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dc.contributor.authorZhou, Mai Gengen_US
dc.contributor.authorWang, Li Junen_US
dc.contributor.authorLiu, Taoen_US
dc.contributor.authorZhang, Yong Huien_US
dc.contributor.authorLin, Hua Liangen_US
dc.contributor.authorLuo, Yuanen_US
dc.contributor.authorXiao, Jian Pengen_US
dc.contributor.authorZeng, Wei Linen_US
dc.contributor.authorZhang, Yeen_US
dc.contributor.authorWang, Xiao Fengen_US
dc.contributor.authorGu, Xinen_US
dc.contributor.authorRutherford, Shannonen_US
dc.contributor.authorChu, Cordiaen_US
dc.contributor.authorMa, Wen Junen_US
dc.date.accessioned2017-05-03T12:45:37Z
dc.date.available2017-05-03T12:45:37Z
dc.date.issued2014en_US
dc.identifier.issn1476069Xen_US
dc.identifier.doi10.1186/1476-069X-13-60en_US
dc.identifier.urihttp://hdl.handle.net/10072/63935
dc.description.abstractBackground Many studies have investigated heat wave related mortality, but less attention has been given to the health effects of cold spells in the context of global warming. The 2008 cold spell in China provided a unique opportunity to estimate the effects of the 2008 cold spell on mortality in subtropical regions, spatial heterogeneity of the effects, stratification effect and added effects caused by sustained cold days. Methods Thirty-six study communities were selected from 15 provinces in subtropical China. Daily mortality and meteorological data were collected for each community from 2006 to 2010. A distributed lag linear non-linear model (DLNM) with a lag structure of up to 27 days was used to analyze the association between the 2008 cold spell and mortality. Multivariate meta-analyses were used to combine the cold effects across each community. Results The 2008 cold spell increased mortality by 43.8% (95% CI: 34.8%?~?53.4%) compared to non-cold spell days with the highest effects in southern and central China. The effects were more pronounced for respiratory mortality (RESP) than for cardiovascular (CVD) or cerebrovascular mortality (CBD), for females more than for males, and for the elderly aged =75 years old more than for younger people. Overall, 148,279 excess deaths were attributable to the 2008 cold spell. The cold effect was mainly from extreme low temperatures rather than sustained cold days during this 2008 cold spell. Conclusions The 2008 cold spell increased mortality in subtropical China, which was mainly attributable to the low temperature rather than the sustained duration of the cold spell. The cold effects were spatially heterogeneous and modified by individual-specific characteristics such as gender and age.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent1517413 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.publisherBioMed Centralen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom60-1en_US
dc.relation.ispartofpageto60-13en_US
dc.relation.ispartofjournalEnvironmental Health: A Global Access Science Sourceen_US
dc.relation.ispartofvolume13en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchEnvironmental Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode059999en_US
dc.titleHealth impact of the 2008 cold spell on mortality in subtropical China: The climate and health impact national assessment study (CHINAs)en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dcterms.licensehttp://creativecommons.org/licenses/by/2.0en_US
gro.description.notepublicPage numbers are not for citation purposes. Instead, this article has the unique article number of 60.en_US
gro.rights.copyright© 2014 Zhou et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
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