Ambient Temperature and Years of Life Lost:A National Study in China

查看全文 作　　者：Tao [1]Liu;Chunliang [2]Zhou;Haoming [3]Zhang;Biao [4]Huang;Yanjun [5]Xu;Lifeng [5]Lin;Lijun [6]Wang;Ruying [7]Hu;Zhulin [4]Hou;Yize [3]Xiao;Junhua [2]Li;Xiaojun [5]Xu;Donghui [2]Jin;Mingfang [3]Qin;Qinglong [4]Zhao;Weiwei [7]Gong;Peng [6]Yin;Yiqing [2]Xu;Jianxiong [1]Hu;Jianpeng [1]Xiao;Weilin [1]Zeng;Xing [1]Li;Siqi [1]Chen;Lingchuan [1]Guo;Zuhua [1]Rong;Yonghui [5]Zhang;Cunrui [8]Huang;Yaodong [9]Du;Yuming [10]Guo;Shannon [11]Rutherford;Min [7]Yu;Maigeng [6]Zhou;Wenjun [1]Ma

机构地区：[1]Guangdong Provincial Institute of Public Health,Guangdong Provincial Center for Disease Control and Prevention,Guangzhou,511430,China;[2]Hunan Provincial Center for Disease Control and Prevention,Changsha,410005,China;[3]Yunnan Center for Disease Control and Prevention,Kunming,650022,China;[4]Health Hazard Factors Control Department,Jilin Provincial Center for Disease Control and Prevention,Changchun,130062,China;[5]Guangdong Provincial Center for Disease Control and Prevention,Guangzhou,511430,China;[6]The National Center for Chronic and Noncommunicable Disease Control and Prevention,Beijing,100050,China;[7]Zhejiang Center for Disease Control and Prevention,Hangzhou,310051,China;[8]School of Public Health,Sun Yat-sen University,Guangzhou,510080,China;[9]Guangdong Provincial Climate Center,Guangzhou,510080,China;[10]Department of Epidemiology and Preventive Medicine,School of Public Health and Preventive Medicine,Monash University,Melbourne,3800,Australia;[11]School of Medicine,Griffith University,Gold Coast,4214,Australia

出　　处：《The Innovation》索引2021年第2卷第1期,共8页

基　　金：We thank Professor Antonio Gasparrini for providing assistance during statistical analysis.This work was supported by the National Key Research and Development Program of China(2018YFA0606200);Guangzhou Science and Technology Project(201704020194);and the Guangdong Health Innovation Platform.The funders were not involved in the research and preparation of the article,including study design;collection,analysis,and interpretation of data;writing of the article;and the decision to submit it for publication. 摘　　要：Although numerous studies have investigated premature deaths attributable to temperature,effects of temperature on years of life lost(YLL)remain unclear.We estimated the relationship between temperatures and YLL,and quantified the YLL per death caused by temperature in China.We collected daily meteorological and mortality data,and calculated the daily YLL values for 364 locations(2013–2017 in Yunnan,Guangdong,Hunan,Zhejiang,and Jilin provinces,and 2006–2011 in other locations)in China.A time-series design with a distributed lag nonlinear model was first employed to estimate the location-specific associations between temperature and YLL rates(YLL/100,000 population),and a multivariate meta-analysis model was used to pool location-specific associations.Then,YLL per death caused by temperatures was calculated.The temperature and YLL rates consistently showed U-shaped associations.A mean of 1.02(95%confidence interval:0.67,1.37)YLL per death was attributable to temperature.Cold temperature caused 0.98 YLL per death with most from moderate cold(0.84).The mean YLL per death was higher in those with cardiovascular diseases(1.14),males(1.15),younger age categories(1.31 in people aged 65–74 years),and in central China(1.34)than in those with respiratory diseases(0.47),females(0.87),older people(0.85 in people R75 years old),and northern China(0.64)or southern China(1.19).The mortality burden was modified by annual temperature and temperature variability,relative humidity,latitude,longitude,altitude,education attainment,and central heating use.Temperatures caused substantial YLL per death in China,which was modified by demographic and regional characteristics. 关键词：TEMPERATURE YEARS OF LIFE LOST MORTALITY BURDEN DISTRIBUTED LAG NONLINEAR MODEL MULTIVARIATE META-ANALYSIS CHINA

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Ambient Temperature and Years of Life Lost:A National Study in China

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