Scholarlink

<p>Respiratory diseases remain a major public health concern and are particularly critical among older adults. In Brazil, limited spatiotemporally resolved evidence has constrained understanding of how environmental conditions co-vary with respiratory morbidity and mortality. We assessed spatiotemporal variability in hospitalization and mortality rates due to respiratory diseases among individuals aged ≥ 65 years in Mato Grosso, Central Brazil, from 2000 to 2020, and their ecological associations with key meteorological and environmental indicators. Hospitalizations and deaths recorded in the Brazilian Unified Health System (SIH/SUS) were integrated and aggregated to the municipal-month scale with precipitation (ERA5), relative humidity (ERA-Interim), active fire detections (hotspots), and PM2.5 (CAMS reanalysis). Analyses included bootstrapping, cross-correlation functions to characterize lag structures, and Local Moran’s I to identify spatial clusters. We found a respiratory health paradox: hospitalization rates declined over time while mortality increased, with patterns varying across spatial scales. At the state level, correlations with fire/PM2.5 proxies were weak and sometimes counterintuitive under aggregation, whereas localized clusters showed stronger positive co-variation during the dry season. This heterogeneity suggests that environmental drivers and respiratory outcomes interact differently across Mato Grosso, likely modulated by climatic gradients and healthcare access disparities. The findings support geographically targeted interventions integrating environmental monitoring, air-quality management, and health-system preparedness for older adults.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The respiratory health paradox in mato grosso seniors: environmental drivers of divergent hospitalization and mortality trends

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月10日

查看全文
  • Barbara Fernanda da Cunha Tasca,
  • Nadja Gomes Machado,
  • Névio Lotufo Neto,
  • Luiz Octávio Fabricio dos Santos,
  • Marcelo Sacardi Biudes

摘要

Respiratory diseases remain a major public health concern and are particularly critical among older adults. In Brazil, limited spatiotemporally resolved evidence has constrained understanding of how environmental conditions co-vary with respiratory morbidity and mortality. We assessed spatiotemporal variability in hospitalization and mortality rates due to respiratory diseases among individuals aged ≥ 65 years in Mato Grosso, Central Brazil, from 2000 to 2020, and their ecological associations with key meteorological and environmental indicators. Hospitalizations and deaths recorded in the Brazilian Unified Health System (SIH/SUS) were integrated and aggregated to the municipal-month scale with precipitation (ERA5), relative humidity (ERA-Interim), active fire detections (hotspots), and PM2.5 (CAMS reanalysis). Analyses included bootstrapping, cross-correlation functions to characterize lag structures, and Local Moran’s I to identify spatial clusters. We found a respiratory health paradox: hospitalization rates declined over time while mortality increased, with patterns varying across spatial scales. At the state level, correlations with fire/PM2.5 proxies were weak and sometimes counterintuitive under aggregation, whereas localized clusters showed stronger positive co-variation during the dry season. This heterogeneity suggests that environmental drivers and respiratory outcomes interact differently across Mato Grosso, likely modulated by climatic gradients and healthcare access disparities. The findings support geographically targeted interventions integrating environmental monitoring, air-quality management, and health-system preparedness for older adults.