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温带地区低收入成年人的室内体感温度、认知能力和日间困倦。

Indoor apparent temperature, cognition, and daytime sleepiness among low-income adults in a temperate climate.

机构信息

University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.

University of Michigan School for the Environment and Sustainability, Ann Arbor, Michigan, USA.

出版信息

Indoor Air. 2022 Jan;32(1):e12972. doi: 10.1111/ina.12972. Epub 2021 Dec 9.

Abstract

The burden of temperature-associated mortality and hospital visits is significant, but temperature's effects on non-emergency health outcomes is less clear. This burden is potentially greater in low-income households unable to afford efficient heating and cooling. We examined short-term associations between indoor temperatures and cognitive function and daytime sleepiness in low-income residents of Detroit, Michigan. Apparent temperature (AT, based on temperature and humidity) was recorded hourly in 34 participant homes between July 2019-March 2020. Between July-October 2019, 18 participants were administered word list immediate (WLL) and delayed (WLD) recall tests (10-point scales) and the Epworth Sleepiness Scale (24-point scale) 2-4 times. We applied longitudinal models with nonlinear distributed lags of temperature up to 7 days prior to testing. Indoor temperatures ranged 8-34°C overall and 15-34°C on survey days. We observed a 0.4 (95% CI: 0.0, 0.7) point increase in WLL and 0.4 (95% CI: 0.0, 0.9) point increase in WLD scores per 2°C increase in AT. Results suggested decreasing sleepiness scores with decreasing nighttime AT below 22°C. Low-income Detroit residents experience uncomfortably high and low indoor temperatures. Indoor temperature may influence cognitive function and sleepiness, although we did not observe deleterious effects of higher temperatures.

摘要

与温度相关的死亡和就诊负担是巨大的,但温度对非紧急健康结果的影响还不太清楚。对于那些无法负担高效供暖和制冷的低收入家庭来说,这种负担可能更大。我们研究了密歇根州底特律市低收入居民的室内温度与认知功能和日间嗜睡之间的短期关联。在 2019 年 7 月至 2020 年 3 月期间,在 34 个参与者的家中每小时记录一次表观温度(AT,基于温度和湿度)。在 2019 年 7 月至 10 月期间,18 名参与者接受了单词列表即时(WLL)和延迟(WLD)回忆测试(10 分制)和 Epworth 嗜睡量表(24 分制)测试 2-4 次。我们应用了纵向模型,其中温度的非线性分布滞后可达测试前 7 天。室内温度总体范围为 8-34°C,调查日范围为 15-34°C。我们观察到,AT 每升高 2°C,WLL 会增加 0.4(95%CI:0.0,0.7)点,WLD 会增加 0.4(95%CI:0.0,0.9)点。结果表明,夜间 AT 低于 22°C 时,嗜睡评分会降低。底特律的低收入居民经历着非常高和非常低的室内温度,令人感到不适。室内温度可能会影响认知功能和嗜睡,尽管我们没有观察到较高温度的有害影响。

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