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DOI | 10.1088/1748-9326/abaea0 |
The modifying effects of heat and cold wave characteristics on cardiovascular mortality in 31 major Chinese cities | |
Chen J.; Zhou M.; Yang J.; Yin P.; Wang B.; Ou C.-Q.; Liu Q. | |
发表日期 | 2020 |
ISSN | 17489318 |
卷号 | 15期号:10 |
英文摘要 | Cardiovascular disease is the most common cause of death globally. Examining the relationship between the extreme temperature events (e.g. heat and cold waves) and cardiovascular mortality has profound public significance. However, this evidence is scarce, particularly those from China. We collected daily data on cardiovascular mortality and meteorological conditions from 31 major Chinese cities during the maximum period of 2007-2013. A two-stage analysis was used to estimate the effects of heat and cold waves, and the potential effect modification of their characteristics (intensity, duration, and timing in season) on cardiovascular mortality. Firstly, a generalized quasi-Poisson regression combined with distributed lag nonlinear model was used to evaluate city-specific effects. Then, the meta-analysis was performed to pool effect estimates at the national scale. Overall, cardiovascular mortality risk increased by 19.03% (95%CI: 11.92%, 26.59%) during heat waves and 54.72% (95%CI: 21.20%, 97.51%) during cold waves. The effect estimates varied by the wave's characteristics. In heat wave days, the cardiovascular mortality risks increased by 3.28% (95%CI: −0.06%, 6.73%) for every 1 ◦C increase in intensity, 2.84% (95%CI: 0.92%, 4.80%) for every 1-d more in duration and −0.07% (95%CI: −0.38%, 0.24%) for every 1-d late in the staring of heat wave; the corresponding estimates for cold wave were 1.82% (95%CI: −0.04%, 3.72%), 1.52% (95%CI: 0.60%, 2.44%) and −0.26% (95%CI: −0.67%, 0.16%). Increased susceptibility to heat and cold waves was observed among patients with ischemic heart disease, females, the elderly, and those with lower education level. And consistent vulnerable populations were found for the effects of changes in cold and heat wave's characteristics. The findings have important implications for the development of early warning systems and plans in response to heat and cold waves, which may contribute to mitigating health threat to vulnerable populations. © 2020 The Author(s). Published by IOP Publishing Ltd |
英文关键词 | Cardiovascular disease; Characteristics; China; Cold wave; Heat wave; Vulnerable populations |
语种 | 英语 |
scopus关键词 | Cardiology; Climatology; Health risks; Cardio-vascular disease; Cardiovascular mortality; Early Warning System; Extreme temperature events; Ischemic heart disease; Meteorological condition; Poisson regression; Two-stage analysis; Diseases; cardiovascular disease; cause of death; climate conditions; cold wave; heat wave; meteorology; mortality risk; risk factor; spatiotemporal analysis; urban area; China |
来源期刊 | Environmental Research Letters
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文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/153671 |
作者单位 | State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China; Institute for Environmental and Climate Research, Jinan University, Guangzhou, 511443, China; National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing, 100050, China; Guangdong-Hongkong-Macau Joint Laboratory of Collaborative Innovation for Environmental Quality, Guangzhou, 511443, China; JNU-QUT Joint Laboratory for Air Quality Science and Management, Jinan University, Guangzhou, 511443, China; State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China |
推荐引用方式 GB/T 7714 | Chen J.,Zhou M.,Yang J.,et al. The modifying effects of heat and cold wave characteristics on cardiovascular mortality in 31 major Chinese cities[J],2020,15(10). |
APA | Chen J..,Zhou M..,Yang J..,Yin P..,Wang B..,...&Liu Q..(2020).The modifying effects of heat and cold wave characteristics on cardiovascular mortality in 31 major Chinese cities.Environmental Research Letters,15(10). |
MLA | Chen J.,et al."The modifying effects of heat and cold wave characteristics on cardiovascular mortality in 31 major Chinese cities".Environmental Research Letters 15.10(2020). |
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