Effects of socioeconomic status and greenspace on respiratory emergency department visits under short-term temperature variations : An age-stratified case time-series study
Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review
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Detail(s)
| Original language | English |
|---|---|
| Article number | 116613 |
| Journal / Publication | Social Science and Medicine |
| Volume | 343 |
| Online published | 23 Jan 2024 |
| Publication status | Published - Feb 2024 |
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Abstract
Introduction: Neighborhood socioeconomic status (SES) and greenspace can affect respiratory health. However, it is unclear whether effects of neighborhood SES and greenspace on respiratory health still exist regardless of temperature variations.
Methods: This paper conducted a two-stage, age-stratified case time-series study. The first goal is to examine the associations between two temperature metrics (daily mean temperature [DMT] and diurnal temperature range [DTR]) and respiratory emergency department (ED) visits among four age groups in New York City. The second goal is to evaluate whether neighborhood SES and greenspace would be determinants of respiratory ED visits independent from temperature varying factors. A distributed lag nonlinear model was applied on ED data from 135 zip codes (October 2016 - February 2020).
Results: Our first-stage analysis indicated that older adults aged 65+ had higher risks of ED visit (RR=2.78, 95% eCI: 2.41, 3.22; with 7 days of lag) on days with low DMT (-10 °C), followed by adults aged 18-64 (RR=2.48, 95% eCI: 2.32, 2.65), children and youth aged 5-17 (RR=1.38, 95% eCI: 1.24, 1.53), and young children aged 0-4 (RR=1.04, 95% eCI: 0.96, 1.13). However, no excess respiratory ED visits were observed on days with high DMT (30 °C). Higher DTR was associated with higher risks, with children and youth more susceptible when DTR was high (DTR 20 °C; RR=5.70, 95% eCI: 3.42, 9.49; with 7 days of lag). The second-stage analysis indicated neighborhood SES and greenspace had significant associations with respiratory ED visits regardless of temperature variations. Specifically, Higher income and greenspace exposure were negatively associated with ED visits among all age groups.
Conclusions: Neighborhood SES and greenspace could affect respiratory morbidity regardless of weather conditions. Daily temperature variations accelerated the short-term risk among population subgroups under different weather conditions (e.g., higher risk of days with low DMT among older adults, higher risk of days with high DTR among children and youth aged 5-17), which could create co-effects with neighborhood SES and greenspace on respiratory health.
© 2024 Elsevier Ltd. All rights reserved.
Methods: This paper conducted a two-stage, age-stratified case time-series study. The first goal is to examine the associations between two temperature metrics (daily mean temperature [DMT] and diurnal temperature range [DTR]) and respiratory emergency department (ED) visits among four age groups in New York City. The second goal is to evaluate whether neighborhood SES and greenspace would be determinants of respiratory ED visits independent from temperature varying factors. A distributed lag nonlinear model was applied on ED data from 135 zip codes (October 2016 - February 2020).
Results: Our first-stage analysis indicated that older adults aged 65+ had higher risks of ED visit (RR=2.78, 95% eCI: 2.41, 3.22; with 7 days of lag) on days with low DMT (-10 °C), followed by adults aged 18-64 (RR=2.48, 95% eCI: 2.32, 2.65), children and youth aged 5-17 (RR=1.38, 95% eCI: 1.24, 1.53), and young children aged 0-4 (RR=1.04, 95% eCI: 0.96, 1.13). However, no excess respiratory ED visits were observed on days with high DMT (30 °C). Higher DTR was associated with higher risks, with children and youth more susceptible when DTR was high (DTR 20 °C; RR=5.70, 95% eCI: 3.42, 9.49; with 7 days of lag). The second-stage analysis indicated neighborhood SES and greenspace had significant associations with respiratory ED visits regardless of temperature variations. Specifically, Higher income and greenspace exposure were negatively associated with ED visits among all age groups.
Conclusions: Neighborhood SES and greenspace could affect respiratory morbidity regardless of weather conditions. Daily temperature variations accelerated the short-term risk among population subgroups under different weather conditions (e.g., higher risk of days with low DMT among older adults, higher risk of days with high DTR among children and youth aged 5-17), which could create co-effects with neighborhood SES and greenspace on respiratory health.
© 2024 Elsevier Ltd. All rights reserved.
Research Area(s)
- Emergency department visit, diurnal temperature range, DTR, daily mean temperature, DMT, respiratory disease, greenspace, neighborhood SES
Citation Format(s)
Effects of socioeconomic status and greenspace on respiratory emergency department visits under short-term temperature variations: An age-stratified case time-series study. / Liu, Shengjie; Ho, Hung Chak.
In: Social Science and Medicine, Vol. 343, 116613, 02.2024.
In: Social Science and Medicine, Vol. 343, 116613, 02.2024.
Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review
