ArticleBMJ open2015
Individual-level and community-level effect modifiers of the temperature-mortality relationship in 66 Chinese communities.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
62 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Countrywide analysis of heat- and cold-related mortality trends in the Czech Republic: growing inequalities under recent climate warming.International journal of epidemiology · 2024Pooled it
- Global Health Impacts for Economic Models of Climate Change: A Systematic Review and Meta-Analysis.Annals of the American Thoracic Society · 2022Pooled it
- The effect and attributable risk of daily temperature on category C infectious diarrhea in Guangdong Province, China.Environmental science and pollution research international · 2022Pooled it
- The Mortality Effect of Apparent Temperature: A Multi-City Study in Asia.International journal of environmental research and public health · 2021Pooled it
- The effect of high temperature on cause-specific mortality: A multi-county analysis in China.Environment international · 2017Pooled it
- Influence of extreme temperatures on respiratory, circulatory, and nonaccidental mortality risks in northeast China.iScience · 2026Article
- The impact of environmental pollution and climate change on hypertension: a position paper by the European Society of Hypertension (ESH) Working Group on Environment in Hypertension.Cardiovascular research · 2026Review
- Effects of extreme temperature and humidity on COPD mortality: A multi-county study in Chongqing, China.Preventive medicine reports · 2026Article
- Quantifying the temperature-related fraction of hand, foot, and mouth disease using distributed lag non-linear models: lessons from the COVID-19 pandemic period.Frontiers in public health · 2026Article
- Projections of Heat-Related Mortality in Chinese Cities: The Roles of Climate Change, Urbanization, Socioeconomic Adaptation, and Landscape-Level Strategies.Environmental health perspectives · 2025Article
- Maternal exposure to ambient temperature and risk of preterm birth in Chengdu, China, from 2017 to 2020: a cohort study.BMC public health · 2025Article
- Analysis of the global trends and causes of self-harm due to high temperature: a global level ecological study.Environmental health and preventive medicine · 2025Article
- Rising trend and regional disparities of the global burden of disease attributable to ambient low temperature, 1990-2019: An analysis of data from the Global Burden of Disease 2019 study.Journal of global health · 2024Article
- Beyond heatwaves: A nuanced view of temperature-related mortality.Temperature (Austin, Tex.) · 2024Review
- Assessing heat effects on respiratory mortality and location characteristics as modifiers of heat effects at a small area scale in Central-Northern Europe.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- A longitudinal study on the effect of extreme temperature on non-accidental deaths in Hulunbuir City based on DLNM model.International archives of occupational and environmental health · 2023Article
- The Direct and Indirect Influences of Interrelated Regional-Level Sociodemographic Factors on Heat-Attributable Mortality in Europe: Insights for Adaptation Strategies.Environmental health perspectives · 2023Article
- Gender inequalities in heat-related mortality in the Czech Republic.International journal of biometeorology · 2023Article
- Estimating the burden of disease attributable to high ambient temperature across climate zones: methodological framework with a case study.International journal of epidemiology · 2023Article
- Exploring vulnerability to heat and cold across urban and rural populations in Switzerland.Environmental research, health : ERH · 2023Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the modification of temperature-mortality association by factors at the individual and community levels. DESIGN AND
methodsThis study investigated this issue using a national database comprising daily data of 66 Chinese communities for 2006-2011. A 'threshold-natural cubic spline' distributed lag non-linear model was utilised to estimate the mortality effects of daily mean temperature, and then examined the modification of the relationship by individual factors (age, sex, education level, place of death and cause of death) using a meta-analysis approach and community-level factors (annual temperature, population density, sex ratio, percentage of older population, health access, household income and latitude) using a meta-regression method.
resultsWe found significant effects of high and low temperatures on mortality in China. The pooled excess mortality risk was 1.04% (95% CI 0.90% to 1.18%) for a 1°C temperature decrease below the minimum mortality temperature (MMT), and 3.44% (95% CI 3.00% to 3.88%) for a 1°C temperature increase above MMT. At the individual level, age and place of death were found to be significant modifiers of cold effect, while age, sex, place of death, cause of death and education level were effect modifiers of heat effect. At the community level, communities with lower socioeconomic status and higher annual temperature were generally more vulnerable to the mortality effects of high and low temperatures.
conclusionsThis study identifies susceptibility based on both individual-level and community-level effect modifiers; more attention should be given to these vulnerable individuals and communities to reduce adverse health effects of extreme temperatures.
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