ArticleThe Science of the total environment2022
Interactive effects of cold spell and air pollution on outpatient visits for anxiety in three subtropical Chinese cities.
Article in The Science of the total environment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of ambient temperature on mental and neurological conditions in older adults: A systematic review and meta-analysis.Environment international · 2024Pooled it
- Extreme Cold Events and Adolescent Mental Health: Evidence from a National School-Based Survey in China.Environment & health (Washington, D.C.) · 2026Article
- Association between cold spells and chronic lung disease: a nationwide spatial machine learning analysis.Frontiers in medicine · 2026Article
- Combined effects of apparent low temperature and PMFrontiers in public health · 2026Article
- Association of ambient temperature with mortality in community-based patients with severe mental disorders: a time-stratified case-crossover study in western China.BMC psychiatry · 2025Article
- Article
- Evaluating short-term air pollution-related mental health resilience using a directional network.BMC public health · 2025Article
- Short-term attributable risk and economic burden of hospital admissions for anxiety disorders due to air pollution: a multicity time-stratified case-crossover study.Environmental health : a global access science source · 2025Article
- A Review of the Interactive Effects of Climate and Air Pollution on Human Health in China.Current environmental health reports · 2024Review
- Environmental pollution and extreme weather conditions: insights into the effect on mental health.Frontiers in psychiatry · 2024Review
- Synergic effects of PMJournal of exposure science & environmental epidemiology · 2023Article
- The interactive effects of extreme temperatures and PMScientific reports · 2023Article
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Authors and funding
12 authors.
Funding
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Abstract
backgroundAlthough low temperature and air pollution exposures have been associated with the risk of anxiety, their combined effects remain unclear.
objectiveTo investigate the independent and interactive effects of low temperature and air pollution exposures on anxiety.
methodUsing a case-crossover study design, the authors collected data from 101,636 outpatient visits due to anxiety in three subtropical Chinese cities during the cold season (November to April in 2013 through 2018), and then built conditional logistic regression models based on individual exposure assessments [temperature, relative humidity, particulate matter (PM
resultsBoth cold spell and air pollution were significantly associated with outpatients for anxiety. The effects of cold spell increased with its intensity, ranging from 8.98% (95% CI: 2.02%, 16.41%) to 15.24% (95% CI: 6.75%, 24.39%) in Huizhou. Additionally, each 10 μg/m
conclusionsThese findings indicate that both cold spell and air pollution are important drivers of the occurrence of anxiety, and simultaneous exposure to these two factors might have synergistic effects on anxiety. These findings highlight the importance of controlling air pollution and improving cold-warning systems.
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