Effect of built environment on the association between nighttime heat exposure and mortality in stroke patients: A case-crossover study in Shandong Province, China
Nocturnal heat exposure was associated with short-term increases in mortality among stroke patients. Neighborhood greenness appeared to mitigate these associations, suggesting that built -environment-based adaptation strategies may help protect vulnerable populations from climate-related health risks.
Authors
- Zilong Lu (ORCID: https://orcid.org/0000-0002-7432-7343)
- Chunxiang Shi (ORCID: https://orcid.org/0000-0002-8902-6930)
- Qiongqi Zhang
- Wanning Xia (ORCID: https://orcid.org/0000-0001-5783-459X)
- Chao Liu (ORCID: https://orcid.org/0000-0002-8441-8134)
- Ying Yu (ORCID: https://orcid.org/0000-0003-0925-0148)
- Bingyin Zhang (ORCID: https://orcid.org/0000-0003-1298-3457)
- X F Jia (ORCID: https://orcid.org/0000-0002-3867-7637)
- Qiyong Cao (ORCID: https://orcid.org/0009-0008-9441-5907)
- Jing Wei (ORCID: https://orcid.org/0000-0002-8803-7056)
- Xiaolei Guo
- Siyu Sun
Institutions
- Bengbu Medical College (CN)
- The Second Affiliated Hospital of Bengbu Medical College (CN)
- Earth System Science Interdisciplinary Center (US)
- First Affiliated Hospital of Bengbu Medical College (CN)
- Shandong Center for Disease Control and Prevention (CN)
- University of Maryland, College Park (US)
Publication Details
- Journal
- Ecotoxicology and Environmental Safety
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1016/j.ecoenv.2025.119159
- Citations
- 1
- Primary Topic
- Climate Change and Health Impacts
- Type
- article
- Field-Weighted Citation Impact
- 1.20