Abstract
Background:There is limited evidence for the impacts of heat waves on coronary heart disease (CHD) mortality in Beijing, capital city of China.Objectives:We aimed to find a best heat wave definition for CHD mortality; and explore the characteristic of heat wave effects on CHD in Beijing, China.Methods:We obtained daily data on weather and CHD mortality in Beijing for years 2000-2011. A quasi-Poisson regression model was used to assess the short-term impact of heat waves on CHD mortality in hot season (May-September), while controlling for relative humidity, day of the week, long-term trend and season. We compared 18 heat wave definitions by combining heat wave thresholds (87.5th, 90.0th, 92.5th, 95th, 97.5th, and 99th percentile of daily mean temperature) with different duration days (≥ 2 to ≥ 4 days), using Akaike information criterion for quasi-Poisson. We examined whether heat wave effects on CHD mortality were modified by heat wave duration and timing.Results:Heat wave definition using 97.5th percentile of daily mean temperature (30.5 °C) and duration ≥ 2 days produced the best model fit. Based on this heat wave definition, we found that men and elderly were sensitive to the first heat waves of the season, while women and young were sensitive to the second heat waves. In general, the longer duration of heat waves increased the risks of CHD mortality more than shorter duration for elderly. The first two days of heat waves had the highest impact on CHD mortality. Women and elderly were at higher risks than men and young when exposed to heat waves, but the effect differences were not statistically significant.Conclusions:Heat waves had significant impact on CHD mortality. This finding may have implications for policy making towards protecting human health from heat waves.
| Original language | English |
|---|---|
| Article number | e77321 |
| Journal | PLoS ONE |
| Volume | 8 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 30 Sep 2013 |
| Externally published | Yes |
Cite this
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The Characteristic of Heat Wave Effects on Coronary Heart Disease Mortality in Beijing, China : A Time Series Study. / Tian, Zhaoxing; Li, Shanshan; Zhang, Jinliang; Guo, Yuming.
In: PLoS ONE, Vol. 8, No. 9, e77321, 30.09.2013.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - The Characteristic of Heat Wave Effects on Coronary Heart Disease Mortality in Beijing, China
T2 - A Time Series Study
AU - Tian, Zhaoxing
AU - Li, Shanshan
AU - Zhang, Jinliang
AU - Guo, Yuming
PY - 2013/9/30
Y1 - 2013/9/30
N2 - Background:There is limited evidence for the impacts of heat waves on coronary heart disease (CHD) mortality in Beijing, capital city of China.Objectives:We aimed to find a best heat wave definition for CHD mortality; and explore the characteristic of heat wave effects on CHD in Beijing, China.Methods:We obtained daily data on weather and CHD mortality in Beijing for years 2000-2011. A quasi-Poisson regression model was used to assess the short-term impact of heat waves on CHD mortality in hot season (May-September), while controlling for relative humidity, day of the week, long-term trend and season. We compared 18 heat wave definitions by combining heat wave thresholds (87.5th, 90.0th, 92.5th, 95th, 97.5th, and 99th percentile of daily mean temperature) with different duration days (≥ 2 to ≥ 4 days), using Akaike information criterion for quasi-Poisson. We examined whether heat wave effects on CHD mortality were modified by heat wave duration and timing.Results:Heat wave definition using 97.5th percentile of daily mean temperature (30.5 °C) and duration ≥ 2 days produced the best model fit. Based on this heat wave definition, we found that men and elderly were sensitive to the first heat waves of the season, while women and young were sensitive to the second heat waves. In general, the longer duration of heat waves increased the risks of CHD mortality more than shorter duration for elderly. The first two days of heat waves had the highest impact on CHD mortality. Women and elderly were at higher risks than men and young when exposed to heat waves, but the effect differences were not statistically significant.Conclusions:Heat waves had significant impact on CHD mortality. This finding may have implications for policy making towards protecting human health from heat waves.
AB - Background:There is limited evidence for the impacts of heat waves on coronary heart disease (CHD) mortality in Beijing, capital city of China.Objectives:We aimed to find a best heat wave definition for CHD mortality; and explore the characteristic of heat wave effects on CHD in Beijing, China.Methods:We obtained daily data on weather and CHD mortality in Beijing for years 2000-2011. A quasi-Poisson regression model was used to assess the short-term impact of heat waves on CHD mortality in hot season (May-September), while controlling for relative humidity, day of the week, long-term trend and season. We compared 18 heat wave definitions by combining heat wave thresholds (87.5th, 90.0th, 92.5th, 95th, 97.5th, and 99th percentile of daily mean temperature) with different duration days (≥ 2 to ≥ 4 days), using Akaike information criterion for quasi-Poisson. We examined whether heat wave effects on CHD mortality were modified by heat wave duration and timing.Results:Heat wave definition using 97.5th percentile of daily mean temperature (30.5 °C) and duration ≥ 2 days produced the best model fit. Based on this heat wave definition, we found that men and elderly were sensitive to the first heat waves of the season, while women and young were sensitive to the second heat waves. In general, the longer duration of heat waves increased the risks of CHD mortality more than shorter duration for elderly. The first two days of heat waves had the highest impact on CHD mortality. Women and elderly were at higher risks than men and young when exposed to heat waves, but the effect differences were not statistically significant.Conclusions:Heat waves had significant impact on CHD mortality. This finding may have implications for policy making towards protecting human health from heat waves.
UR - http://www.scopus.com/inward/record.url?scp=84884793650&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0077321
DO - 10.1371/journal.pone.0077321
M3 - Article
VL - 8
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 9
M1 - e77321
ER -