Ecological assessment of extreme temperature and fine particulate matter (pm2.5) impact on diabetes service and outcomes in Thailand
Extreme heat was associated with reduced diabetes screening, while PM2.5 showed no significant effect. These findings highlight the need to adapt health service delivery to reduce the impact of heat stress on service utilization. Strategies such as shifting screening services closer to communities, promoting telemedicine, and strengthening the role of primary care and village health volunteers may help maintain access to care during periods of extreme temperature.
Authors
- Bumi Herman (ORCID: https://orcid.org/0000-0001-8206-6764)
- Xihao Du (ORCID: https://orcid.org/0000-0001-6060-3071)
- JASON KAI WEI LEE (ORCID: https://orcid.org/0000-0003-4042-795X)
- Yot Terawattananon
Institutions
- Ministry of Public Health (TH)
- Chulalongkorn University (TH)
- National University of Singapore (SG)
- Shanghai Jiao Tong University (CN)
- Health Intervention and Technology Assessment Program (TH)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-08-15
- DOI
- https://doi.org/10.1186/s12889-025-24003-5
- Primary Topic
- Climate Change and Health Impacts
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Chulalongkorn University
- Faculty of Medicine, Chulalongkorn University