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台湾地区流行性腮腺炎发病率及其与气象参数的关系:一项观察性研究。

The incidence of mumps in Taiwan and its association with the meteorological parameters: An observational study.

机构信息

Division of Hematology-Oncology, Department of Internal Medicine, Chi-Mei Medical Center, Liouying, Tainan, Taiwan.

Department of Senior Welfare and Services, Southern Taiwan University of Science and Technology, Tainan, Taiwan.

出版信息

Medicine (Baltimore). 2021 Sep 17;100(37):e27267. doi: 10.1097/MD.0000000000027267.

Abstract

Mumps is an acute and common childhood disease caused by paramyxovirus. It has been reported that the occurrence of mumps is influenced by seasonality. However, the role of meteorological variables in the incidence of mumps remains unclear. The purpose of this study was to explore the relationship between meteorological factors and the incidence of mumps infection. Poisson regression analysis was used to study the relationship between weather variability and the incidence of mumps in Taiwan. Between 2012 and 2018, 5459 cases of mumps cases were reported to the Centers for Disease Control, Taiwan (Taiwan CDC). The occurrence of mumps virus infections revealed significant seasonality in the spring and summer seasons in Taiwan. The incidence of mumps virus infections began to increase at temperatures of 15°C and started to decline if the temperature was higher than 29°C (r2 = 0.387, P = .008). Similarly, the number of mumps cases began to increase at a relative humidity of 65% to 69% (r2 = 0.838, P < .029). The number of mumps cases was positively associated with temperature and relative humidity during the period preceding the infection. This study showed that the occurrence of mumps is significantly associated with increasing temperature and relative humidity in Taiwan. Therefore, these factors could be regarded as early warning signals and indicate the need to strengthen the intervention and prevention of mumps.

摘要

流行性腮腺炎是由副黏液病毒引起的急性常见儿童疾病。据报道,流行性腮腺炎的发生受季节性影响。然而,气象变量在流行性腮腺炎发病中的作用尚不清楚。本研究旨在探讨气象因素与流行性腮腺炎感染之间的关系。采用泊松回归分析研究了气象变化与台湾流行性腮腺炎发病之间的关系。2012 年至 2018 年间,台湾疾病控制中心(CDC)报告了 5459 例流行性腮腺炎病例。台湾流行性腮腺炎病毒感染的发生具有明显的季节性,春夏季多发。腮腺炎病毒感染的发病率在 15°C 时开始升高,如果温度高于 29°C 则开始下降(r2=0.387,P=0.008)。同样,腮腺炎病例数在相对湿度为 65%至 69%时开始增加(r2=0.838,P<0.029)。在感染前的一段时间内,腮腺炎病例数与温度和相对湿度呈正相关。本研究表明,流行性腮腺炎的发生与台湾地区气温和相对湿度的升高显著相关。因此,这些因素可作为预警信号,表明需要加强对流行性腮腺炎的干预和预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07e/8447993/d32c1ff52ef2/medi-100-e27267-g001.jpg

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