标题：
Association of NO(2) with daily hospital admissions for mental disorders: Investigation of the modification effects of green spaces and long-term NO(2) exposure.
点击次数：
影响因子：
4.8
DOI码：
10.1016/j.jpsychires.2022.11.014
所属单位：
Wuhan Information Control Health & Family Planning
教研室：
School of Public Health, Wuhan University
发表刊物：
Journal of Psychiatric Research
刊物所在地：
England
关键字：
hospitals; mental disorders; nitrogen dioxide; green space
摘要：
Air pollution is a risk factor for increased hospital admissions due to mental disorders, while green spaces have been linked with better mental health. We linked daily hospital admission records from Wuhan's 74 municipal hospitals from 2017 to 2019 with modeled annual average NO2 concentrations and added data on the residential surrounding green spaces with 250 m and 500 m buffers based on the normalized difference vegetation index (NDVI) using a land use regression model (LUR). The conditional logistic regression model was used to estimate the acute effect of short-term NO2 exposure, and stratification analyses were applied to explore the modification effect of long-term NO2 exposure and green spaces by estimating the odds ratios in the single- and dual-environmental factor groups. A total of 42,705 hospital admissions for mental disorders were identified. Short-term exposure to NO2 was associated with an increased risk of hospital admission for mental disorders. A 10 μg/m3 increase in NO2 (lag01 day) was associated with an increase in hospital admissions of 2.86% (95% CI, 2.05–3.68) for the total mental disorders. Compared with patients in the “low-NDVI/low-NO2” group (ER = 2.27%, 95% CI, 0.27–4.31), patients in the “high-NDVI/low-NO2” group (ER = 1.93%, −0.10−3.99) showed a lower and insignificant increase in hospitalizations for the total mental disorders, while greenness had a slight moderating effect in the high-level long-term NO2 exposure areas. This study suggested that green spaces may moderate the acute effect of NO2 exposure for mental disorder hospitalizations, especially in low-level long-term NO2 exposure areas.
合写作者：
Xingyuan Liu,Jingjing Liao,Xuxi Ma,Kuizhuang Jiao,Xiaodie Wang,Jing Wang,Haoming Yang
论文类型：
期刊论文
通讯作者：
Lu Ma
学科门类：
医学
文献类型：
J
卷号：
156
期号：
12
页面范围：
698-704
ISSN号：
0022-3956
是否译文：
否
发表时间：
2022-12-31
收录刊物：
SCI
发表时间：
2022-12-31
学科：
流行病与卫生统计学
所在单位：公共卫生学院