Comparison of life loss per death attributable to ambient temperature among various development regions: a nationwide study in 364 locations in China
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Published:2020-09-15
Issue:1
Volume:19
Page:
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ISSN:1476-069X
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Container-title:Environmental Health
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language:en
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Short-container-title:Environ Health
Author:
Chen Siqi, Xiao Yize, Zhou Maigeng, Zhou Chunliang, Yu Min, Huang Biao, Xu Yanjun, Liu Tao, Hu Jianxiong, Xu Xiaojun, Lin Lifeng, Hu Ruying, Hou Zhulin, Li Junhua, Jin Donghui, Qin Mingfang, Zhao Qinglong, Gong Weiwei, Yin Peng, Xu Yiqing, Xiao Jianpeng, Zeng Weilin, Li Xing, Guo Lingchuan, Zhang Yonghui, Huang Cunrui, Ma WenjunORCID
Abstract
Abstract
Background
Several studies have investigated the associations between ambient temperature and years of life lost (YLLs), but few focused on the difference of life loss attributable to temperature among different socioeconomic development levels.
Objectives
We investigated the disparity in temperature-YLL rate relationships and life loss per death attributable to nonoptimal temperature in regions with various development levels.
Methods
Three hundred sixty-four Chinese counties or districts were classified into 92 high-development regions (HDRs) and 272 low-development regions (LDRs) according to socioeconomic factors of each location using K-means clustering approach. We used distributed lag non-linear models (DLNM) and multivariate meta-analysis to estimate the temperature-YLL rate relationships. We calculated attributable fraction (AF) of YLL and temperature-related average life loss per death to compare mortality burden of temperature between HDRs and LDRs. Stratified analyses were conducted by region, age, sex and cause of death.
Results
We found that non-optimal temperatures increased YLL rates in both HDRs and LDRs, but all subgroups in LDRs were more vulnerable. The disparity of cold effects between HDRs and LDRs was significant, while the difference in heat effect was insignificant. The overall AF of non-optimal temperature in LDRs [AF = 12.2, 95% empirical confidence interval (eCI):11.0–13.5%] was higher than that in HDRs (AF = 8.9, 95% eCI: 8.3–9.5%). Subgroups analyses found that most groups in LDRs had greater AFs than that in HDRs. The average life loss per death due to non-optimal temperature in LDRs (1.91 years, 95% eCI: 1.72–2.10) was also higher than that in HDRs (1.32 years, 95% eCI: 1.23–1.41). Most of AFs and life loss per death were caused by moderate cold in both HDRs and LDRs.
Conclusions
Mortality burden caused by temperature was more significant in LDRs than that in HDRs, which means that more attention should be paid to vulnerable populations in LDRs in planning adaptive strategies.
Funder
National Key Research and Development Program of China Guangzhou Science and Technology Project Natural Science Foundation of Guangdong, China
Publisher
Springer Science and Business Media LLC
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
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