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The association between drought and outpatient visits for respiratory diseases in four northwest cities of China

Author

Listed:
  • Bo Wang

    (Lanzhou University)

  • Shunxia Wang

    (The First Hospital of Tianshui)

  • Lanyu Li

    (Lanzhou University)

  • Shenggang Xu

    (Medical College of Hexi University)

  • Chengyun Li

    (Lanzhou University)

  • Sheng Li

    (The First People’s Hospital of Lanzhou)

  • Jinyu Wang

    (Lanzhou University)

  • Hupeng He

    (Gansu Provincial Centre for Diseases Prevention and Control)

  • Jingping Niu

    (Lanzhou University)

  • Kai Zhang

    (University at Albany, State University of New York)

  • Bin Luo

    (Lanzhou University
    Shanghai Meteorological Bureau
    China Meteorological Administration)

Abstract

Drought is a devastating natural hazard that significantly affects human health and social and economic activities. This study aims to explore the short-term association between drought and outpatient visits for respiratory diseases (RDs) in four northwest cities, China. In this study, we obtained daily outpatient visits for RDs, meteorological factors, and air pollutant data in four cities (Lanzhou from 2014 to 2016, Wuwei from 2016 to 2018, Tianshui and Zhangye from 2015 to 2018) of northwest China. We used the daily Standardized Precipitation Index (SPI) as an indicator of drought and estimated the effects of drought on outpatient visits with RDs by using a generalized additive model (GAM) in each city, controlling for daily temperature, time trends, and other confounding factors. The city-specific estimates were pooled by random-effects meta-analysis. There were 1,134,577 RDs cases in the hospitals across the four cities. We found that a 1-unit decrease in daily exposure to SPI-1 was positively associated with daily outpatient visits for RDs, with estimated RR of 1.0230 (95% CIs: 1.0096, 1.0366). Compared to non-drought periods, the RR of daily outpatient visits for RDs for exposure to all drought conditions was 1.0431 (95% CIs: 1.0309, 1.0555). In subgroup analysis, the estimated effects of drought on outpatient visits for RDs appeared larger for males than females though not statistically different, and the estimated effects in children and adolescents were the greatest among different age groups. Drought likely increases the risk of respiratory diseases, particularly among children and adolescents. We highlight that public health adaptations to drought such as drought monitoring, mitigation measures, and adaptation strategies are necessary.

Suggested Citation

  • Bo Wang & Shunxia Wang & Lanyu Li & Shenggang Xu & Chengyun Li & Sheng Li & Jinyu Wang & Hupeng He & Jingping Niu & Kai Zhang & Bin Luo, 2021. "The association between drought and outpatient visits for respiratory diseases in four northwest cities of China," Climatic Change, Springer, vol. 167(1), pages 1-15, July.
    • Handle: RePEc:spr:climat:v:167:y:2021:i:1:d:10.1007_s10584-021-03152-7
    DOI: 10.1007/s10584-021-03152-7
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    References listed on IDEAS

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    1. Barreau, T. & Conway, D. & Haught, K. & Jackson, R. & Kreutzer, R. & Lockman, A. & Minnick, S. & Roisman, R. & Rozell, D. & Smorodinsky, S. & Tafoya, D. & Wilken, J.A., 2017. "Physical, mental, and financial impacts from drought in two California Counties, 2015," American Journal of Public Health, American Public Health Association, vol. 107(5), pages 783-790.
    2. Stain, Helen J. & Kelly, Brian & Carr, Vaughan J. & Lewin, Terry J. & Fitzgerald, Michael & Fragar, Lyn, 2011. "The psychological impact of chronic environmental adversity: Responding to prolonged drought," Social Science & Medicine, Elsevier, vol. 73(11), pages 1593-1599.
    3. repec:aph:ajpbhl:10.2105/ajph.2017.303695_4 is not listed on IDEAS
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    Cited by:

    1. Mahin Al Nahian, 2023. "Public Health Impact and Health System Preparedness within a Changing Climate in Bangladesh: A Scoping Review," Challenges, MDPI, vol. 14(1), pages 1-28, January.
    2. Yanlin Li & Jianyun Sun & Ruoyi Lei & Jie Zheng & Xiaoyu Tian & Baode Xue & Bin Luo, 2023. "The Interactive Effects between Drought and Air Pollutants on Children’s Upper Respiratory Tract Infection: A Time-Series Analysis in Gansu, China," IJERPH, MDPI, vol. 20(3), pages 1-14, January.

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