Center for Environmental Health, New York State Department of Health, Albany, NY 12208, USA.
School of Public Health, University at Albany, Rensselaer, NY 12144, USA.
Int J Environ Res Public Health. 2022 Dec 7;19(24):16411. doi: 10.3390/ijerph192416411.
Extreme temperature events are linked to increased emergency department visits, hospitalizations, and mortality for individuals with behavioral health disorders (BHD). This study aims to characterize risk factors for concurrent temperature-related illness among BHD hospitalizations in New York State. Using data from the NYS Statewide and Planning Research and Cooperative System between 2005-2019, multivariate log binomial regression models were used in a population of BHD hospitalizations to estimate risk ratios (RR) for a concurrent heat-related (HRI) or cold-related illness (CRI). Dementia (RR 1.65; 95% CI:1.49, 1.83) and schizophrenia (RR 1.38; 95% CI:1.19, 1.60) were associated with an increased risk for HRI among BHD hospitalizations, while alcohol dependence (RR 2.10; 95% CI:1.99, 2.22), dementia (RR 1.52; 95% CI:1.44, 1.60), schizophrenia (RR 1.41; 95% CI:1.31, 1.52), and non-dependent drug/alcohol use (RR 1.20; 95% CI:1.15, 1.26) were associated with an increased risk of CRI among BHD hospitalizations. Risk factors for concurrent HRI among BHD hospitalizations include increasing age, male gender, non-Hispanic Black race, and medium hospital size. Risk factors for concurrent CRI among BHD hospitalizations include increasing age, male gender, non-Hispanic Black race, insurance payor, the presence of respiratory disease, and rural hospital location. This study adds to the literature by identifying dementia, schizophrenia, substance-use disorders, including alcohol dependence and non-dependent substance-use, and other sociodemographic factors as risk factors for a concurrent CRI in BHD hospitalizations.
极端温度事件与行为健康障碍（BHD）个体的急诊就诊、住院和死亡增加有关。本研究旨在描述纽约州 BHD 住院患者并发与温度相关疾病的危险因素。利用 2005-2019 年期间 NYS 全州范围和规划研究与合作系统的数据，在 BHD 住院患者人群中使用多变量对数二项式回归模型，估计并发与热相关（HRI）或冷相关（CRI）疾病的风险比（RR）。痴呆症（RR 1.65；95%CI：1.49，1.83）和精神分裂症（RR 1.38；95%CI：1.19，1.60）与 BHD 住院患者中 HRI 的风险增加相关，而酒精依赖（RR 2.10；95%CI：1.99，2.22）、痴呆症（RR 1.52；95%CI：1.44，1.60）、精神分裂症（RR 1.41；95%CI：1.31，1.52）和非依赖药物/酒精使用（RR 1.20；95%CI：1.15，1.26）与 BHD 住院患者并发 CRI 的风险增加相关。BHD 住院患者并发 HRI 的危险因素包括年龄增长、男性、非西班牙裔黑人种族和中等医院规模。BHD 住院患者并发 CRI 的危险因素包括年龄增长、男性、非西班牙裔黑人种族、保险支付人、存在呼吸道疾病和农村医院位置。本研究通过确定痴呆症、精神分裂症、物质使用障碍，包括酒精依赖和非依赖物质使用，以及其他社会人口因素作为 BHD 住院患者并发 CRI 的危险因素，为文献做出了贡献。
