dc.contributor.author |
Kunene, Z
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dc.contributor.author |
Kapwata, T
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dc.contributor.author |
Mathee, A
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dc.contributor.author |
Sweijd, Neville A
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dc.contributor.author |
Minakawa, N
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dc.contributor.author |
Naidoo, N
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dc.contributor.author |
Wright, CY
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dc.date.accessioned |
2024-03-04T18:18:47Z |
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dc.date.available |
2024-03-04T18:18:47Z |
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dc.date.issued |
2023-04 |
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dc.identifier.citation |
Kunene, Z., Kapwata, T., Mathee, A., Sweijd, N.A., Minakawa, N., Naidoo, N. & Wright, C. 2023. Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa. <i>Healthcare, 11(9).</i> http://hdl.handle.net/10204/13614 |
en_ZA |
dc.identifier.issn |
2227-9032 |
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dc.identifier.uri |
doi: 10.3390/healthcare11091251.
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dc.identifier.uri |
http://hdl.handle.net/10204/13614
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dc.description.abstract |
Diarrhea contributes significantly to global morbidity and mortality. There is evidence that diarrhea prevalence is associated with ambient temperature. This study aimed to determine if there was an association between ambient temperature and diarrhea at a rural site in South Africa. Daily diarrheal hospital admissions (2007 to 2016) at two large district hospitals in Mopani district, Limpopo province were compared to average daily temperature and apparent temperature (Tapp, 'real-feel' temperature that combined temperature, relative humidity, and wind speed). Linear regression and threshold regression, age-stratified to participants =5 years and >5 years old, considered changes in daily admissions by unit °C increase in Tapp. Daily ranges in ambient temperature and Tapp were 2-42 °C and -5-34 °C, respectively. For every 1 °C increase in average daily temperature, there was a 6% increase in hospital admissions for diarrhea for individuals of all ages (95% CI: 0.04-0.08; p < 0.001) and a 4% increase in admissions for individuals older than 5 years (95% CI: 0.02-0.05; p < 0.001). A positive linear relationship between average daily Tapp and all daily diarrheal admissions for children =5 years old was not statistically significant (95% CI: -0.00-0.03; p = 0.107). Diarrhea is common in children =5 years old, however, is more likely triggered by factors other than temperature/Tapp, while it is likely associated with increased temperature in individuals >5 years old. We are limited by lack of data on confounders and effect modifiers, thus, our findings are exploratory. To fully quantify how temperature affects hospital admission counts for diarrhea, future studies should include socio-economic-demographic factors as well as WASH-related data such as personal hygiene practices and access to clean water. |
en_US |
dc.format |
Fulltext |
en_US |
dc.language.iso |
en |
en_US |
dc.relation.uri |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177752/pdf/healthcare-11-01251.pdf |
en_US |
dc.relation.uri |
https://pubmed.ncbi.nlm.nih.gov/37174793/ |
en_US |
dc.source |
Healthcare, 11(9) |
en_US |
dc.subject |
Apparent temperature |
en_US |
dc.subject |
Climate change |
en_US |
dc.subject |
Environmental health |
en_US |
dc.subject |
Infectious disease |
en_US |
dc.subject |
Morbidity |
en_US |
dc.subject |
Threshold regression |
en_US |
dc.title |
Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa |
en_US |
dc.type |
Article |
en_US |
dc.description.pages |
13 |
en_US |
dc.description.note |
Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
en_US |
dc.description.cluster |
Smart Places |
en_US |
dc.description.impactarea |
ACCESS Programme |
en_US |
dc.identifier.apacitation |
Kunene, Z., Kapwata, T., Mathee, A., Sweijd, N. A., Minakawa, N., Naidoo, N., & Wright, C. (2023). Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa. <i>Healthcare, 11(9)</i>, http://hdl.handle.net/10204/13614 |
en_ZA |
dc.identifier.chicagocitation |
Kunene, Z, T Kapwata, A Mathee, Neville A Sweijd, N Minakawa, N Naidoo, and CY Wright "Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa." <i>Healthcare, 11(9)</i> (2023) http://hdl.handle.net/10204/13614 |
en_ZA |
dc.identifier.vancouvercitation |
Kunene Z, Kapwata T, Mathee A, Sweijd NA, Minakawa N, Naidoo N, et al. Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa. Healthcare, 11(9). 2023; http://hdl.handle.net/10204/13614. |
en_ZA |
dc.identifier.ris |
TY - Article
AU - Kunene, Z
AU - Kapwata, T
AU - Mathee, A
AU - Sweijd, Neville A
AU - Minakawa, N
AU - Naidoo, N
AU - Wright, CY
AB - Diarrhea contributes significantly to global morbidity and mortality. There is evidence that diarrhea prevalence is associated with ambient temperature. This study aimed to determine if there was an association between ambient temperature and diarrhea at a rural site in South Africa. Daily diarrheal hospital admissions (2007 to 2016) at two large district hospitals in Mopani district, Limpopo province were compared to average daily temperature and apparent temperature (Tapp, 'real-feel' temperature that combined temperature, relative humidity, and wind speed). Linear regression and threshold regression, age-stratified to participants =5 years and >5 years old, considered changes in daily admissions by unit °C increase in Tapp. Daily ranges in ambient temperature and Tapp were 2-42 °C and -5-34 °C, respectively. For every 1 °C increase in average daily temperature, there was a 6% increase in hospital admissions for diarrhea for individuals of all ages (95% CI: 0.04-0.08; p < 0.001) and a 4% increase in admissions for individuals older than 5 years (95% CI: 0.02-0.05; p < 0.001). A positive linear relationship between average daily Tapp and all daily diarrheal admissions for children =5 years old was not statistically significant (95% CI: -0.00-0.03; p = 0.107). Diarrhea is common in children =5 years old, however, is more likely triggered by factors other than temperature/Tapp, while it is likely associated with increased temperature in individuals >5 years old. We are limited by lack of data on confounders and effect modifiers, thus, our findings are exploratory. To fully quantify how temperature affects hospital admission counts for diarrhea, future studies should include socio-economic-demographic factors as well as WASH-related data such as personal hygiene practices and access to clean water.
DA - 2023-04
DB - ResearchSpace
DP - CSIR
J1 - Healthcare, 11(9)
KW - Apparent temperature
KW - Climate change
KW - Environmental health
KW - Infectious disease
KW - Morbidity
KW - Threshold regression
LK - https://researchspace.csir.co.za
PY - 2023
SM - 2227-9032
T1 - Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa
TI - Exploring the association between ambient temperature and daily hospital admissions for diarrhea in Mopani District, Limpopo Province, South Africa
UR - http://hdl.handle.net/10204/13614
ER -
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en_ZA |
dc.identifier.worklist |
27170 |
en_US |