Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, 65175-4171, Iran.
Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Int J Biometeorol. 2018 Dec;62(12):2109-2118. doi: 10.1007/s00484-018-1605-4. Epub 2018 Oct 4.
The main objective of this study was to evaluate the role of climatic parameters and phenomena including the monthly number of dusty/rainy/snowy/foggy days, cloudiness (Okta), horizontal visibility, and barometric pressure (millibar) on major depressive disorder, bipolar, schizophrenia, and schizoaffective admissions. The monthly data related to the number of admissions in Farshchian hospital and climatic parameters from March 2005 to March 2017 were extracted. Random forest regression and dynamic negative binomial regression were used to examine the relationship between variables; the statistical significance was considered as 0.05. The number of dusty/rainy/snowy/foggy days, cloudiness, and the number of days with vision less than 2 km had a significant positive relationship with admissions due to schizophrenia (p < 0.05). Barometric pressure had a negative effect on schizophrenia admissions (p < 0.001). The number of dusty/rainy/snowy/foggy days and cloudiness had a significant effect on schizoaffective admissions (p < 0.05). Bipolar admissions were negatively associated with rainy days and positively associated with dusty days and cloudiness (p < 0.05). The number of rainy/dusty/snowy days and cloudiness had a positive significant effect on major depressive disorder admissions. The results of the present study confirmed the importance of climatic parameter variability for major depressive disorder, bipolar, schizophrenia, and schizoaffective admissions.
本研究的主要目的是评估气候参数和现象(包括多尘/多雨/多雪/多雾日数、云量(Okta)、水平能见度和气压(毫巴))对重度抑郁症、双相情感障碍、精神分裂症和分裂情感性障碍入院的影响。从 2005 年 3 月至 2017 年 3 月提取了与法尔尚医院入院人数有关的每月数据和气候参数。使用随机森林回归和动态负二项回归来检查变量之间的关系;统计显著性被认为是 0.05。多尘/多雨/多雪/多雾日数、云量以及能见度小于 2 公里的天数与精神分裂症入院呈显著正相关(p<0.05)。气压对精神分裂症入院有负影响(p<0.001)。多尘/多雨/多雪/多雾日数和云量对分裂情感性障碍入院有显著影响(p<0.05)。双相情感障碍入院与雨天呈负相关,与多尘日和云量呈正相关(p<0.05)。雨天、多尘日和云量对重度抑郁症入院有显著正影响。本研究结果证实了气候参数变化对重度抑郁症、双相情感障碍、精神分裂症和分裂情感性障碍入院的重要性。