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首页> 外文期刊>Environmental research >A systematic review and meta-analysis of the association between daily mean temperature and mortality in China
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A systematic review and meta-analysis of the association between daily mean temperature and mortality in China

机译：对中国日常温度和死亡率之间的关联的系统评价和荟萃分析

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摘要

Purpose: We summarized the evidence on the effects of heat and cold exposures on mortality in China. We included studies published on this topic in both Chinese and English, thereby filling a gap in knowledge using data from a country that consists of one-fifth of the world's population.Methods: We conducted a systematic search of peer-reviewed studies on the association between daily mean temperature and mortality published from 2001 up to July 2018. We searched one Chinese database (China National Knowledge infrastructure, http://www.cnki.net) and three English databases (PubMed, Scopus, Web of Science). We converted the effect estimates of heat/cold to rate ratios (RRs) associated with 1 increase/decrease beyond the heat/cold reference temperatures. For studies that provided lag-specific estimates, we used both the maximum and minimum of RR estimates. We calculated summary effect estimates for all-cause and cause-specific mortalities, as well as RRs stratified by sex, age, and socioeconomic status. We also investigated patterns of heat and cold adaptation at different latitudes, and at different reference temperatures.Results: In total, 45 articles were included in this systematic review. For every 1 temperature increase/decrease beyond reference points, the rate of non-accidental mortality increased by 2% (RR, 1.02; 95% confidence interval (95% CI [1.01-1.02]) for heat and 4% (RR, 1.04; 95% CI [1.03-1.04]) for cold, respectively; the rate of cardiovascular mortality increased 3% (RR, 1.03; 95% CI [1.03-1.04]) for heat and 6% (RR, 1.06; 95% CI [1.04-1.07]) for cold; the rate of respiratory mortality increased 2% (RR, 1.02; 95% CI [1.01-1.03]) for heat and 2% (RR, 1.02; 95% CI [1.00-1.04]) for cold; the rate of cerebrovascular mortality increased 2% (RR, 1.02; 95% CI [1.02-1.03]) for heat and 3% (RR, 1.03; 95% CI [1.02-1.04]) for cold. We identified a variation in optimal temperature range related to latitude of the residential area, and differences in people's capability to adapt to heat versus cold.Conclusion: We found consistent evidence of the association between temperature and mortality, as well as evidence of patterns in human adaptation, and we discussed the implications of our findings.
机译：目的：我们总结了关于热敏和冷暴露对中国死亡率影响的证据。我们在中文和英语中包含了关于这一主题的研究，从而使用来自世界上五分之一的国家的数据填补了知识的差距。方法：我们对协会的同行评审研究进行了系统搜索每日平均温度和死亡率之间从2001年发布于2018年7月。我们搜索了一项中国数据库（中国国家知识基础设施，http://www.cnki.net）和三个英文数据库（Pubmed，Scopus，科学网站）。我们将热/冷的速率估计转换为与热/冷参考温度的1增加/减少相关的热/冷到速率比（RRS）。对于提供特定于滞后估计的研究，我们使用最大和最小值估算。我们计算了所有原因和造成特定死亡率的摘要效应估计，以及性别，年龄和社会经济地位分层的RRS。我们还调查了不同纬度的热和冷适应模式，以及不同的参考温度。结果：总共包括45篇文章在该系统审查中。对于每1个温度升高/减少参考点，未意外死亡率增加2％（RR，1.02; 95％置信区间（95％CI [1.01-1.02]），热量和4％（RR，1.04 ; 95％CI [1.03-1.04]分别为寒冷;热量增加3％（RR，1.03; 95％CI [1.03-1.04]），热量和6％（RR，1.06; 95％CI [1.04-1.07]）对于寒冷;热量增加2％（RR，1.02; 95％CI [1.01-1.03]），热量和2％（RR，1.02; 95％CI [1.00-1.04]）对于寒冷;热量增加2％（RR，1.02; 95％CI [1.02-1.03]），用于寒冷的3％（RR，1.03; 95％CI [1.02-1.04]）。我们确定了一个与住宅区纬度相关的最佳温度范围的变化，以及人们适应热量的能力的差异。结论：我们发现了温度和死亡率之间关联的一致证据，以及人类适应模式的迹象我们讨论了iclip我们的研究结果。

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  • 来源
    《Environmental research》 |2019年第6期|281-299|共19页
  • 作者

    Luo Qianlai; Li Shanshan; Guo Yuming; Han Xuemei; Jaakkola Jouni J. K.;

  • 作者单位

    Univ Oulu Ctr Environm & Resp Hlth Res CERH Oulu Finland|Oulu Univ Hosp MRC Oulu Oulu Finland|Univ Oulu Oulu Finland;

    Univ Oulu Ctr Environm & Resp Hlth Res CERH Oulu Finland|Monash Univ Sch Publ Hlth & Prevent Med Clayton Vic Australia;

    Univ Oulu Ctr Environm & Resp Hlth Res CERH Oulu Finland|Monash Univ Sch Publ Hlth & Prevent Med Clayton Vic Australia;

    NatureServe 4600 North Fairfax Dr Arlington VA 22203 USA;

    Univ Oulu Ctr Environm & Resp Hlth Res CERH Oulu Finland|Oulu Univ Hosp MRC Oulu Oulu Finland|Univ Oulu Oulu Finland;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Temperature; Mortality; China; Systematic literature review; Meta-analysis;

    机译：温度;死亡率;中国;系统文献综述;META分析;

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