Research Article
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Environmental and Behavioral Determinants of Septicemia Mortality in Türkiye: A Ten-Year Analysis

Year 2024, Volume: 6 Issue: 2, 115 - 125, 25.12.2024
https://doi.org/10.52675/jhesp.1558680

Abstract

This study examines the environmental and behavioral factors associated with variations in septicemia mortality rates across Turkish provinces. Province-level data spanning ten years were analyzed using ordinal logistic regression modeling to determine the predictors of septicemia mortality. Environmental factors such as humidity, temperature, and air pollutants, along with behavioral aspects including alcohol consumption, were evaluated. Analysis of the provided data revealed significant regional variations in septicemia mortality rates across areas with diverse environmental and social characteristics. Higher median humidity and stable environmental conditions (low variability in humidity and temperature) correlated with reduced mortality rates. Alcohol consumption was identified as a risk factor, moderately increasing the risk of septicemia mortality. The findings highlight the intricate relationship between environmental stability, personal behaviors, and septicemia outcomes. The study accentuates the need for targeted public health strategies and suggests that mitigating environmental risks and fostering healthy behaviors could effectively reduce septicemia mortality. Further studies should focus on individual-level data and explore the relationship between these factors in different climatic conditions.

Ethical Statement

Our research protocol was approved by Istanbul Medipol University Ethics Committee (Application number: 10840098-604.01.01-E.53819). The Ethics Committee waived the need for Informed Consent as there is no human subject involved in this research. Data is simply province-level mortality data provided by the Turkish Statistical Institute per year.

Supporting Institution

Istanbul Medipol University

References

  • Angus, D. C., & Van der Poll, T. (2013). Severe sepsis and septic shock. New England Journal of Medicine, 369(9), 840–851.
  • Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B (Methodological), 57(1), 289–300.
  • Brown, L., & Murray, V. (2013). Examining the relationship between infectious diseases and flooding in Europe: A systematic literature review and summary of possible public health interventions. Disaster Health, 1(2), 117–127.
  • Fleischmann, C., Scherag, A., Adhikari, N. K., Hartog, C. S., Tsaganos, T., Schlattmann, P., Angus, D. C., & Reinhart, K. (2016). Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. American Journal of Respiratory and Critical Care Medicine, 193(3), 259–272.
  • GBD 2017 Risk Factor Collaborators. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1923–1994.
  • Holick, M. F. (2017). The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Reviews in Endocrine and Metabolic Disorders, 18, 153–165.
  • Johnson, G. R., & Morawska, L. (2009). The mechanism of breath aerosol formation. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 22(3), 229–237.
  • Jones, B. L., Nagin, D. S., & Roeder, K. (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods & Research, 29(3), 374–393.
  • Kim, K. E., Cho, D., & Park, H. J. (2016). Air pollution and skin diseases: Adverse effects of airborne particulate matter on various skin diseases. Life Sciences, 152, 126–134.
  • Lafferty, K. D. (2009). The ecology of climate change and infectious diseases. Ecology, 90(4), 888–900.
  • Lee, W., Bell, M. L., Gasparrini, A., Armstrong, B. G., Sera, F., Hwang, S., Lavigne, E., Zanobetti, A., Coelho, M. S. Z. S., Saldiva, P. H. N., Osorio, S., Tobias, A., Zeka, A., Goodman, P. G., Forsberg, B., Rocklöv, J., Hashizume, M., Honda, Y., Guo, Y.-L. L., Seposo, X., & Kim, H. (2018). Mortality burden of diurnal temperature range and its temporal changes: A multi-country study. Environment International, 110, 123–130.
  • Molina, P. E., Happel, K. I., Zhang, P., Kolls, J. K., & Nelson, S. (2010). Focus on: Alcohol and the immune system. Alcohol Research & Health, 33(1-2), 97.
  • Pope III, C. A., Turner, M. C., Burnett, R. T., Jerrett, M., Gapstur, S. M., Diver, W. R., Krewski, D., & Brook, R. D. (2015). Relationships between fine particulate air pollution, cardiometabolic disorders, and cardiovascular mortality. Circulation Research, 116(1), 108–115.
  • Reilly, J. P., Zhao, Z., Shashaty, M. G. S., Koyama, T., Jones, T. K., Anderson, B. J., Ittner, C. A., Dunn, T., Miano, T. A., Oniyide, O., Balmes, J. R., Matthay, M. A., Calfee, C. S., Christie, J. D., Meyer, N. J., & Ware, L. B. (2023). Exposure to ambient air pollutants and acute respiratory distress syndrome risk in sepsis. Intensive Care Medicine, 49(8), 957–965.
  • World Health Organization. (2020). Sepsis. Retrieved from https://www.who.int/news-room/fact-sheets/detail/sepsis
  • Wu, X., Lu, Y., Zhou, S., Chen, L., & Xu, B. (2016). Impact of climate change on human infectious diseases: Empirical evidence and human adaptation. Environment International, 86, 14–23.
  • Yue, J. L., Liu, H., Li, H., Liu, J. J., Hu, Y. H., Wang, J., Lin, L., & Wang, F. (2020). Association between ambient particulate matter and hospitalization for anxiety in China: A multicity case-crossover study. International Journal of Hygiene and Environmental Health, 223(1), 171–178.
  • Zhang, X., Chen, X., & Zhang, X. (2018). The impact of exposure to air pollution on cognitive performance. Proceedings of the National Academy of Sciences, 115(37), 9193–9197.
Year 2024, Volume: 6 Issue: 2, 115 - 125, 25.12.2024
https://doi.org/10.52675/jhesp.1558680

Abstract

References

  • Angus, D. C., & Van der Poll, T. (2013). Severe sepsis and septic shock. New England Journal of Medicine, 369(9), 840–851.
  • Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B (Methodological), 57(1), 289–300.
  • Brown, L., & Murray, V. (2013). Examining the relationship between infectious diseases and flooding in Europe: A systematic literature review and summary of possible public health interventions. Disaster Health, 1(2), 117–127.
  • Fleischmann, C., Scherag, A., Adhikari, N. K., Hartog, C. S., Tsaganos, T., Schlattmann, P., Angus, D. C., & Reinhart, K. (2016). Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. American Journal of Respiratory and Critical Care Medicine, 193(3), 259–272.
  • GBD 2017 Risk Factor Collaborators. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1923–1994.
  • Holick, M. F. (2017). The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Reviews in Endocrine and Metabolic Disorders, 18, 153–165.
  • Johnson, G. R., & Morawska, L. (2009). The mechanism of breath aerosol formation. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 22(3), 229–237.
  • Jones, B. L., Nagin, D. S., & Roeder, K. (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods & Research, 29(3), 374–393.
  • Kim, K. E., Cho, D., & Park, H. J. (2016). Air pollution and skin diseases: Adverse effects of airborne particulate matter on various skin diseases. Life Sciences, 152, 126–134.
  • Lafferty, K. D. (2009). The ecology of climate change and infectious diseases. Ecology, 90(4), 888–900.
  • Lee, W., Bell, M. L., Gasparrini, A., Armstrong, B. G., Sera, F., Hwang, S., Lavigne, E., Zanobetti, A., Coelho, M. S. Z. S., Saldiva, P. H. N., Osorio, S., Tobias, A., Zeka, A., Goodman, P. G., Forsberg, B., Rocklöv, J., Hashizume, M., Honda, Y., Guo, Y.-L. L., Seposo, X., & Kim, H. (2018). Mortality burden of diurnal temperature range and its temporal changes: A multi-country study. Environment International, 110, 123–130.
  • Molina, P. E., Happel, K. I., Zhang, P., Kolls, J. K., & Nelson, S. (2010). Focus on: Alcohol and the immune system. Alcohol Research & Health, 33(1-2), 97.
  • Pope III, C. A., Turner, M. C., Burnett, R. T., Jerrett, M., Gapstur, S. M., Diver, W. R., Krewski, D., & Brook, R. D. (2015). Relationships between fine particulate air pollution, cardiometabolic disorders, and cardiovascular mortality. Circulation Research, 116(1), 108–115.
  • Reilly, J. P., Zhao, Z., Shashaty, M. G. S., Koyama, T., Jones, T. K., Anderson, B. J., Ittner, C. A., Dunn, T., Miano, T. A., Oniyide, O., Balmes, J. R., Matthay, M. A., Calfee, C. S., Christie, J. D., Meyer, N. J., & Ware, L. B. (2023). Exposure to ambient air pollutants and acute respiratory distress syndrome risk in sepsis. Intensive Care Medicine, 49(8), 957–965.
  • World Health Organization. (2020). Sepsis. Retrieved from https://www.who.int/news-room/fact-sheets/detail/sepsis
  • Wu, X., Lu, Y., Zhou, S., Chen, L., & Xu, B. (2016). Impact of climate change on human infectious diseases: Empirical evidence and human adaptation. Environment International, 86, 14–23.
  • Yue, J. L., Liu, H., Li, H., Liu, J. J., Hu, Y. H., Wang, J., Lin, L., & Wang, F. (2020). Association between ambient particulate matter and hospitalization for anxiety in China: A multicity case-crossover study. International Journal of Hygiene and Environmental Health, 223(1), 171–178.
  • Zhang, X., Chen, X., & Zhang, X. (2018). The impact of exposure to air pollution on cognitive performance. Proceedings of the National Academy of Sciences, 115(37), 9193–9197.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Hilal Kocak 0009-0009-3621-8654

Mehmet Tutar 0009-0001-8581-9167

Mehmet Koçak 0000-0002-3386-1734

Publication Date December 25, 2024
Submission Date October 9, 2024
Acceptance Date October 31, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Kocak, H., Tutar, M., & Koçak, M. (2024). Environmental and Behavioral Determinants of Septicemia Mortality in Türkiye: A Ten-Year Analysis. Journal of Health Systems and Policies, 6(2), 115-125. https://doi.org/10.52675/jhesp.1558680

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Contents of the Journal of Health Systems and Policies (JHESP) is licensed under a Creative Commons Attribution 4.0 International License.