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The Impact of Cold and Heat on Years of Life Lost in a Northwestern Chinese City with Temperate Continental Climate

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  • Jiangtao Liu

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Yueling Ma

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Yuhong Wang

    (Lanzhou Municipal Center for Disease Control, Lanzhou 730000, Gansu, China)

  • Sheng Li

    (Lanzhou Municipal Center for Disease Control, Lanzhou 730000, Gansu, China)

  • Shuyu Liu

    (Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, Gansu, China)

  • Xiaotao He

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Lanyu Li

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Lei Guo

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Jingping Niu

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China)

  • Bin Luo

    (Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China
    Shanghai Key Laboratory of Meteorology and Health, Shanghai Meteorological Service, Shanghai 200030, China)

  • Kai Zhang

    (Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
    Southwest Center for Occupational and Environmental Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA)

Abstract

Cold spells and heat waves in a changing climate are well known as great public-health concerns due to their adverse effects on human health. However, very few studies have quantified health impacts of heat and cold in the region of Northwestern China. The purpose of the present study was to evaluate the effects of cold and heat on years of life lost (YLL) in Lanzhou, a city with temperate continental climate. We compiled a daily dataset including deaths, weather variables, and air pollutants in Lanzhou, China, from 2014–2017. We used a distributed lag non-linear model to estimate single-day and cumulative effects of heat and cold on daily YLL. Results indicated that both cold and heat were associated with increased YLL for registered residents in Lanzhou. Estimated heat effects appeared immediately in the first two days, while estimated cold effects lasted over a longer period (up to 30 days). Cold significantly increased the YLL of all residents except for males and those with respiratory diseases (≥65 years). Our results showed that both heat and cold had more pronounced effects on cardiovascular diseases compared to respiratory diseases. Males might be more vulnerable to heat, while females might suffer more YLL from cold. The effects of cold or heat on the elderly might appear earlier and last longer than those for other age groups.

Suggested Citation

  • Jiangtao Liu & Yueling Ma & Yuhong Wang & Sheng Li & Shuyu Liu & Xiaotao He & Lanyu Li & Lei Guo & Jingping Niu & Bin Luo & Kai Zhang, 2019. "The Impact of Cold and Heat on Years of Life Lost in a Northwestern Chinese City with Temperate Continental Climate," IJERPH, MDPI, vol. 16(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3529-:d:269337
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    References listed on IDEAS

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    3. 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).
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