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Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan

Author

Listed:
  • Fang-Ling Li

    (Department of Psychiatry, Tri-Service General Hospital Beitou Branch, National Defense Medical Center, Taipei City 112, Taiwan
    Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei City 114, Taiwan)

  • Wu-Chien Chien

    (Department of Medical Research, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei City 114, Taiwan
    School of Public Health, National Defense Medical Center, Taipei City 114, Taiwan
    Graduate Institute of Life Sciences, National Defense Medical Center, Taipei City 114, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei City 114, Taiwan)

  • Chi-Hsiang Chung

    (Department of Medical Research, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei City 114, Taiwan
    School of Public Health, National Defense Medical Center, Taipei City 114, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei City 114, Taiwan)

  • Chung-Yu Lai

    (Graduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei City 114, Taiwan
    Equal contribution.)

  • Nian-Sheng Tzeng

    (Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei City 114, Taiwan
    Student Counseling Center, National Defense Medical Center, Taipei City 114, Taiwan
    Equal contribution.)

Abstract

This study aimed to investigate the association between the heat-related illness (HRI) and the risk of developing psychiatric disorders. From 2000 to 2015, there were 3126 patients with newly diagnosed HRI selected from the National Health Insurance Research Database, along with 31,260 controls matched for gender and age. Fine and Gray’s analysis was used to compare the risk of psychiatric disorders during the 16 years of follow-up. Among the subjects, 523 of the HRI patients and 3619 of the control group (1774.18 vs. 1193.78 per 100,000 person-years) developed psychiatric disorders. Compared with non-HRI patients, the HRI ones had a 3.849-fold risk of being attacked by psychiatric disorders (95% CI: 3.632–4.369, p < 0.001) after adjusting for potential confounders. The sensitivity analysis revealed that the relationship between the HRI and the listed psychiatric disorders was determined by the exclusion of the first-year psychiatric events after the HRI. In spite of deleting the psychiatric diagnoses of the first five years, the HRI was still correlated with the development of psychiatric disorders with the exception of schizophreniform disorders, posttraumatic stress disorders, and acute stress disorder. Therefore, our findings concluded that the HRI could be a potential influence on the increased hazard of psychiatric disorders.

Suggested Citation

  • Fang-Ling Li & Wu-Chien Chien & Chi-Hsiang Chung & Chung-Yu Lai & Nian-Sheng Tzeng, 2022. "Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan," IJERPH, MDPI, vol. 19(13), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8087-:d:853682
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    Cited by:

    1. Constanța Rînjea & Oana Roxana Chivu & Doru-Costin Darabont & Anamaria Ioana Feier & Claudia Borda & Marilena Gheorghe & Dan Florin Nitoi, 2022. "Influence of the Thermal Environment on Occupational Health and Safety in Automotive Industry: A Case Study," IJERPH, MDPI, vol. 19(14), pages 1-13, July.

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