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Seasonal association between ambient ozone and mortality in Zhengzhou, China

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Abstract

Different seasonal health effects of ambient ozone (O3) have been reported in previous studies. This might be due to inappropriate adjustment of temperature in different seasons. We used daily data on non-accidental mortality and ambient air pollution in Zhengzhou from January 19, 2013 to June 30, 2015. Season-stratified analyses using generalized additive models were conducted to evaluate the seasonal associations with adjustment of temperature with different lagged days (lag0–1 for warm season, lag0–14 for cold season). We recorded a total of 70,443 non-accidental deaths in Zhengzhou during the study period. Significant associations were observed between ambient O3 and mortality in cold season. Every 10-μg/m3 increment of 24-h O3 of 1-day lagged time was associated with a 1.38% (95% CI 0.60, 2.16%) increase in all cause mortality, 1.35% (95% CI 0.41, 2.30%) increase in cardiovascular mortality, and 1.78% (95% CI 0.43, 3.14%) increase in respiratory mortality. Similar associations were observed when using daily 1- and 8-h maximum concentrations of O3. No significant association was found during warm season. This study suggests a more pronounced ozone-mortality association in cold season in Zhengzhou, and we suggest that different lagged temperatures should be considered when examining the seasonal health effects of ambient ozone.

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Acknowledgments

This study was funded by the Henan Provincial Science and Technology Foundation (grant No. 112102310113).

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Authors and Affiliations

  1. Henan Provincial People’s Hospital, Zhengzhou, China

    Lijie Qin, Jianqin Gu, Weimin Bai, Xu Liu, Tao Zhao, Shenglong Zhang, Yingjie Cui & Yaxin Xu

  2. Science and Education Center, Zhengzhou Center for Disease Control and Prevention, Zhengzhou, China

    Shijie Liang

  3. College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA

    Fang Fang

  4. Saint Louis University Hospital, Saint Louis, MO, USA

    Joseph Walline

  5. People’s Hospital of Zhengzhou University, Zhengzhou, China

    Yingjie Cui & Yaxin Xu

  6. Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China

    Hualiang Lin

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  1. Lijie Qin
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  2. Jianqin Gu
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  3. Shijie Liang
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  4. Fang Fang
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  7. Tao Zhao
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  9. Shenglong Zhang
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Correspondence to Jianqin Gu or Hualiang Lin.

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Qin, L., Gu, J., Liang, S. et al. Seasonal association between ambient ozone and mortality in Zhengzhou, China. Int J Biometeorol 61, 1003–1010 (2017). https://doi.org/10.1007/s00484-016-1279-8

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  • DOI: https://doi.org/10.1007/s00484-016-1279-8

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