当前位置: X-MOL 学术Environ. Int. › 论文详情
Burden of cause-specific mortality attributable to heat and cold: A multicity time-series study in Jiangsu Province, China
Environment International ( IF 7.577 ) Pub Date : 2020-07-31 , DOI: 10.1016/j.envint.2020.105994
Yiqun Ma; Lian Zhou; Kai Chen

Previous epidemiological studies primarily examined the temperature-related mortality burden of all-cause or cardiovascular diseases (CVD) and respiratory diseases. However, evidence on the heat- and cold-attributable mortality burden from other specific causes is limited. This paper aimed to systematically examine the association of heat and cold with a comprehensive spectrum of plausible temperature-related diseases, and to estimate the mortality burdens attributable to heat and cold. In the time-series study of 11 cities in Jiangsu, China, distributed lag non-linear models were applied to estimate city-specific temperature-mortality associations, and then meta-analysis was conducted to pool the estimates. A total of 1,368,648 cases of death were included in this study. Both extreme heat and cold were associated with increased mortality risks from all-cause, CVD, respiratory diseases, nervous diseases, and external causes. Short-term exposures to heat and cold were associated with excess burden of mortality for several specific diseases, accounting for 16.38% (95% eCI, 7.27–22.31%) for myocardial infarction (MI), 12.41% (95% eCI, 8.81–15.07%) for stroke, 27.97% (95% eCI, 18.42–33.35%) for hypertensive heart disease, 25.18% (95% eCI, 18.42–29.63%) for chronic obstructive pulmonary disease, and 28.46% (95% eCI: 4.93–33.57%) for Alzheimer’s and dementia. Diabetes was only associated with extreme heat, with 4.61% (95% eCI, 0.13–7.13%) of diabetes mortality attributable to heat. In total, 11.98% (95% eCI, 10.46–13.08%) of mortality was attributable to heat and cold, with 3.49% (95% eCI, 2.87–4.00%) attributable to heat and 8.48% (95% eCI, 7.31–9.49%) attributable to cold, and about 64% of this overall temperature-related mortality burden was found in 6 aforementioned specific causes and about 10% of mortality burden in external causes. Extreme heat and/or cold are associated with increased risks of mortality from a wide range of causes, including previously identified causes in cardiorespiratory diseases and under-studied causes such as diabetes and Alzheimer’s and dementia. Future research is needed to confirm the substantial mortality burden of heat and cold.

更新日期:2020-08-01

 

全部期刊列表>>
施普林格自然
欢迎访问IOP中国网站
GIANT
自然职场线上招聘会
ACS ES&T Engineering
ACS ES&T Water
屿渡论文,编辑服务
何川
苏昭铭
陈刚
姜涛
李闯创
复旦大学
刘立明
隐藏1h前已浏览文章
课题组网站
新版X-MOL期刊搜索和高级搜索功能介绍
ACS材料视界
天合科研
x-mol收录
上海纽约大学
曾林
天津大学
何振宇
史大永
吉林大学
卓春祥
张昊
刘冬生
试剂库存
down
wechat
bug