Abstract:
BACKGROUND:Although adverse effects of high temperature on mortality have been studied extensively in urban areas, little is known of the heat-mortality associations outside of cities. OBJECTIVE:We investigated whether heat-mortality associations differed between urban and nonurban areas and how urbanicity affected the vulnerability to heat-related mortality. METHODS:We first analyzed heat-related mortality risk in each of 102 counties in Jiangsu Province, China, during 2009-2013 using a distributed-lag nonlinear model. The county-specific estimates were then pooled for more urban (percentage of urban population ≥ 57.11%) and less urban (percentage of urban population < 57.11%) counties using a Bayesian hierarchical model. To explain the spatial variation in associations by county, county-level characteristics affecting heat vulnerability were also examined. RESULTS:We found that the overall mortality risk comparing the 99th vs. 75th percentiles of temperature was 1.43 [95% posterior intervals (PI): 1.36, 1.50] in less urban counties and 1.26 (95% PI: 1.23, 1.30) in more urban counties. The heat effects on cardiorespiratory mortality followed a similar pattern. Higher education level and prevalence of air conditioning were significantly associated with counties having lower risks, whereas percentage of elderly people was significantly associated with increased risks. CONCLUSION:Our findings reveal that nonurban areas have significant heat-related mortality risks in Jiangsu, China. These results suggest the need for enhanced adaptation planning in Chinese nonurban areas under a changing climate. Citation: Chen K, Zhou L, Chen X, Ma Z, Liu Y, Huang L, Bi J, Kinney PL. 2016. Urbanization level and vulnerability to heat-related mortality in Jiangsu Province, China. Environ Health Perspect 124:1863-1869; http://dx.doi.org/10.1289/EHP204.
journal_name
Environ Health Perspectjournal_title
Environmental health perspectivesauthors
Chen K,Zhou L,Chen X,Ma Z,Liu Y,Huang L,Bi J,Kinney PLdoi
10.1289/EHP204subject
Has Abstractpub_date
2016-12-01 00:00:00pages
1863-1869issue
12eissn
0091-6765issn
1552-9924pii
EHP204journal_volume
124pub_type
杂志文章abstract::We present a model of the distribution of noise annoyance with the mean varying as a function of the noise exposure. Day-night level (DNL) and day-evening-night level (DENL) were used as noise descriptors. Because the entire annoyance distribution has been modeled, any annoyance measure that summarizes this distributi...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.01109409
更新日期:2001-04-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.5697
更新日期:2003-07-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/EHP2192
更新日期:2018-01-22 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.8562423
更新日期:1985-10-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.6961
更新日期:2004-08-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/EHP483
更新日期:2017-06-13 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7595
更新日期:2005-06-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.792935
更新日期:1979-04-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.8670239
更新日期:1986-12-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:1975-04-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.01109833
更新日期:2001-08-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.59-1568074
更新日期:1985-02-01 00:00:00
abstract::Human milk is a repository for certain classes of long-lived, fat-soluble environmental contaminant chemicals. Some members of this class, such as the chlorinated pesticides and the chlorinated biphenyls, can be expected to be present at chemical waste disposal sites. Analysis of samples of breast milk obtained from w...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.834887
更新日期:1983-02-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.782653
更新日期:1978-10-01 00:00:00
abstract::In 1994 officials from the Ohio Department of Health reported that some residents of Lorain County, Ohio, possibly had been exposed to methyl parathion (MP), a highly toxic restricted-use pesticide. The U.S. Centers for Disease Control and Prevention (CDC) assisted in the investigation by providing epidemiologic and l...
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更新日期:2002-12-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:2017-07-20 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/ehp.93101s2117
更新日期:1993-07-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/ehp.01109s2309
更新日期:2001-05-01 00:00:00
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更新日期:1985-09-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.814245
更新日期:1981-12-01 00:00:00
abstract::Virginia Bioinformatics Institute, in conjunction with National Institutes of Environmental Health Sciences, hosted a conference, "Toxicogenomics through the Eyes of Informatics," in Bethesda, Maryland, USA, on 12-13 May 2003. Researchers around the world met to discuss how the application of bioinformatics tools, met...
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更新日期:2004-05-01 00:00:00
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doi:10.1289/ehp.9828
更新日期:2007-05-01 00:00:00
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更新日期:1978-02-01 00:00:00
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更新日期:2014-02-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:1997-09-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/ehp.1002915
更新日期:2011-06-01 00:00:00
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journal_title:Environmental health perspectives
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更新日期:1996-12-01 00:00:00
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更新日期:2013-11-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.929777
更新日期:1992-07-01 00:00:00