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Interaction Effects of Air Pollution and Climatic Factors on Circulatory and Respiratory Mortality in Xi’an, China between 2014 and 2016

Author

Listed:
  • Kingsley Katleho Mokoena

    (School of Public Health, Xi’an Jiaotong University, Health Science Center, Xi’an 710061, China
    Authors with equal contribution.)

  • Crystal Jane Ethan

    (School of Public Health, Xi’an Jiaotong University, Health Science Center, Xi’an 710061, China
    Authors with equal contribution.)

  • Yan Yu

    (School of Public Health, Xi’an Jiaotong University, Health Science Center, Xi’an 710061, China)

  • Asenso Theophilus Quachie

    (School of Mathematics, Northwest University, Xi’an 710127, China)

Abstract

Several studies have reported that air pollution and climatic factors are major contributors to human morbidity and mortality globally. However, the combined interactive effects of air pollution and climatic factors on human health remain largely unexplored. This study aims to investigate the interactive effects of air pollution and climatic factors on circulatory and respiratory mortality in Xi’an, China. Time-series analysis and the distributed lag non-linear model (DLNM) were employed as the study design and core statistical method. The interaction relative risk (IRR) and relative excess risk due to interaction (RERI) for temperature and Air Quality Index (AQI) interaction on circulatory mortality were 0.973(0.969, 0.977) and −0.055(−0.059, −0.048), respectively; while for relative humidity and AQI interaction, 1.098(1.011, 1.072) and 0.088(0.081, 0.107) respectively, were estimated. Additionally, the IRR and RERI for temperature and AQI interaction on respiratory mortality were 0.805(0.722, 0.896) and −0.235(−0.269, −0.163) respectively, while 1.008(0.965, 1.051) and −0.031(−0.088, 0.025) respectively were estimated for relative humidity and AQI interaction. The interaction effects of climatic factors and AQI were synergistic and antagonistic in relation to circulatory and respiratory mortality, respectively. Interaction between climatic factors and air pollution contributes significantly to circulatory and respiratory mortality.

Suggested Citation

  • Kingsley Katleho Mokoena & Crystal Jane Ethan & Yan Yu & Asenso Theophilus Quachie, 2020. "Interaction Effects of Air Pollution and Climatic Factors on Circulatory and Respiratory Mortality in Xi’an, China between 2014 and 2016," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:9027-:d:455848
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    References listed on IDEAS

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    3. Cunrui Huang & Adrian G. Barnett & Xiaoming Wang & Shilu Tong, 2012. "The impact of temperature on years of life lost in Brisbane, Australia," Nature Climate Change, Nature, vol. 2(4), pages 265-270, April.
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