Heatwave-Related Mortality Risk and the Risk-Based Definition of Heat Wave in South Korea: A Nationwide Time-Series Study for 2011-2017

被引:31
|
作者
Kang, Cinoo [1 ]
Park, Chaerin [1 ]
Lee, Whanhee [1 ]
Pehlivan, Nazife [1 ]
Choi, Munjeong [1 ]
Jang, Jeongju [1 ]
Kim, Ho [1 ,2 ]
机构
[1] Seoul Natl Univ, Grad Sch Publ Hlth, Dept Publ Hlth Sci, Seoul 08826, South Korea
[2] Seoul Natl Univ, Inst Hlth & Environm, Seoul 08826, South Korea
关键词
heatwave; mortality; nationwide study; risk-based heatwave definition; time-series analysis; urbanization; TEMPORAL-CHANGES; PUBLIC-HEALTH; MAJOR CITIES; TEMPERATURE; URBAN; COLD; EXPLORATION; POLLUTION; ENGLAND; DEATHS;
D O I
10.3390/ijerph17165720
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Studies on the pattern of heatwave mortality using nationwide data that include rural areas are limited. This study aimed to assess the risk of heatwave-related mortality and evaluate the health risk-based definition of heatwave. We collected data on daily temperature and mortality from 229 districts in South Korea in 2011-2017. District-specific heatwave-related mortality risks were calculated using a distributed lag model. The estimates were pooled in the total areas and for each urban and rural area using meta-regression. In the total areas, the threshold point of heatwave mortality risk was estimated at the 93rd percentile of temperature, and it was lower in urban areas than in rural areas (92nd percentile vs. 95th percentile). The maximum risk of heatwave-related mortality in the total area was 1.11 (95% CI: 1.01-1.22), and it was slightly greater in rural areas than in the urban areas (RR: 1.23, 95% CI: 0.99-1.53 vs. RR: 1.10, 95% CI: 1.01-1.20). The results differ by age- and cause-specific deaths. In conclusion, the patterns of heatwave-related mortality risk vary by area and sub-population in Korea. Thus, more target-specific heatwave definitions and action plans should be established according to different areas and populations.
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页码:1 / 12
页数:12
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