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May 3, 2026

The interplay of heatwaves, air pollution, and green space on all-cause mortality in older adults with diabetes mellitus: a national cohort study.

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Authors

JGJie GaoPSPei SunMHMei Huang

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Overview

Longitudinal analysis reveals how heatwaves, pollution, and green space influence mortality in older adults with diabetes, suggesting critical public health interventions.

Key Points

  • This study examines how heatwaves, air pollution, and green space affect all-cause mortality in older adults with diabetes.
  • Longitudinal analysis of 1,400 adults aged ≥ 45 with diabetes from CHARLS (2011-2020).
  • Defined heatwaves by intensity-duration thresholds based on maximum temperatures.
  • Used time-varying Cox proportional hazards models to estimate hazard ratios while adjusting for air pollutants and greenness.
  • Increased HR from 1.027 (95% CI: 1.013-1.041) to 1.070 (95% CI: 1.048-1.093) with intensifying heatwaves.
  • Significant synergistic effects observed between heatwaves, air pollution, and reduced green space.
  • Effects were more pronounced in older individuals and urban residents.

Cite This Study

Gao et al. (2026) studied this question.

synapsesocial.com/papers/69f6e5f38071d4f1bdfc69c4https://doi.org/10.1186/s12889-026-27606-8
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