Risk characterization of hospitalizations for mental illness and/or behavioral disorders with concurrent heat-related illness
Many studies have found significant associations between high ambient temperatures and increases in heat-related morbidity and mortality. Several studies have demonstrated that increases in heat-related hospitalizations are elevated among individuals with diagnosed mental illnesses and/or behavioral...
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| description | Many studies have found significant associations between high ambient temperatures and increases in heat-related morbidity and mortality. Several studies have demonstrated that increases in heat-related hospitalizations are elevated among individuals with diagnosed mental illnesses and/or behavioral disorders (MBD). However, there are a limited number of studies regarding risk factors associated with specific mental illnesses that contribute, at least in part, to heat-related illnesses (HRI) in the United States.
To identify and characterize individual and environmental risk factors associated with MBD hospitalizations with a concurrent HRI diagnosis.
This study uses hospitalization data from the Nationwide Inpatient Sample (2001-2010). Descriptive analyses of primary and secondary diagnoses of MBDs with an HRI were examined. Risk ratios (RR) were calculated from multivariable models to identify risk factors for hospitalizations among patients with mental illnesses and/or behavioral disorders and HRI.
Nondependent alcohol/drug abuse, dementia, and schizophrenia were among the disorders that were associated with increased frequency of HRI hospitalizations among MBD patients. Increased risk of MBD hospitalizations with HRI was observed for Males (RR, 3.06), African Americans (RR, 1.16), Native Americans (RR, 1.70), uninsured (RR, 1.92), and those 40 years and older, compared to MBD hospitalizations alone.
Previous studies outside the U.S. have found that dementia and schizophrenia are significant risk factors for HRI hospitalizations. Our results suggest that hospitalizations among substance abusers may also be an important risk factor associated with heat morbidity. Improved understanding of these relative risks could help inform future public health strategies. |
| doi_str_mv | 10.1371/journal.pone.0186509 |
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To identify and characterize individual and environmental risk factors associated with MBD hospitalizations with a concurrent HRI diagnosis.
This study uses hospitalization data from the Nationwide Inpatient Sample (2001-2010). Descriptive analyses of primary and secondary diagnoses of MBDs with an HRI were examined. Risk ratios (RR) were calculated from multivariable models to identify risk factors for hospitalizations among patients with mental illnesses and/or behavioral disorders and HRI.
Nondependent alcohol/drug abuse, dementia, and schizophrenia were among the disorders that were associated with increased frequency of HRI hospitalizations among MBD patients. Increased risk of MBD hospitalizations with HRI was observed for Males (RR, 3.06), African Americans (RR, 1.16), Native Americans (RR, 1.70), uninsured (RR, 1.92), and those 40 years and older, compared to MBD hospitalizations alone.
Previous studies outside the U.S. have found that dementia and schizophrenia are significant risk factors for HRI hospitalizations. Our results suggest that hospitalizations among substance abusers may also be an important risk factor associated with heat morbidity. Improved understanding of these relative risks could help inform future public health strategies.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0186509</identifier><identifier>PMID: 29036206</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Alcohol ; Alcoholic beverages ; Ambient temperature ; Child ; Child, Preschool ; Climate change ; Dementia ; Dementia disorders ; Disorders ; Drug abuse ; Drug overdose ; Emergency medical care ; Environmental health ; Environmental protection ; Environmental risk ; Fatalities ; Female ; Gender ; Health risks ; Heat ; Heat Stress Disorders - complications ; Heat Stress Disorders - psychology ; Heat Stress Disorders - therapy ; High temperature ; Hospitalization ; Hospitals ; Humans ; Illnesses ; Indigenous peoples ; Infant ; Male ; Males ; Medical diagnosis ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - complications ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental health care ; Middle Aged ; Minority & ethnic groups ; Morbidity ; Mortality ; Multivariate Analysis ; Native Americans ; Patient admissions ; Patients ; People and places ; Problem Behavior ; Psychological aspects ; Public health ; R&D ; Research & development ; Risk ; Risk analysis ; Risk factors ; Risk taking ; Schizophrenia ; Studies ; Substance abusers ; Substance use disorder ; Temperature ; Young Adult</subject><ispartof>PloS one, 2017-10, Vol.12 (10), p.e0186509-e0186509</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-e9a40c784eb70e75504f603c619ae5de0aa91d0a5e7f41b1ee91221752e33c143</citedby><cites>FETCH-LOGICAL-c692t-e9a40c784eb70e75504f603c619ae5de0aa91d0a5e7f41b1ee91221752e33c143</cites><orcidid>0000-0003-4764-9723</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643126/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643126/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29036206$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shaman, Jeffrey</contributor><creatorcontrib>Schmeltz, Michael T</creatorcontrib><creatorcontrib>Gamble, Janet L</creatorcontrib><title>Risk characterization of hospitalizations for mental illness and/or behavioral disorders with concurrent heat-related illness</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Many studies have found significant associations between high ambient temperatures and increases in heat-related morbidity and mortality. Several studies have demonstrated that increases in heat-related hospitalizations are elevated among individuals with diagnosed mental illnesses and/or behavioral disorders (MBD). However, there are a limited number of studies regarding risk factors associated with specific mental illnesses that contribute, at least in part, to heat-related illnesses (HRI) in the United States.
To identify and characterize individual and environmental risk factors associated with MBD hospitalizations with a concurrent HRI diagnosis.
This study uses hospitalization data from the Nationwide Inpatient Sample (2001-2010). Descriptive analyses of primary and secondary diagnoses of MBDs with an HRI were examined. Risk ratios (RR) were calculated from multivariable models to identify risk factors for hospitalizations among patients with mental illnesses and/or behavioral disorders and HRI.
Nondependent alcohol/drug abuse, dementia, and schizophrenia were among the disorders that were associated with increased frequency of HRI hospitalizations among MBD patients. Increased risk of MBD hospitalizations with HRI was observed for Males (RR, 3.06), African Americans (RR, 1.16), Native Americans (RR, 1.70), uninsured (RR, 1.92), and those 40 years and older, compared to MBD hospitalizations alone.
Previous studies outside the U.S. have found that dementia and schizophrenia are significant risk factors for HRI hospitalizations. Our results suggest that hospitalizations among substance abusers may also be an important risk factor associated with heat morbidity. Improved understanding of these relative risks could help inform future public health strategies.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alcohol</subject><subject>Alcoholic beverages</subject><subject>Ambient temperature</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Climate change</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Disorders</subject><subject>Drug abuse</subject><subject>Drug overdose</subject><subject>Emergency medical care</subject><subject>Environmental health</subject><subject>Environmental protection</subject><subject>Environmental risk</subject><subject>Fatalities</subject><subject>Female</subject><subject>Gender</subject><subject>Health risks</subject><subject>Heat</subject><subject>Heat Stress Disorders - complications</subject><subject>Heat Stress Disorders - psychology</subject><subject>Heat Stress Disorders - therapy</subject><subject>High temperature</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Indigenous peoples</subject><subject>Infant</subject><subject>Male</subject><subject>Males</subject><subject>Medical diagnosis</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Native Americans</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>People and places</subject><subject>Problem Behavior</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>R&D</subject><subject>Research & development</subject><subject>Risk</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk taking</subject><subject>Schizophrenia</subject><subject>Studies</subject><subject>Substance abusers</subject><subject>Substance use disorder</subject><subject>Temperature</subject><subject>Young 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characterization of hospitalizations for mental illness and/or behavioral disorders with concurrent heat-related illness</title><author>Schmeltz, Michael T ; Gamble, Janet L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-e9a40c784eb70e75504f603c619ae5de0aa91d0a5e7f41b1ee91221752e33c143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alcohol</topic><topic>Alcoholic beverages</topic><topic>Ambient temperature</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Climate change</topic><topic>Dementia</topic><topic>Dementia disorders</topic><topic>Disorders</topic><topic>Drug abuse</topic><topic>Drug overdose</topic><topic>Emergency medical care</topic><topic>Environmental health</topic><topic>Environmental protection</topic><topic>Environmental 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One</addtitle><date>2017-10-16</date><risdate>2017</risdate><volume>12</volume><issue>10</issue><spage>e0186509</spage><epage>e0186509</epage><pages>e0186509-e0186509</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Many studies have found significant associations between high ambient temperatures and increases in heat-related morbidity and mortality. Several studies have demonstrated that increases in heat-related hospitalizations are elevated among individuals with diagnosed mental illnesses and/or behavioral disorders (MBD). However, there are a limited number of studies regarding risk factors associated with specific mental illnesses that contribute, at least in part, to heat-related illnesses (HRI) in the United States.
To identify and characterize individual and environmental risk factors associated with MBD hospitalizations with a concurrent HRI diagnosis.
This study uses hospitalization data from the Nationwide Inpatient Sample (2001-2010). Descriptive analyses of primary and secondary diagnoses of MBDs with an HRI were examined. Risk ratios (RR) were calculated from multivariable models to identify risk factors for hospitalizations among patients with mental illnesses and/or behavioral disorders and HRI.
Nondependent alcohol/drug abuse, dementia, and schizophrenia were among the disorders that were associated with increased frequency of HRI hospitalizations among MBD patients. Increased risk of MBD hospitalizations with HRI was observed for Males (RR, 3.06), African Americans (RR, 1.16), Native Americans (RR, 1.70), uninsured (RR, 1.92), and those 40 years and older, compared to MBD hospitalizations alone.
Previous studies outside the U.S. have found that dementia and schizophrenia are significant risk factors for HRI hospitalizations. Our results suggest that hospitalizations among substance abusers may also be an important risk factor associated with heat morbidity. Improved understanding of these relative risks could help inform future public health strategies.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29036206</pmid><doi>10.1371/journal.pone.0186509</doi><tpages>e0186509</tpages><orcidid>https://orcid.org/0000-0003-4764-9723</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-10, Vol.12 (10), p.e0186509-e0186509 |
| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Aged Alcohol Alcoholic beverages Ambient temperature Child Child, Preschool Climate change Dementia Dementia disorders Disorders Drug abuse Drug overdose Emergency medical care Environmental health Environmental protection Environmental risk Fatalities Female Gender Health risks Heat Heat Stress Disorders - complications Heat Stress Disorders - psychology Heat Stress Disorders - therapy High temperature Hospitalization Hospitals Humans Illnesses Indigenous peoples Infant Male Males Medical diagnosis Medicine and Health Sciences Mental disorders Mental Disorders - complications Mental Disorders - psychology Mental Disorders - therapy Mental health care Middle Aged Minority & ethnic groups Morbidity Mortality Multivariate Analysis Native Americans Patient admissions Patients People and places Problem Behavior Psychological aspects Public health R&D Research & development Risk Risk analysis Risk factors Risk taking Schizophrenia Studies Substance abusers Substance use disorder Temperature Young Adult |
| title | Risk characterization of hospitalizations for mental illness and/or behavioral disorders with concurrent heat-related illness |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T07%3A47%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20characterization%20of%20hospitalizations%20for%20mental%20illness%20and/or%20behavioral%20disorders%20with%20concurrent%20heat-related%20illness&rft.jtitle=PloS%20one&rft.au=Schmeltz,%20Michael%20T&rft.date=2017-10-16&rft.volume=12&rft.issue=10&rft.spage=e0186509&rft.epage=e0186509&rft.pages=e0186509-e0186509&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0186509&rft_dat=%3Cgale_plos_%3EA509811672%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1951512395&rft_id=info:pmid/29036206&rft_galeid=A509811672&rft_doaj_id=oai_doaj_org_article_6a7b3ece3ef84fd79e7a65197bef85b7&rfr_iscdi=true |