue Lu, Yan Lin, Hualiang Chen, Xiliang Zhang, Zhen |
| Spatial Coverage | China |
| Description | Country affiliation: China Author Affiliation: Zhang Z ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Xie X ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Chen X ( Department of Clinical Laboratory, The People's Hospital of Zhangqiu City, Zhangqiu 250215, China.); Li Y ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Lu Y ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Mei S ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Liao Y ( Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.); Lin H ( Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China. Electronic address: linhualiang2002@163.com.) |
| Abstract | BACKGROUND: Various meteorological factors have been associated with hand, foot and mouth disease (HFMD) among children; however, fewer studies have examined the non-linearity and interaction among the meteorological factors. METHODS: A generalized additive model with a log link allowing Poisson auto-regression and over-dispersion was applied to investigate the short-term effects daily meteorological factors on children HFMD with adjustment of potential confounding factors. RESULTS: We found positive effects of mean temperature and wind speed, the excess relative risk (ERR) was 2.75% (95% CI: 1.98%, 3.53%) for one degree increase in daily mean temperature on lag day 6, and 3.93% (95% CI: 2.16% to 5.73%) for 1m/s increase in wind speed on lag day 3. We found a non-linear effect of relative humidity with thresholds with the low threshold at 45% and high threshold at 85%, within which there was positive effect, the ERR was 1.06% (95% CI: 0.85% to 1.27%) for 1 percent increase in relative humidity on lag day 5. No significant effect was observed for rainfall and sunshine duration. For the interactive effects, we found a weak additive interaction between mean temperature and relative humidity, and slightly antagonistic interaction between mean temperature and wind speed, and between relative humidity and wind speed in the additive models, but the interactions were not statistically significant. CONCLUSIONS: This study suggests that mean temperature, relative humidity and wind speed might be risk factors of children HFMD in Shenzhen, and the interaction analysis indicates that these meteorological factors might have played their roles individually. |
| ISSN | 00489697 |
| Volume Number | 539 |
| e-ISSN | 18791026 |
| Journal | Science of The Total Environment |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2016-01-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Hand, Foot And Mouth Disease Epidemiology Meteorological Concepts Child China Female Etiology Humans Humidity Male Temperature Wind Journal Article Research Support, Non-u.s. Gov't Discipline Environmental Science |
| Content Type | Text |
| Resource Type | Article |
| Subject | Environmental Chemistry Waste Management and Disposal Pollution Environmental Engineering |
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