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Compound health risks and disease burden of PM2.5 and temperature variability for cardiovascular diseases under different climate change scenarios: a case study of Taiyuan City
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Yi-fei CHEN1, 2, 3, Xiao-juan YANG4, Jun-ming LI5, Lin MA4, Li-fang ZHAO1, 2, 3, Rui LI1, 2, 3, Shuai GUO1, 2, 3, Zhi-hong ZHANG1, 2, 3
Modern Preventive Medicine | 2026, 53(11) : 1954 - 1961
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Modern Preventive Medicine | 2026, 53(11): 1954-1961
• Environmental and Occupational Health •
Compound health risks and disease burden of PM2.5 and temperature variability for cardiovascular diseases under different climate change scenarios: a case study of Taiyuan City
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Yi-fei CHEN1, 2, 3, Xiao-juan YANG4, Jun-ming LI5, Lin MA4, Li-fang ZHAO1, 2, 3, Rui LI1, 2, 3, Shuai GUO1, 2, 3, Zhi-hong ZHANG1, 2, 3
Affiliations
  • Department of Environmental Health, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030000, China
Published: 2026-06-10 doi: 10.20043/j.cnki.MPM.202511336
Outline
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Objective

To investigate the combined effect of PM2.5 and temperature variability (TV) on years of life lost (YLL) among residents in Taiyuan, and to project future health risks under different climate change scenarios.

Methods

Based on cardiovascular disease (CVD) mortality data in Taiyuan from 2013 to 2019, a generalized additive model (GAM) was used to evaluate the joint risk of PM2.5 and TV. Segmented linear regression and a synergy index were applied to identify their synergistic interaction, and future risks were projected under the 6th Phase of the Coupled Model Intercomparison Project (CMIP6) scenarios.

Results

During 2013—2019, the average concentrations of PM2.5 and PM10 were 78.81 μg/m3 and 120.40 μg/m3, respectively, with a mean TV of 7.5 °C. GAM showed that elevated TV exacerbated PM2.5-related health risks. A PM2.5 concentration threshold of 21.9 μg/m3 was identified, above which its impact on YLL increased significantly. High TV (>4.4 °C) combined with high PM2.5 (>21.9 μg/m3) exhibited a significant synergistic effect on YLL (SI=8.51, 95% CI: 2.38-30.45). Future predictions indicated that under the SSP5-8.5 scenario, PM2.5 pollution was most severe (65.3 μg/m3), and compound high TV-high PM2.5 events yielded the highest median daily attributable YLL (8.39 person-years/day).

Conclusion

TV substantially amplifies the health hazards of PM2.5. Controlling high-emission pathways is critical to reducing the future disease burden from such compound events.

Temperature variability  /  PM2.5  /  Cardiovascular disease  /  Health risk  /  Climate change scenarios
陈怡霏, 杨晓娟, 李俊明, 马麟, 赵利芳, 李锐, 郭帅, 张志红. 不同气候变化情景下PM2.5与气温变异对心血管疾病的复合健康风险和疾病负担研究——以太原市为例. 现代预防医学, 2026 , 53 (11) : 1954 -1961 . DOI: 10.20043/j.cnki.MPM.202511336
Yi-fei CHEN, Xiao-juan YANG, Jun-ming LI, Lin MA, Li-fang ZHAO, Rui LI, Shuai GUO, Zhi-hong ZHANG. Compound health risks and disease burden of PM2.5 and temperature variability for cardiovascular diseases under different climate change scenarios: a case study of Taiyuan City[J]. Modern Preventive Medicine, 2026 , 53 (11) : 1954 -1961 . DOI: 10.20043/j.cnki.MPM.202511336
Year 2026 volume 53 Issue 11
46
25
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doi: 10.20043/j.cnki.MPM.202511336
  • Receive Date:2025-11-23
  • Online Date:2026-11-02
  • Published:2026-06-10
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  • Received:2025-11-23
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    Department of Environmental Health, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030000, 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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