气象因素与健康相关行为关联的流行病学研究进展

Epidemiological research progress on association between meteorological factors and health-related behaviors

  • 摘要: 气候变化是21世纪人类面临的重大环境问题。气候变化可通过直接或间接途径影响人群健康,是威胁人类健康的重大公共卫生问题。本文收集了国内外气象因素与健康相关行为关联的研究,综述了气象因素与体力活动、睡眠、膳食行为以及人群接触行为的关联。结果表明,气象因素(包括气温、相对湿度、风速、气压、降雨等)与上述四种健康行为均存在一定的关联。其中:体力活动水平与气温、相对湿度和降雨量呈负相关;睡眠质量会在极端温度、高压或低压以及极端天气影响下降低;膳食行为会受到高温、低温、低压以及日照时长的影响从而改变食欲和摄入情况;社会接触行为频率会在极端温度、降雨量增加以及极端天气情况下降低。但目前,在不同气象因素与健康相关行为的研究中,其关联的强度和方向存在差异,多种气象因素复合暴露与健康相关行为关联的研究亦罕见,不同气象因素与不同健康行为的关联机制尚不明确。因此,今后需要加强上述几个方面的多中心大样本研究,探明气象因素与健康行为关联的生物学和行为学机制,以阐明气象因素对人类健康行为广泛而复杂的影响,为政策制定提供科学依据,减少气候变化对人群健康的负面影响。

     

    Abstract: Climate change is a significant environmental concern in the 21st century. It can directly and indirectly affect public health, making it a major public health problem. This review focused on the relationship between meteorological factors and health-related behaviors such as physical activity, sleep, dietary behavior, and social contact behavior. The results indicated that meteorological factors such as temperature, relative humidity, wind speed, atmospheric pressure, and rainfall are associated with the four health behaviors. Physical activity levels are negatively associated with temperature, relative humidity, and rainfall. Sleep quality tends to decrease under extreme temperatures and extreme weather events. Dietary behavior is influenced by high and low temperatures, low pressure, and daylight duration, which in turn affects appetite and food intake. Social contact frequency decreases in response to extreme temperatures, increased rainfall, and extreme weather events. However, there are differences in the strength and direction of the associations between meteorological factors and health-related behaviors in various studies. Research on the combined effects of multiple meteorological factors exposure on health-related behaviors is rare, and the mechanisms underlying the associations are unclear. Therefore, there is a need for more multi-center, large-scale studies to explore the biological and behavioral mechanisms behind these associations, which will help clarify the complex effects of meteorological factors on human health behaviors and provide scientific evidence for policy-making, thereby mitigating the negative impact of climate change on public health.

     

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