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Association between Meteorological Factors and Outpatient Visits for Herpes Zoster in Hefei, China: A Time-Series Analysis

Author

Listed:
  • Xiaojie Lv

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China
    These authors contributed equally to this work.)

  • Xinyu Fang

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China
    These authors contributed equally to this work.)

  • Tingting Qian

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Yuyu Cai

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Peng Gao

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Haifeng Chen

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Qing Wu

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Jun Wu

    (Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Medical University, Dongguan 523000, China)

  • Yinguang Fan

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

  • Dongqing Ye

    (Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
    Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei 230032, China)

Abstract

This study sought to investigate the relationship between meteorological factors and outpatient visits for herpes zoster. In this time-series analysis, we used data from two major hospitals in Hefei, collected between 2015 and 2019, to evaluate the impact of meteorological factors on the risk of herpes zoster. After controlling for confounders, we adopted a distributed lag nonlinear model to probe the relationship between meteorological factors and outpatient visits for herpes zoster. The analysis was stratified according to age (<40 years, ≥40 years) and sex (male, female). A total of 43,547 cases of herpes zoster were reported, and compared with the median value, a high temperature and high relative humidity had a significant risk effect on the incidence of herpes zoster. The maximum harmful effect of high temperature on herpes zoster occurred on the lag0 (RR: 1.027, 95% CI: 1.002–1.053) and further declined over the following days. The cumulative effect increased with the extension of lag days, and the cumulative RR was the largest on the sixth day of lag (RR1.031, 95% CI: 1.006–1.056) when the relative humidity was 85.7% (77.0% as the reference). The stratified analysis results reveal that females and the elderly (≥40 years) were more susceptible to temperature and relative humidity. This study shows that high-temperatures may lead to herpes zoster, indicating that those infected with varicella zoster virus need to take measures over the course of several days when not exposed to the best appropriate temperature conditions.

Suggested Citation

  • Xiaojie Lv & Xinyu Fang & Tingting Qian & Yuyu Cai & Peng Gao & Haifeng Chen & Qing Wu & Jun Wu & Yinguang Fan & Dongqing Ye, 2023. "Association between Meteorological Factors and Outpatient Visits for Herpes Zoster in Hefei, China: A Time-Series Analysis," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2097-:d:1045204
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    References listed on IDEAS

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    1. Yanjun Wang & Anqian Wang & Jianqing Zhai & Hui Tao & Tong Jiang & Buda Su & Jun Yang & Guojie Wang & Qiyong Liu & Chao Gao & Zbigniew W. Kundzewicz & Mingjin Zhan & Zhiqiang Feng & Thomas Fischer, 2019. "Tens of thousands additional deaths annually in cities of China between 1.5 °C and 2.0 °C warming," Nature Communications, Nature, vol. 10(1), pages 1-7, December.
    2. Xaquin Castro Dopico & Marina Evangelou & Ricardo C. Ferreira & Hui Guo & Marcin L. Pekalski & Deborah J. Smyth & Nicholas Cooper & Oliver S. Burren & Anthony J. Fulford & Branwen J. Hennig & Andrew M, 2015. "Widespread seasonal gene expression reveals annual differences in human immunity and physiology," Nature Communications, Nature, vol. 6(1), pages 1-13, November.
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