Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.

<h4>Background</h4>Psychiatric disorders constitute a major public health concern that are associated with substantial health and socioeconomic burden. Psychiatric patients may be more vulnerable to high temperatures, which under current climate change projections will most likely increa...

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Autores principales:	Marvin Bundo, Evan de Schrijver, Andrea Federspiel, Andrea Toreti, Elena Xoplaki, Jürg Luterbacher, Oscar H Franco, Thomas Müller, Ana M Vicedo-Cabrera
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6a530c090435498d8bacabc646115368
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spelling	oai:doaj.org-article:6a530c090435498d8bacabc6461153682021-12-02T20:13:44ZAmbient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.1932-620310.1371/journal.pone.0258302https://doaj.org/article/6a530c090435498d8bacabc6461153682021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258302https://doaj.org/toc/1932-6203<h4>Background</h4>Psychiatric disorders constitute a major public health concern that are associated with substantial health and socioeconomic burden. Psychiatric patients may be more vulnerable to high temperatures, which under current climate change projections will most likely increase the burden of this public health concern.<h4>Objective</h4>This study investigated the short-term association between ambient temperature and mental health hospitalizations in Bern, Switzerland.<h4>Methods</h4>Daily hospitalizations for mental disorders between 1973 and 2017 were collected from the University Hospital of Psychiatry and Psychotherapy in Bern. Population-weighted daily mean ambient temperatures were derived for the catchment area of the hospital from 2.3-km gridded weather maps. Conditional quasi-Poisson regression with distributed lag linear models were applied to assess the association up to three days after the exposure. Stratified analyses were conducted by age, sex, and subdiagnosis, and by subperiods (1973-1989 and 1990-2017). Additional subanalyses were performed to assess whether larger risks were found during the warm season or were due to heatwaves.<h4>Results</h4>The study included a total number of 88,996 hospitalizations. Overall, the hospitalization risk increased linearly by 4.0% (95% CI 2.0%, 7.0%) for every 10°C increase in mean daily temperature. No evidence of a nonlinear association or larger risks during the warm season or heatwaves was found. Similar estimates were found across for all sex and age categories, and larger risks were found for hospitalizations related to developmental disorders (29.0%; 95% CI 9.0%, 54.0%), schizophrenia (10.0%; 95% CI 4.0%, 15.0%), and for the later rather than the earlier period (5.0%; 95% CI 2.0%, 8.0% vs. 2.0%; 95% CI -3.0%, 8.0%).<h4>Conclusions</h4>Our findings suggest that increasing temperatures could negatively affect mental status in psychiatric patients. Specific public health policies are urgently needed to protect this vulnerable population from the effects of climate change.Marvin BundoEvan de SchrijverAndrea FederspielAndrea ToretiElena XoplakiJürg LuterbacherOscar H FrancoThomas MüllerAna M Vicedo-CabreraPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258302 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marvin Bundo Evan de Schrijver Andrea Federspiel Andrea Toreti Elena Xoplaki Jürg Luterbacher Oscar H Franco Thomas Müller Ana M Vicedo-Cabrera Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
description	<h4>Background</h4>Psychiatric disorders constitute a major public health concern that are associated with substantial health and socioeconomic burden. Psychiatric patients may be more vulnerable to high temperatures, which under current climate change projections will most likely increase the burden of this public health concern.<h4>Objective</h4>This study investigated the short-term association between ambient temperature and mental health hospitalizations in Bern, Switzerland.<h4>Methods</h4>Daily hospitalizations for mental disorders between 1973 and 2017 were collected from the University Hospital of Psychiatry and Psychotherapy in Bern. Population-weighted daily mean ambient temperatures were derived for the catchment area of the hospital from 2.3-km gridded weather maps. Conditional quasi-Poisson regression with distributed lag linear models were applied to assess the association up to three days after the exposure. Stratified analyses were conducted by age, sex, and subdiagnosis, and by subperiods (1973-1989 and 1990-2017). Additional subanalyses were performed to assess whether larger risks were found during the warm season or were due to heatwaves.<h4>Results</h4>The study included a total number of 88,996 hospitalizations. Overall, the hospitalization risk increased linearly by 4.0% (95% CI 2.0%, 7.0%) for every 10°C increase in mean daily temperature. No evidence of a nonlinear association or larger risks during the warm season or heatwaves was found. Similar estimates were found across for all sex and age categories, and larger risks were found for hospitalizations related to developmental disorders (29.0%; 95% CI 9.0%, 54.0%), schizophrenia (10.0%; 95% CI 4.0%, 15.0%), and for the later rather than the earlier period (5.0%; 95% CI 2.0%, 8.0% vs. 2.0%; 95% CI -3.0%, 8.0%).<h4>Conclusions</h4>Our findings suggest that increasing temperatures could negatively affect mental status in psychiatric patients. Specific public health policies are urgently needed to protect this vulnerable population from the effects of climate change.
format	article
author	Marvin Bundo Evan de Schrijver Andrea Federspiel Andrea Toreti Elena Xoplaki Jürg Luterbacher Oscar H Franco Thomas Müller Ana M Vicedo-Cabrera
author_facet	Marvin Bundo Evan de Schrijver Andrea Federspiel Andrea Toreti Elena Xoplaki Jürg Luterbacher Oscar H Franco Thomas Müller Ana M Vicedo-Cabrera
author_sort	Marvin Bundo
title	Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
title_short	Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
title_full	Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
title_fullStr	Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
title_full_unstemmed	Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.
title_sort	ambient temperature and mental health hospitalizations in bern, switzerland: a 45-year time-series study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6a530c090435498d8bacabc646115368
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Ambient temperature and mental health hospitalizations in Bern, Switzerland: A 45-year time-series study.

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