气候变化领域集成服务门户(CCPortal): Association of heat exposure and emergency ambulance calls: A multi-city study

CCPortal

DOI	10.1016/j.accre.2021.06.001
	Association of heat exposure and emergency ambulance calls: A multi-city study
	Li Y.-H.; Ye D.-X.; Liu Y.; Li N.; Meng C.-S.; Wang Y.; Wang Y.; Jin X.; Bi P.; Tong S.; Cheng Y.-B.; Yao X.-Y.
发表日期	2021
ISSN	1674-9278
起始页码	619
结束页码	627
卷号	12 期号:5
英文摘要	Evidence of the impact of ambient temperatures on emergency ambulance calls (EACs) in developing countries contributes to the improvement and complete understanding of the acute health effects of temperatures. This study aimed to examine the impacts and burden of heat on EACs in China, quantify the contributions of regional modifiers, and identify the vulnerable populations. A semi-parametric generalized additive model with a Poisson distribution was used to analyze the city-specific impacts of the daily maximum temperature (Tmax) on EACs in June–August in 2014–2017. Stratified analyses by sex and age were performed to identify the vulnerable sub-populations. Meta-analysis was undertaken to illustrate the pooled associations. Further subgroup analysis, stratified by climate, latitude, and per capita disposable income (PCDI), and meta-regression analysis were conducted to explore the regional heterogeneity and quantify the contributions of possible modifiers. The city- and region-specific attributable fractions of EACs attributable to heat were calculated. Strong associations were observed between the daily Tmax and total EACs in all cities. A total of 11.7% (95% confidence interval (CI): 11.2%–12.3%) of EACs were attributed to high temperatures in ten Chinese cities, and the central region with a low level of PCDI had the highest attributable fraction of 17.8% (95% CI: 17.2%–18.4%). People living in the central region with lower PCDI, and those aged 18–44 and 0–6 years were more vulnerable to heat than the others. The combined effects of PCDI, temperature, and latitude contributed 88.6% of the regional heterogeneity. The results complemented the understanding of the burden of EACs attributable to heat in developing countries and the quantitative contribution of regional modifiers. © 2021 The Authors
英文关键词	Attributable fraction; Emergency ambulance calls; High temperature; Regional modifiers; Risk assessment
来源期刊	Advances in Climate Change Research
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/236454
作者单位	China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, 100021, China; National Climate Center, China Meteorological Administration, Beijing, 100081, China; School of Public Health, The University of Adelaide, Adelaide, SA 5000, Australia; Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao-Tong University, Shanghai, 200025, China; School of Public Health, Institute of Environment and Population Health, Anhui Medical University, Hefei, 230032, China; School of Public Health and Social Work, Queensland University of Technology, Brisbane, 4000, Australia
推荐引用方式 GB/T 7714	Li Y.-H.,Ye D.-X.,Liu Y.,et al. Association of heat exposure and emergency ambulance calls: A multi-city study[J],2021,12(5).
APA	Li Y.-H..,Ye D.-X..,Liu Y..,Li N..,Meng C.-S..,...&Yao X.-Y..(2021).Association of heat exposure and emergency ambulance calls: A multi-city study.Advances in Climate Change Research,12(5).
MLA	Li Y.-H.,et al."Association of heat exposure and emergency ambulance calls: A multi-city study".Advances in Climate Change Research 12.5(2021).