极端温度事件暴露与死产风险：中国全国大规模出生队列研究

IF 9.7 1区环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES

Environment International Pub Date : 2025-10-01 DOI:10.1016/j.envint.2025.109854

Zhan Li , Shuangying Li , Shaofei Su , Lidia Morawska , Bin Jalaludin , Shyamali Dharmage , Shao Lin , Meng Gao , Juan Li , Shuanghua Xie , Enjie Zhang , Minhui Hu , Shaowen Wu , Jianhui Liu , Alexander EP Heazell , Chenghong Yin , Guang-Hui Dong , Ruixia Liu

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引用次数: 0

摘要

极端温度事件（ETEs）与死产风险增加有关。基于中国出生队列研究（CBCS），我们于2018-2022年在全国17个省份开展了队列研究。采用温度阈值（研究期间各省日视温的2.5、5、7.5、10、90、92.5、95和97.5个百分点）和持续时间（至少连续2、3和4天）确定了24种不同的高温天气。我们发现，热浪暴露与死产增加36-83%有关。总的来说，寒潮对死产的不利影响并不显著。不同地区的影响存在差异，较低的人口密度和较高的医疗资源是这种影响的保护因素。此外，当暴露于etp时，小易感新生儿（SVN）更有可能出现死产。我们的研究强调有必要采取适应性和缓解策略来对抗输精管输精管对死产的不利影响。

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Extreme temperature events exposure and risks of stillbirths: nationwide large birth cohort study in China

Extreme temperature events (ETEs) are associated with an increased risk of stillbirth. We conducted a nationwide cohort study based on China Birth Cohort Study (CBCS) across 17 provinces in 2018–2022. A set of cutoff temperature thresholds (2.5th, 5th, 7.5th, 10th, 90th, 92.5th, 95th and 97.5th percentiles of daily apparent temperature of each province during the study period) and durations (at least 2, 3, and 4 consecutive days) were utilized to define 24 distinct ETEs. We show that heatwave exposure was associated with a 36–83% increase in stillbirth. Overall, the adverse impact of cold spells on stillbirths is not significant. The effects varied across regions, and lower population density and greater medical resource were protective factors for the effects. Furthermore, when exposed to ETEs, small vulnerable newborns (SVN) are more likely to experience stillbirth. Our study highlights the need for adaptive and mitigative strategies against ETEs’ adverse effects on stillbirth.

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来源期刊

Environment International 环境科学-环境科学

CiteScore

21.90

自引率

3.40%

发文量

734

审稿时长

2.8 months

期刊介绍： Environmental Health publishes manuscripts focusing on critical aspects of environmental and occupational medicine, including studies in toxicology and epidemiology, to illuminate the human health implications of exposure to environmental hazards. The journal adopts an open-access model and practices open peer review. It caters to scientists and practitioners across all environmental science domains, directly or indirectly impacting human health and well-being. With a commitment to enhancing the prevention of environmentally-related health risks, Environmental Health serves as a public health journal for the community and scientists engaged in matters of public health significance concerning the environment.