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泰安市日平均气温对居民死亡数的滞后影响分析

Distributed lag effects in the relationship between daily mean temperature and mortality in Taian

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【作者】 张璟; 王文军; 张春菊;

【Author】 ZHANG Jing;WANG Wenjun;ZHANG Chunju;School of Public Health,Jining Medical University;

【机构】 济宁医学院公共卫生学院; 泰安市疾病预防控制中心;

【摘要】 目的了解泰安市日平均气温对不同性别、不同年龄居民每日非意外死亡的影响。方法根据泰安市2009年1月1日至2013年12月31日每日居民死亡资料和同期气相指标及大气污染指标,采用分布滞后非线性模型,在控制长期趋势、季节趋势和其他混杂因素后,研究日平均气温与不同性别、不同年龄死亡数之间的关系。结果泰安市日平均气温对不同性别、不同年龄人群死亡效应曲线均为J形,冷效应具有延迟性,在暴露当天出现,3d左右达到最高,持续30d。热效应表现为急性效应,以当天最高,后逐渐降低,在女性及老年人中呈现出明显的收获效应。结论高温和寒冷均是泰安市居民每日死亡的危险因素,存在滞后效应,且低温效应的滞后时间长于高温。

【Abstract】 Objective To study the impact of daily mean temperature on mortality in different genders and different age groups in Taian.Methods According to daily mortality,meteorological and air pollution data,we used a distributed lag nonlinear model(DLNM)to assess the effects of daily mean temperature on mortality(non-accidental for male,female,<65 years group and≥65 years group)adjusting for the secular trend,seasonal trend and other confounders.Results A J-shaped relationship was found consistently between daily mean temperature and non-accidental deaths in different genders and different age groups in Taian.Cold effects were delayed,occurred following exposure,reached highest at about 3 days and persisted for 30 days.Hot effects were acute and highest at 1st day and reduced gradually,which were followed by mortality displacement in female and≥65 years group.Conclusion In Taian,cold and hot temperatures increased the risk of mortality with delayed effects.The effects of cold lasted longer than the effects of heat.

【基金】 山东省自然科学基金资助项目(编号:ZR2014HL092)
  • 【文献出处】 济宁医学院学报 ,Journal of Jining Medical University , 编辑部邮箱 ,2015年06期
  • 【分类号】R122.26
  • 【被引频次】10
  • 【下载频次】165
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