title: Temperature changes between neighboring days and mortality in summer: a distributed lag non-linear time series analysis.
abstract: BACKGROUND
  Many studies have shown that high temperatures or heat waves were associated with mortality and morbidity. However, few studies have examined whether temperature changes between neighboring days have any significant impact on human health.
  
  
  METHODS
  A distributed lag non-linear model was employed to investigate the effect of temperature changes on mortality in summer during 2006-2010 in two subtropical Chinese cities. The temperature change was defined as the difference of the current day's and the previous day's mean temperature.
  
  
  RESULTS
  We found non-linear effects of temperature changes between neighboring days in summer on mortality in both cities. Temperature increase was associated with increased mortality from non-accidental diseases and cardiovascular diseases, while temperature decrease had a protective effect on non-accidental mortality and cardiovascular mortality in both cities. Significant association between temperature changes and respiratory mortality was only found in Guangzhou.
  
  
  CONCLUSIONS
  This study suggests that temperature changes between neighboring days might be an alternative temperature indicator for studying temperature-mortality relationship.
authors.affiliation: Guangdong Provincial Institute of Public Health, Guangzhou, China.
authors.forename: Hualiang
authors.initials: H
authors.lastname: Lin
authors.forename: Yonghui
authors.initials: Y
authors.lastname: Zhang
authors.forename: Yanjun
authors.initials: Y
authors.lastname: Xu
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Xu
authors.forename: Tao
authors.initials: T
authors.lastname: Liu
authors.forename: Yuan
authors.initials: Y
authors.lastname: Luo
authors.forename: Jianpeng
authors.initials: J
authors.lastname: Xiao
authors.forename: Wei
authors.initials: W
authors.lastname: Wu
authors.forename: Wenjun
authors.initials: W
authors.lastname: Ma
mesh_terms: D002681:China / Q000453:epidemiology; D002980:Climate; D018883:Heat Stroke / Q000401:mortality*; D006801:Humans; D012621:Seasons; D013696:Temperature