Association between temperature change and outpatient visits for respiratory tract infections among children in Guangzhou, China
Open accessAbstract
The current study examined the association between temperature change and clinical visits for childhood respiratory tract infections (RTIs) in Guangzhou, China. Outpatient records of clinical visits for pediatric RTIs, which occurred from 1 January 2012 to 31 December 2013, were collected from Guangzhou Women and Children's Hospital. Records for meteorological variables during the same period were obtained from the Guangzhou Meteorological Bureau. Temperature change was defined as the difference between the mean temperatures on two consecutive days. A distributed lag non-linear model (DLNM) was used to examine the impact of temperature change on pediatric outpatient visits for RTIs. A large temperature decrease was associated with a significant risk for an RTI, with the effect lasting for ~10 days. The maximum effect of a temperature drop (-8.8 °C) was reached at lag 2~3 days. Children aged 0-2 years, and especially those aged <1 year, were particularly vulnerable to the effects of temperature drop. An extreme temperature decrease affected the number of patient visits for both upper respiratory tract infections (URTIs) and lower respiratory tract infections (LRTIs). A temperature change between consecutive days, and particularly an extreme temperature decrease, was significantly associated with increased pediatric outpatient visits for RTIs in Guangzhou.
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A rapid change of temperature and humidity levels can significantly affect respiratory and infectious diseases in children.
“whereas a rapid change of temperature and humidity levels can significantly affect respiratory and infectious diseases in children.41,42”
From Climate change and child health: A scoping review and an expanded conceptual framework (2021) · cites this paper as [42]
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- Authors
- Liu, Y., Guo, Y., Wang, C., Li, W., Lu, J., Shen, S., Xia, H., He, J., & Qiu, X.
- Affiliations
- Sun Yat-sen University (CN)
- Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Sun Yat-sen University, 9 Jinsui Road, Guangzhou 510623, China
- Corresponding author
- Qiu, Xiu
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2015-01-06
- Volume
- 12
- Issue
- 1
- Pages
- 439-454
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC4306872
- OpenAlex
- W2039234383
- Cited by
- 63
- References
- 55
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 7 · 2023: 5 · 2022: 6 · 2021: 14 · 2020: 5 · 2019: 10 · 2018: 4 · 2017: 3 · 2015: 1
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Guangzhou Science and Technology Bureau, Guangzhou, China (2012J5100038)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
- Keywords
- temperature change, respiratory infections, pediatric outpatient visits, temperature drop, upper respiratory tract infection, lower respiratory tract infection, Guangzhou
- MeSH terms
- Adolescent, Child, Child, Preschool, China, Female, Humans, Infant, Infant, Newborn, Male, Outpatients, Respiratory Tract Infections, Seasons, Temperature, Nonlinear Dynamics
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