The effects of ambient temperature on cerebrovascular mortality: an epidemiologic study in four climatic zones in China

Environmental Health

Research

Jouni JK Jaakkola¹  Shanshan Li²  Yuming Guo³  Antonio Gasparrini⁴  Xiaochuan Pan⁵  Sheng Wang⁵  Yanshen Zhang⁵  Shilu Tong⁶ 

[1] Center for Environmental and Respiratory Health Research, Institute of Health Sciences, University of Oulu, Oulu, Finland;Department of Epidemiology and Biostatistics, School of Population Health, University of Queensland, 4006, Brisbane, QLD, Australia;Department of Epidemiology and Biostatistics, School of Population Health, University of Queensland, 4006, Brisbane, QLD, Australia;Shanghai Key Laboratory of Meteorology and Health, Shanghai, China;Department of Medical Statistics, London School of Hygiene &, Tropical Medicine, London, UK;Department of Occupational and Environmental Health, School of Public Health, Peking University, 100191, Beijing, China;School of Public Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia;

关键词: Cerebrovascular disease;    Meta-analysis;    Mortality;    Temperature;    Time series analysis;   

DOI  :  10.1186/1476-069X-13-24

 received in 2013-10-02, accepted in 2014-03-26,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundLittle evidence is available about the association between temperature and cerebrovascular mortality in China. This study aims to examine the effects of ambient temperature on cerebrovascular mortality in different climatic zones in China.MethodWe obtained daily data on weather conditions, air pollution and cerebrovascular deaths from five cities (Beijing, Tianjin, Shanghai, Wuhan, and Guangzhou) in China during 2004-2008. We examined city-specific associations between ambient temperature and the cerebrovascular mortality, while adjusting for season, long-term trends, day of the week, relative humidity and air pollution. We examined cold effects using a 1°C decrease in temperature below a city-specific threshold, and hot effects using a 1°C increase in temperature above a city-specific threshold. We used a meta-analysis to summarize the cold and hot effects across the five cities.ResultsBeijing and Tianjin (with low mean temperature) had lower thresholds than Shanghai, Wuhan and Guangzhou (with high mean temperature). In Beijing, Tianjin, Wuhan and Guangzhou cold effects were delayed, while in Shanghai there was no or short induction. Hot effects were acute in all five cities. The cold effects lasted longer than hot effects. The hot effects were followed by mortality displacement. The pooled relative risk associated with a 1°C decrease in temperature below thresholds (cold effect) was 1.037 (95% confidence interval (CI): 1.020, 1.053). The pooled relative risk associated with a 1°C increase in temperature above thresholds (hot effect) was 1.014 (95% CI: 0.979, 1.050).ConclusionCold temperatures are significantly associated with cerebrovascular mortality in China, while hot effect is not significant. People in colder climate cities were sensitive to hot temperatures, while people in warmer climate cities were vulnerable to cold temperature.

【 授权许可】

Unknown   
© Zhang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.