{"title":"1990年至2021年55岁及以上成年人环境冷热暴露的全球、区域和国家负担：趋势分析","authors":"Wen-Jie Li, Jia-Jun Deng, Xue-Er Cheng, Xiao-Xiao Li, Yu-Wan Chang, Sha-Sha Tao, Hai-Feng Pan","doi":"10.1097/JOM.0000000000003560","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze temporal trends of environmental heat and cold exposure (EHCE)-related burden among adults aged 55 years and older.</p><p><strong>Methods: </strong>Using the Global Burden of Disease database, we examined EHCE-related incidence, prevalence, mortality, and DALYs trends from 1990-2021 via joinpoint regression, assessing global, regional, and national patterns by sex, age, and sociodemographic index (SDI).</p><p><strong>Results: </strong>Global EHCE incidence declined (AAPC, -1.46), more in males (AAPC, -1.62) than females (AAPC, -1.23), notably in ages 55-59 (AAPC, -1.77). High-middle-SDI nations had the largest incidence drop (AAPC, -2.29), but mortality (AAPC, 1.07) and DALYs (AAPC, 0.38) rose in high-SDI countries. High-income Asia Pacific showed increased incidence (AAPC, 0.96).</p><p><strong>Conclusion: </strong>Global EHCE burden decreased, but high-income regions showed stagnation or reversal, urging revised response strategies.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Global, regional, and national burden of environmental heat and cold exposure in adults aged 55 years and older from 1990 to 2021: a trend analysis.\",\"authors\":\"Wen-Jie Li, Jia-Jun Deng, Xue-Er Cheng, Xiao-Xiao Li, Yu-Wan Chang, Sha-Sha Tao, Hai-Feng Pan\",\"doi\":\"10.1097/JOM.0000000000003560\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze temporal trends of environmental heat and cold exposure (EHCE)-related burden among adults aged 55 years and older.</p><p><strong>Methods: </strong>Using the Global Burden of Disease database, we examined EHCE-related incidence, prevalence, mortality, and DALYs trends from 1990-2021 via joinpoint regression, assessing global, regional, and national patterns by sex, age, and sociodemographic index (SDI).</p><p><strong>Results: </strong>Global EHCE incidence declined (AAPC, -1.46), more in males (AAPC, -1.62) than females (AAPC, -1.23), notably in ages 55-59 (AAPC, -1.77). High-middle-SDI nations had the largest incidence drop (AAPC, -2.29), but mortality (AAPC, 1.07) and DALYs (AAPC, 0.38) rose in high-SDI countries. High-income Asia Pacific showed increased incidence (AAPC, 0.96).</p><p><strong>Conclusion: </strong>Global EHCE burden decreased, but high-income regions showed stagnation or reversal, urging revised response strategies.</p>\",\"PeriodicalId\":94100,\"journal\":{\"name\":\"Journal of occupational and environmental medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of occupational and environmental medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JOM.0000000000003560\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003560","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Global, regional, and national burden of environmental heat and cold exposure in adults aged 55 years and older from 1990 to 2021: a trend analysis.
Objective: To analyze temporal trends of environmental heat and cold exposure (EHCE)-related burden among adults aged 55 years and older.
Methods: Using the Global Burden of Disease database, we examined EHCE-related incidence, prevalence, mortality, and DALYs trends from 1990-2021 via joinpoint regression, assessing global, regional, and national patterns by sex, age, and sociodemographic index (SDI).
Results: Global EHCE incidence declined (AAPC, -1.46), more in males (AAPC, -1.62) than females (AAPC, -1.23), notably in ages 55-59 (AAPC, -1.77). High-middle-SDI nations had the largest incidence drop (AAPC, -2.29), but mortality (AAPC, 1.07) and DALYs (AAPC, 0.38) rose in high-SDI countries. High-income Asia Pacific showed increased incidence (AAPC, 0.96).
Conclusion: Global EHCE burden decreased, but high-income regions showed stagnation or reversal, urging revised response strategies.
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