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中国北部和南部在不同温度下的心血管疾病死亡率的差异:系统性审查
Guangyu Zhai1, Ziqing Jiang1, Wenjuan Zhou2
1School of Economics and Management, Lanzhou University of Technology, Lanzhou, Gansu, China.
在中国,极端的寒冷和高温会增加心血管疾病 (CVD) 的死亡率. 极端寒冷构成了最大的风险,北方和南方人口之间观察到温度敏感性的区域差异.
科学领域:
- 环境流行病学环境流行病学
- 心血管流行病学心血管流行病学
背景情况:
- 中国各地的气候和环境变化影响心血管疾病 (CVD) 的死亡风险.
- 了解区域温度对心血管疾病死亡率的影响至关重要.
研究的目的:
- 进行一项元分析,比较不同温度对中国各地区心血管疾病死亡率的影响.
主要方法:
- 对2014年至2024年间发表的21项研究进行了元分析.
- 在Web of Science和中国国家知识基础设施数据库中进行了搜索.
- 统计测试 (科克兰Q,I2,埃格斯) 评估了异质性和出版偏差.
主要成果:
- 综合估计显示心血管疾病死亡风险增加:极寒为1.60,极热为1.17和高日间温度范围 (DTR) 为1.16.
- 极度寒冷与心血管疾病死亡率的关联最为显著.
- 极端寒冷和高温研究的潜在出版偏见被注意到.
结论:
- 极端寒冷,极端热和高DTR与中国心血管疾病死亡率的增加有关,寒冷的温度是最具影响的.
- 北方的中国人群对高温的敏感度更高,而南方的人群对寒冷的敏感度更高.
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