We have located links that may give you full text access.
Impact of temperature variation on mortality: An observational study from 12 counties across Hubei Province in China.
Science of the Total Environment 2017 June 2
BACKGROUND: Compared with cold- and heat-related health impacts, the evidence was very limited in assessing the mortality effects of temperature variation (TV) accounting for both intra-day and inter-day changes in temperature.
OBJECTIVE: We used a newly proposed composite indicator of intra-day and inter-day TV and evaluated TV-mortality associations in Hubei, China at the provincial level.
METHODS: Daily mortality and meteorological data during 2009-2012 were obtained from 12 urban and rural counties across Hubei Province in China. TV was calculated using the standard deviation of the minimum and maximum temperatures during the exposure days. A quasi-Poisson generalized linear regression combined with distributed lag non-linear model was first applied to estimate county-specific relationship between mortality and TV, adjusting for long-term trend and seasonality, mean temperature, relative humidity, public holiday, and day of the week. A meta-analysis was then conducted to pool the county-specific estimates of TV-related mortality effects.
RESULTS: A significant positive association was observed between TV and cause-specific mortality (except for respiratory mortality and ischemic heart disease mortality). The effect estimates varied by exposure days, with the highest at 0-7days. Season-stratified analyses showed similar results, while stronger TV-mortality associations were found in warm season than in cold season. The elderly were more susceptible to TV-related mortality effects than younger groups. Some slight differences in effect estimates were also observed in subgroups stratified by gender, education attainment, place of death, and urban/rural areas.
CONCLUSION: Our study strengthened the evidence that temperature variation was an independent risk factor for non-accidental mortality. Some preventive and intervention strategies should be efficiently developed in response to global climate change, so as to minimize public health burden due to unstable weather patterns.
OBJECTIVE: We used a newly proposed composite indicator of intra-day and inter-day TV and evaluated TV-mortality associations in Hubei, China at the provincial level.
METHODS: Daily mortality and meteorological data during 2009-2012 were obtained from 12 urban and rural counties across Hubei Province in China. TV was calculated using the standard deviation of the minimum and maximum temperatures during the exposure days. A quasi-Poisson generalized linear regression combined with distributed lag non-linear model was first applied to estimate county-specific relationship between mortality and TV, adjusting for long-term trend and seasonality, mean temperature, relative humidity, public holiday, and day of the week. A meta-analysis was then conducted to pool the county-specific estimates of TV-related mortality effects.
RESULTS: A significant positive association was observed between TV and cause-specific mortality (except for respiratory mortality and ischemic heart disease mortality). The effect estimates varied by exposure days, with the highest at 0-7days. Season-stratified analyses showed similar results, while stronger TV-mortality associations were found in warm season than in cold season. The elderly were more susceptible to TV-related mortality effects than younger groups. Some slight differences in effect estimates were also observed in subgroups stratified by gender, education attainment, place of death, and urban/rural areas.
CONCLUSION: Our study strengthened the evidence that temperature variation was an independent risk factor for non-accidental mortality. Some preventive and intervention strategies should be efficiently developed in response to global climate change, so as to minimize public health burden due to unstable weather patterns.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app