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Effects of Extreme Temperatures on Cause-Specific Cardiovascular Mortality in China

Author

Listed:
  • Xuying Wang

    (Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China)

  • Guoxing Li

    (Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China)

  • Liqun Liu

    (Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China)

  • Dane Westerdahl

    (Sibley School of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY 14850, USA)

  • Xiaobin Jin

    (Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China)

  • Xiaochuan Pan

    (Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China)

Abstract

Objective : Limited evidence is available for the effects of extreme temperatures on cause-specific cardiovascular mortality in China. Methods : We collected data from Beijing and Shanghai, China, during 2007–2009, including the daily mortality of cardiovascular disease, cerebrovascular disease, ischemic heart disease and hypertensive disease, as well as air pollution concentrations and weather conditions. We used Poisson regression with a distributed lag non-linear model to examine the effects of extremely high and low ambient temperatures on cause-specific cardiovascular mortality. Results : For all cause-specific cardiovascular mortality, Beijing had stronger cold and hot effects than those in Shanghai. The cold effects on cause-specific cardiovascular mortality reached the strongest at lag 0–27, while the hot effects reached the strongest at lag 0–14. The effects of extremely low and high temperatures differed by mortality types in the two cities. Hypertensive disease in Beijing was particularly susceptible to both extremely high and low temperatures; while for Shanghai, people with ischemic heart disease showed the greatest relative risk (RRs = 1.16, 95% CI: 1.03, 1.34) to extremely low temperature. Conclusion : People with hypertensive disease were particularly susceptible to extremely low and high temperatures in Beijing. People with ischemic heart disease in Shanghai showed greater susceptibility to extremely cold days.

Suggested Citation

  • Xuying Wang & Guoxing Li & Liqun Liu & Dane Westerdahl & Xiaobin Jin & Xiaochuan Pan, 2015. "Effects of Extreme Temperatures on Cause-Specific Cardiovascular Mortality in China," IJERPH, MDPI, vol. 12(12), pages 1-21, December.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:15042-16156:d:60926
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    References listed on IDEAS

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    2. Gasparrini, Antonio, 2011. "Distributed Lag Linear and Non-Linear Models in R: The Package dlnm," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 43(i08).
    3. Yu-Kai Lin & Chin-Kuo Chang & Yu-Chun Wang & Tsung-Jung Ho, 2013. "Acute and Prolonged Adverse Effects of Temperature on Mortality from Cardiovascular Diseases," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
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    Cited by:

    1. Mengxuan Li & Benjamin A. Shaw & Wangjian Zhang & Elizabeth Vásquez & Shao Lin, 2019. "Impact of Extremely Hot Days on Emergency Department Visits for Cardiovascular Disease among Older Adults in New York State," IJERPH, MDPI, vol. 16(12), pages 1-13, June.
    2. Sida Liu & Emily Yang Ying Chan & William Bernard Goggins & Zhe Huang, 2020. "The Mortality Risk and Socioeconomic Vulnerability Associated with High and Low Temperature in Hong Kong," IJERPH, MDPI, vol. 17(19), pages 1-14, October.

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