ArticleEnvironmental research2023
Effects of long-term average temperature on cardiovascular disease hospitalizations in an American elderly population.
Article in Environmental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Diurnal temperature range and daily mean temperature in relation to multimorbidity among middle-aged or older Chinese adults: insights from the CHARLS.BMC public health · 2026Article
- Temperature as a Metabolic Signal Linking Neural and Endocrine Circuits to Energy Homeostasis.International journal of molecular sciences · 2026Review
- Low climate-patterned temperature and cardiovascular disease: Worldwide trends and implications for public health policy.International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- Seasonal Average Temperature Differences and CVD Incidence: Results from the US-Based Nurses' Health Study, Nurses' Health Study II, and the Health Professional Follow-Up Study.Environmental health perspectives · 2025Article
- Temperature and carotid intima-medial thickness: The coronary artery risk development in young adults (CARDIA) study.The Science of the total environment · 2024Article
- The interaction effects between summer heat exposure and economic development on the settlement intention in floating population in China.BMC public health · 2024Article
- Diurnal temperature range and hypertension: cross-sectional and longitudinal findings from the China Health and Retirement Longitudinal Study (CHARLS).BMC public health · 2024Article
- Long-term exposure to air pollution, greenness and temperature and survival after a nonfatal myocardial infarction.Environmental pollution (Barking, Essex : 1987) · 2024Article
- Article
- Effects of PMFrontiers in public health · 2024Article
- Multiple air pollutant exposure is associated with higher risk of all-cause mortality in dialysis patients: a French registry-based nationwide study.Frontiers in public health · 2024Article
- Trade-offs between cold protection and air pollution-induced mortality of China's heating policy.PNAS nexus · 2023Article
- Long-term exposure to summer specific humidity and cardiovascular disease hospitalizations in the US Medicare population.Environment international · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundShort-term exposure to high or low temperatures is associated with increased mortality and morbidity. Less is known about effects of long-term exposure to high or low temperatures. Prolonged exposure to high or low temperatures might contribute to pathophysiological mechanisms, thereby influencing the development of diseases. Our aim was to evaluate associations of long-term temperature exposure with cardiovascular disease (CVD) hospitalizations.
methodsWe constructed an open cohort consisting of all fee-for-service Medicare beneficiaries, aged ≥65, living in the contiguous US from 2000 through 2016 (∼61.6 million individuals). We used data from the 4 km Gridded Surface Meteorological dataset to assess the summer (June-August) and winter (December-February) average daily maximum temperature for each year for each zip code. Cox-equivalent Poisson models were used to estimate associations with first CVD hospitalization, after adjustment for potential confounders. We performed stratified analyses to assess potential effect modification by sex, age, race, Medicaid eligibility and relative humidity.
resultsHigher summer average and lower winter average temperatures were associated with an increased risk of CVD hospitalization. We found a HR of 1.068 (95% CI: 1.063, 1.074) per IQR increase (5.2 °C) for summer average temperature and a HR of 1.022 (95% CI: 1.017, 1.028) per IQR decrease (11.7 °C) for winter average temperature. Positive associations of higher summer average temperatures were strongest for individuals aged <75 years, Medicaid eligible, and White individuals. Positive associations of lower winter average temperatures were strongest for individuals aged <75 years and Black individuals, and individuals living in low relative humidity areas.
conclusionsLiving in areas with high summer average temperatures or low winter average temperatures could increase the risk of CVD hospitalizations. The magnitude of the associations of summer and winter average temperatures differs by demographics and relative humidity levels.
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