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Research on the impact of extreme temperatures on resident non-accidental mortality, Zhangjiakou City, 2019-2024
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Yuan ZHAO1, 2, Su-wei WANG2, Ting-ting DING2, Maimaitijiang3, Yi-gang LIU2, Xue-hui LIU1, Yu-qin AN1, 2
Modern Preventive Medicine | 2026, 53(10) : 1785 - 1790
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Modern Preventive Medicine | 2026, 53(10): 1785-1790
• Environmental and Occupational Health •
Research on the impact of extreme temperatures on resident non-accidental mortality, Zhangjiakou City, 2019-2024
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Yuan ZHAO1, 2, Su-wei WANG2, Ting-ting DING2, Maimaitijiang3, Yi-gang LIU2, Xue-hui LIU1, Yu-qin AN1, 2
Affiliations
  • School of Public Health, Hebei Medical University, Shijiazhuang, Hebei 050017, China
Published: 2026-05-25 doi: 10.20043/j.cnki.MPM.202510248
Outline
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Objective

To explore the impact of extreme temperature on the risk of non-accidental mortality in Zhangjiakou city, and to identify susceptible subpopulations.

Methods

Data on non-accidental mortality among residents in Zhangjiakou City from 2019 to 2024, as well as concurrent meteorological and air pollution data, were obtained from the Air Pollution and Health Effects Monitoring Information System. The distributed lag non-linear model (DLNM) was employed to analyze the exposure-lag-response relationships between extreme temperatures and both non-accidental mortality and cardiovascular disease mortality, with stratified analyses conducted by sex and age group.

Results

The exposure-response relationship between daily mean temperature and both non-accidental and cardiovascular mortality exhibited a U-shaped curve. The effects of extreme cold showed persistent lag patterns, with the cumulative relative risks (cumulative RRs) peaking at lag 21 days for both non-accidental mortality (CRR=2.470, 95%CI: 1.746-3.494) and cardiovascular mortality (CRR=2.163, 95%CI: 1.379-3.394). In contrast, the effects of extreme heat were acute and short-lived, with cumulative RRs peaking at lag 6 days (CRR=1.483, 95%CI: 1.316-1.672) and lag 5 days (CRR=1.462, 95%CI: 1.236-1.729) for non-accidental and cardiovascular mortality, respectively. Stratified analysis revealed that males and individuals aged ≥65 years were at higher risk, with greater cumulative RRs during extreme temperature events.

Conclusion

Extreme temperatures significantly increase the risk of cardiovascular mortality in Zhangjiakou. Males and the elderly (≥65 years) are particularly vulnerable.

Extreme temperature  /  Daily mean temperature  /  Non-accidental mortality  /  Distributed lag non-linear model
赵媛, 王苏玮, 丁婷婷, 麦麦提江, 刘毅刚, 刘学慧, 安玉琴. 2019—2024年张家口市极端气温对居民非意外死亡影响研究. 现代预防医学, 2026 , 53 (10) : 1785 -1790 . DOI: 10.20043/j.cnki.MPM.202510248
Yuan ZHAO, Su-wei WANG, Ting-ting DING, Maimaitijiang, Yi-gang LIU, Xue-hui LIU, Yu-qin AN. Research on the impact of extreme temperatures on resident non-accidental mortality, Zhangjiakou City, 2019-2024[J]. Modern Preventive Medicine, 2026 , 53 (10) : 1785 -1790 . DOI: 10.20043/j.cnki.MPM.202510248
Year 2026 volume 53 Issue 10
15
8
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doi: 10.20043/j.cnki.MPM.202510248
  • Receive Date:2025-10-21
  • Online Date:2026-11-02
  • Published:2026-05-25
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  • Received:2025-10-21
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    School of Public Health, Hebei Medical University, Shijiazhuang, Hebei 050017, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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