Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, 901 87 Umeå, Sweden.
Int J Circumpolar Health. 2022 Dec;81(1):2149381. doi: 10.1080/22423982.2022.2149381.
The study aimed to determine the prevalence and incidence proportion of local cold injuries in northern Sweden, and identify associated factors. It was based on prospective data from surveys in 2015 and 2021 sent to a population-based sample in northern Sweden. Multiple binary logistic regression was performed. The study included 5,017 subjects (response rate 44.4%). The prevalence of cold injuries in the hands was 11.4%, feet 12.6%, and face 19.9%, while the incidence proportion was 1.0%, 1.0%, and 0.9%, respectively. Male gender was associated with incident cold injuries in the hands (OR 1.69; 95% CI 1.31-1.28), feet (OR 1.34; 95% CI 1.04-1.73), and face (OR 1.53; 95% CI 1.15-2.03); mental stress with cold injuries in the hands (OR 1.55; 95% CI 1.16-2.05) and feet (OR 1.39; 95% CI 1.04-1.88); previous stroke with cold injuries in the hands (OR 2.64; 95% CI 1.09-6.40) and face (OR 3.09; 95% CI 1.26-7.56); and Raynaud's phenomenon with cold injuries in the hands (OR 2.48; 95% CI 1.80-3.41) and feet (OR 2.07; 95% CI 1.50-2.87). We conclude that male gender, mental stress, previous stroke, and Raynaud's phenomenon increased the probability of contracting local cold injuries.
本研究旨在确定瑞典北部局部冻伤的患病率和发病率比例，并确定相关因素。它基于 2015 年和 2021 年向瑞典北部基于人群的样本发送的前瞻性调查数据。进行了多项二项逻辑回归分析。该研究共纳入 5017 名受试者（应答率为 44.4%）。手部冻伤的患病率为 11.4%，脚部为 12.6%，面部为 19.9%，而发病率比例分别为 1.0%、1.0%和 0.9%。男性与手部（OR 1.69；95%CI 1.31-1.28）、脚部（OR 1.34；95%CI 1.04-1.73）和面部（OR 1.53；95%CI 1.15-2.03）冻伤的发病风险相关；精神压力与手部（OR 1.55；95%CI 1.16-2.05）和脚部（OR 1.39；95%CI 1.04-1.88）冻伤有关；既往卒中与手部（OR 2.64；95%CI 1.09-6.40）和面部（OR 3.09；95%CI 1.26-7.56）冻伤有关；雷诺现象与手部（OR 2.48；95%CI 1.80-3.41）和脚部（OR 2.07；95%CI 1.50-2.87）冻伤有关。我们的结论是，男性、精神压力、既往卒中以及雷诺现象增加了发生局部冻伤的可能性。
