Climate change and ocular health: temperature-pollution synergies amplify uveitis burden

BackgroundUveitis, an inflammatory eye disease, exhibits seasonal patterns, which suggest environmental influences. This study examines the link between average temperature and uveitis outpatient visits, considering air pollution’s modifying effects.MethodsWe analyzed uveitis outpatient data (n = 8,...

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Main Authors: Yue Tan, Yue Yin, Boya Lei, Min Zhou, Zhengyue Gu, Jingjing You, Tong Lin, Lan Gong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1650255/full
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author Yue Tan
Yue Tan
Yue Tan
Yue Yin
Yue Yin
Yue Yin
Boya Lei
Boya Lei
Boya Lei
Min Zhou
Min Zhou
Min Zhou
Zhengyue Gu
Jingjing You
Tong Lin
Tong Lin
Tong Lin
Lan Gong
Lan Gong
Lan Gong
author_facet Yue Tan
Yue Tan
Yue Tan
Yue Yin
Yue Yin
Yue Yin
Boya Lei
Boya Lei
Boya Lei
Min Zhou
Min Zhou
Min Zhou
Zhengyue Gu
Jingjing You
Tong Lin
Tong Lin
Tong Lin
Lan Gong
Lan Gong
Lan Gong
author_sort Yue Tan
collection DOAJ
description BackgroundUveitis, an inflammatory eye disease, exhibits seasonal patterns, which suggest environmental influences. This study examines the link between average temperature and uveitis outpatient visits, considering air pollution’s modifying effects.MethodsWe analyzed uveitis outpatient data (n = 8,090) from a major hospital in Shanghai between 2017 and 2023, along with meteorological and air pollutant data. A distributed lag non-linear model (DLNM) was used to assess the associations between temperature and outpatient visits, adjusting for humidity, pollutants, and temporal factors.ResultsA non-linear relationship exists between temperature and uveitis visits. Lower temperatures increased visits, with peak relative risk at −4°C lagged by 1 day (RR = 1.351, 95%CI: 1.069–1.706). Significant associations were found at lags 0–1 and 12–14, with the highest risk at lag 14 (−4°C, RR = 1.257, 95%CI: 1.113–1.420). Stratified analyses showed stronger associations in males and individuals under 60 years. High humidity and elevated PM2.5 levels strengthened the cold temperature association, while extremely high temperatures (33–34°C) increased visits under low humidity (RR = 2.625, 95%CI: 1.034–6.668 at 34°C).ConclusionTemperature extremes are linked to increased uveitis outpatient visits in Shanghai, particularly with cold temperatures in high-humidity and high-PM2.5 environments, and hot temperatures under low humidity.
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spelling doaj-art-38b7d3141d4d45eebadff0f9514733222025-08-20T03:13:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16502551650255Climate change and ocular health: temperature-pollution synergies amplify uveitis burdenYue Tan0Yue Tan1Yue Tan2Yue Yin3Yue Yin4Yue Yin5Boya Lei6Boya Lei7Boya Lei8Min Zhou9Min Zhou10Min Zhou11Zhengyue Gu12Jingjing You13Tong Lin14Tong Lin15Tong Lin16Lan Gong17Lan Gong18Lan Gong19Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaDepartment of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaDepartment of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaDepartment of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaSchool of Medical Sciences, University of Sydney, Sydney, NSW, AustraliaSchool of Medical Sciences, University of Sydney, Sydney, NSW, AustraliaDepartment of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaDepartment of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Myopia and Related Eye Diseases, Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaShanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, ChinaBackgroundUveitis, an inflammatory eye disease, exhibits seasonal patterns, which suggest environmental influences. This study examines the link between average temperature and uveitis outpatient visits, considering air pollution’s modifying effects.MethodsWe analyzed uveitis outpatient data (n = 8,090) from a major hospital in Shanghai between 2017 and 2023, along with meteorological and air pollutant data. A distributed lag non-linear model (DLNM) was used to assess the associations between temperature and outpatient visits, adjusting for humidity, pollutants, and temporal factors.ResultsA non-linear relationship exists between temperature and uveitis visits. Lower temperatures increased visits, with peak relative risk at −4°C lagged by 1 day (RR = 1.351, 95%CI: 1.069–1.706). Significant associations were found at lags 0–1 and 12–14, with the highest risk at lag 14 (−4°C, RR = 1.257, 95%CI: 1.113–1.420). Stratified analyses showed stronger associations in males and individuals under 60 years. High humidity and elevated PM2.5 levels strengthened the cold temperature association, while extremely high temperatures (33–34°C) increased visits under low humidity (RR = 2.625, 95%CI: 1.034–6.668 at 34°C).ConclusionTemperature extremes are linked to increased uveitis outpatient visits in Shanghai, particularly with cold temperatures in high-humidity and high-PM2.5 environments, and hot temperatures under low humidity.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1650255/fulluveitisoutpatient visitstemperaturedistributed lag nonlinear modelair pollution
spellingShingle Yue Tan
Yue Tan
Yue Tan
Yue Yin
Yue Yin
Yue Yin
Boya Lei
Boya Lei
Boya Lei
Min Zhou
Min Zhou
Min Zhou
Zhengyue Gu
Jingjing You
Tong Lin
Tong Lin
Tong Lin
Lan Gong
Lan Gong
Lan Gong
Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
Frontiers in Public Health
uveitis
outpatient visits
temperature
distributed lag nonlinear model
air pollution
title Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
title_full Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
title_fullStr Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
title_full_unstemmed Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
title_short Climate change and ocular health: temperature-pollution synergies amplify uveitis burden
title_sort climate change and ocular health temperature pollution synergies amplify uveitis burden
topic uveitis
outpatient visits
temperature
distributed lag nonlinear model
air pollution
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1650255/full
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