A comparison of the effects of temperature change between neighboring days and diurnal temperature range on stroke incidence in rural Northwest.

Studies on the effect of temperature variation on the number of hospitalizations for stroke-related diseases in rural Northwest China are rare, and there is a gap in related studies in Pingliang, a less developed city located in Northwest China. We collected hospitalization data for stroke patients...

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Publicado en:International Journal of Environmental Health Research Vol. 36; no. 2; pp. 305 - 318
Autores principales: Zhai, Guangyu, Li, Hang, Zhou, Wenjuan
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
      vid: 36
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      pub: Taylor & Francis Ltd
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        10.1080/09603123.2025.2519746
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        atl: A comparison of the effects of temperature change between neighboring days and diurnal temperature range on stroke incidence in rural Northwest.
      aug:
        au:
          Zhai, Guangyu
          Li, Hang
          Zhou, Wenjuan
        affil: School of Economics and Management, Lanzhou University of Technology, Lanzhou, China
      sug:
        subj:
          Temperature
          Stroke Epidemiology
          Rural Areas
          Climate
          Weather
          Environmental Exposure
          Rural Population
          Meteorological Factors
          Human
          Comparative Studies
          Stroke Patients
          Hospitalization
          Male
          Female
          Confidence Intervals
          China
          Adult
          Aged
          Spearman's Rank Correlation Coefficient
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Adult: 19-44 years
          Aged: 65+ years
          Male
          Female
      ab: Studies on the effect of temperature variation on the number of hospitalizations for stroke-related diseases in rural Northwest China are rare, and there is a gap in related studies in Pingliang, a less developed city located in Northwest China. We collected hospitalization data for stroke patients covered by the New Rural Cooperative Medical Insurance in Pingliang City and meteorological data from the Gansu Meteorological Bureau. Using quasi-Poisson regression combined with distributed lag nonlinear models (DLNM), we compared the effects of temperature change between neighboring days (TCN) and diurnal temperature range (DTR) on stroke-related hospitalizations in rural areas. The analysis indicated that DTR exerted a significantly greater impact on stroke incidence than TCN (RR = 1.267, 95% CI: 1.193–1.346 vs. RR = 1.168, 95% CI: 1.055–1.293). Both DTR and TCN exhibited a nonlinear U-shaped relationship. Sex-stratified analysis revealed that men were more adversely affected by low TCN and DTR levels than women, whereas women exhibited a greater susceptibility to high TCN levels. An age-stratified analysis indicated that adults were more vulnerable to the effects of DTR than elderly, who were more affected by high TCN. No significant differences were observed across the age groups under low TCN conditions.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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