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Original Article
Seasonal impact of diurnal temperature range on intracerebral hemorrhage in middle-aged and elderly people in central China
Shiwen Wang, Jinyu Yin, Hao Zhou, Jingmin Lai, Guizhen Xiao, Zhuoya Tong, Jing Deng, Fang Yang, Qianshan Shi, jingcheng shi
Epidemiol Health. 2024;46:e2024053.   Published online June 11, 2024
DOI: https://doi.org/10.4178/epih.e2024053
  • 11,799 View
  • 63 Download
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study investigated the seasonal impact of diurnal temperature range (DTR) on hospitalization rates for intracerebral hemorrhage (ICH) in middle-aged and elderly adults.
METHODS
We collected data on the DTR and hospitalization records of ≥45-year-old patients with ICH in 2019 in Hunan Province, central China. Time-series analyses were performed using a distributed lag non-linear model.
RESULTS
Overall, 54,690 hospitalizations for ICH were recorded. DTR showed a non-linear relationship with ICH hospitalization in both middle-aged and elderly populations (45-59 and ≥60 years, respectively). During spring, a low DTR coupled with persistently low temperatures increased ICH risk in both age groups, while a high DTR was associated with an increased risk in the middle-aged group only (relative risk [RR], 1.24; 95% confidence interval [CI], 1.21 to 1.27). In the summer, a low DTR combined with persistently high temperatures was linked to a higher risk exclusively in the middle-aged group. A high DTR in the autumn was correlated with increased risk in both age groups. In winter, either a low DTR with a continuously low temperature or a high DTR elevated the risk solely in the elderly population (RR, 1.37; 95% CI, 1.00 to 1.69). In the elderly group, the impact of DTR on hospitalization risk manifested within a 5-day period.
CONCLUSIONS
The impact of DTR on ICH hospitalization risk differed significantly across seasons and between age groups. Elderly individuals demonstrated greater sensitivity to the impact of DTR. Weather forecasting services should emphasize DTR values, and interventions targeting sensitive populations are needed.
Summary
Key Message
In a large-scale, study of 54,690 hospitalizations for intracerebral hemorrhage (ICH) from China, we identified the seasonal impact of diurnal temperature range (DTR) on hospitalization rates for intracerebral hemorrhage (ICH) in middle aged and elderly adults. Specifically, the impact of DTR on ICH hospitalization risk differed significantly across seasons and between age groups. Elderly individuals demonstrated greater sensitivity to the impact of DTR. The findings of this study could be instrumental in the prevention and control of ICH.

Citations

Citations to this article as recorded by  
  • Climate change and older adults: mapping health impacts and intervention strategies: a scoping review
    Ponnarasu Ponnu, Manish Taywade, Sandeep Das
    Osong Public Health and Research Perspectives.2026; 17(3): 196.     CrossRef
COVID-19: Perspective
Magnifying the importance of collecting race, ethnicity, industry, and occupation data during the COVID-19 pandemic
Sai Krishna Gudi, Sophia M. George, Komal Krishna Tiwari
Epidemiol Health. 2021;43:e2021095.   Published online November 6, 2021
DOI: https://doi.org/10.4178/epih.e2021095
  • 25,590 View
  • 92 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
The contagiousness of coronavirus disease-2019 (COVID-19) led to the imposition of historical lockdowns in various countries. No scientific mind could have made accurate projections of the tremendous impact that COVID-19 would have on nations, communities, and the global-wide economy. Meanwhile, millions of workers have lost their jobs, while healthcare workers are overwhelmed and are reaching a state of mental and physical exhaustion. With the uncontrollable spread, researchers have been working to identify factors associated with COVID-19. In this regard, race, ethnicity, industry, and occupation have been found to be predominant factors of interest. However, unfortunately, the unavailability of such information has been a difficult reality. Since race, ethnicity, and employment are essential social determinants of health and could serve as potential risk-factors for COVID-19, collecting such information may offer important context for prioritising vulnerable groups. Thus, this perspective aims to highlight the importance and need for collecting race, ethnicity, and occupation-related data to track and treat the racial/ethnic groups that have been most strongly affected by the COVID-19 pandemic. Collecting such data will provide valuable insights and help public health officials recognise workplace-related outbreaks and evaluate the odds of various ethnic groups and professions contracting COVID-19.
Summary
Key Message
As essential social determinants of health, collecting and recording the race/ethnicity, occupation and industry information will provide valuable insights and help public health officials identify workplace-related outbreaks and evaluate the odds of various ethnic groups and professions contracting COVID-19.

Citations

Citations to this article as recorded by  
  • Use of Different Inclusion Criteria to Compare COVID-19 Hospital Admission Rates by Race and Ethnicity: A Cohort Study
    Joshua Longcoy, Zeynep Isgor, Sumihiro Suzuki, Elizabeth Lynch, Heng Wang, David Ansell, Tricia J. Johnson
    Healthcare.2025; 13(4): 381.     CrossRef
  • The relationship between administratively recorded ethnicity and outcomes for people admitted to Australian intensive care units with COVID-19
    Carys Jones, Hannah Rotherham, Andrew Udy, Ary Serpa Neto, Nadia Chaves, Lewis Campbell, Alex Brown, Aaliya Ibrahim, Aidan Burrell
    Australian Critical Care.2025; 38(4): 101228.     CrossRef
  • Evaluating COVID-19 Risk to Essential Workers by Occupational Group: A Case Study in Massachusetts
    Beth M. Haley, Prasad Patil, Jonathan I. Levy, Keith R. Spangler, Koen F. Tieskens, Fei Carnes, Xiaojing Peng, R. Monina Klevens, T. Scott Troppy, M. Patricia Fabian, Kevin J. Lane, Jessica H. Leibler
    Journal of Community Health.2024; 49(1): 91.     CrossRef
Original Article
Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors
Teklehaymanot Huluf Abraha, Alemayehu Shimeka Teferra, Abebaw Addis Gelagay
Epidemiol Health. 2017;39:e2017012.   Published online March 20, 2017
DOI: https://doi.org/10.4178/epih.e2017012
  • 39,084 View
  • 708 Download
  • 57 Web of Science
  • 54 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The postpartum period is a critical period for addressing widespread unmet needs in family planning and for reducing the risks of closely spaced pregnancies. However, contraception during the extended postpartum period has been underemphasized in Ethiopia. Therefore, this study aimed to assess postpartum modern contraceptive use among women in northern Ethiopia and to identify factors associated with modern contraceptive use in the postpartum period.
METHODS
A community based cross-sectional study was conducted from March to April, 2015. Data were entered using Epi Info version 7 and then exported into Stata version 12 for analysis. Bivariate and multivariate logistic regression models were fitted to identify the determinants of postpartum modern contraceptive use. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated, and p-values <0.05 were considered to indicate statistical significance.
RESULTS
Nearly half (48.0%) of women used modern contraceptives during the extended postpartum period. Postpartum modern contraceptive use was significantly associated with secondary and tertiary education levels (aOR, 4.25; 95% CI, 1.29 to 14.00; aOR, 5.36 ; 95% CI, 1.14 to 25.45, respectively), family planning counseling during prenatal and postnatal care (aOR, 5.72 ; 95% CI, 2.67, 12.28), having postnatal care (aOR, 2.36; 95% CI, 1.15 to 4.87), resuming sexual activity (aOR, 9.53; 95% CI, 3.74 to 24.27), and menses returning after birth (aOR, 6.35; 95% CI, 3.14 to 13.39). In addition, experiencing problems with previous contraceptive use was negatively associated with modern contraceptive use (aOR, 0.34; 95% CI, 0.16 to 0.72).
CONCLUSIONS
Low rate of postpartum modern contraceptive use were found in the study area. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women’s educational status are crucial steps for to enhance modern contraceptive use among postpartum women.
Summary

Citations

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    International Journal of Medicine and Health Development.2026; 31(1): 97.     CrossRef
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    Yash Pandey, Ritu Sharma, Ruchi Verma, Pinky Mishra
    Journal of South Asian Federation of Obstetrics and Gynaecology.2026; 18(1): 60.     CrossRef
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    Maitreyee Sharma, Biplob Bhuyan
    Journal of Human Behavior in the Social Environment.2025; : 1.     CrossRef
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    Bisrategebriel Tesfaye Muchie, Ashenafi Abate Woya, Awoke Seyoum Tegegne, Maru Zewdu Kassie, Muluhabt Alene Assfaw, Wondaya Fenta Zewdia
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