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The association between ambient temperature and preterm birth in Shenzhen, China: a distributed lag non-linear time series analysis

Overview of attention for article published in Environmental Health, August 2016
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Title
The association between ambient temperature and preterm birth in Shenzhen, China: a distributed lag non-linear time series analysis
Published in
Environmental Health, August 2016
DOI 10.1186/s12940-016-0166-4
Pubmed ID
Authors

Zhijiang Liang, Yan Lin, Yuanzhu Ma, Lei Zhang, Xue Zhang, Li Li, Shaoqiang Zhang, Yuli Cheng, Xiaomei Zhou, Hualiang Lin, Huazhang Miao, Qingguo Zhao

Abstract

A few studies have examined the association between ambient temperature and preterm birth (PTB), and the results have been inconsistent. This study explored the association between ambient temperature and PTB in Shenzhen, China. Data of daily singleton PTB, air pollution and meteorological variables from 2005 to 2011 were collected in Shenzhen. A distributed lag non-linear model (DLNM) was used to investigate the association of the low and high temperatures (1st, 5th, 95th, and 99th percentiles) with PTB. The median temperature was 24.5 °C and the 1st, 5th, 95th, and 99th percentiles of daily mean temperatures were 9, 12.5, 29.9 and 30.7 °C, respectively. The prevalence of singleton PTB was 5.61 % in Shenzhen. The association between temperature and PTB was not linear. There was an immediate positive association of low temperature (1st and 5th percentiles) and a negative association of high temperature (95th and 99th percentiles) with PTB. The effect of low temperature 9 °C (1st) on PTB on the current day was stronger than that of 12.5 °C (5th), with a relative risk (RR) of 1.54 (95 % CI: 1.36-1.75) and 1.49 (95 % CI: 1.35-1.63), respectively. The cumulative RR (up to 30 days) of 9 and 12.5 °C was 1.72 (95 % CI: 1.28-2.33) and 1.96 (95 % CI: 1.60-2.39), respectively. The cumulative effects (up to 30 days) of high temperature (95th and 99th percentiles) on PTB were 0.69 (95 % CI: 0.60-0.80) and 0.62 (95 % CI: 0.52-0.74), respectively. The cumulative effect (up to 30 days) of low temperatures on vaginal delivery PTB was lower than that of the cesarean section PTB with an RR of 1.58 (95 % CI: 1.12-2.22) and 1.93 (95 % CI: 1.21-3.08), respectively. This study suggests that low temperature might be a risk factor, while high temperature might be a protective factor of PTB in Shenzhen.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 61 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Croatia 1 2%
United States 1 2%
France 1 2%
Unknown 58 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 11 18%
Researcher 8 13%
Student > Master 6 10%
Student > Bachelor 5 8%
Student > Postgraduate 4 7%
Other 12 20%
Unknown 15 25%
Readers by discipline Count As %
Medicine and Dentistry 12 20%
Environmental Science 8 13%
Nursing and Health Professions 5 8%
Social Sciences 4 7%
Agricultural and Biological Sciences 3 5%
Other 11 18%
Unknown 18 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 August 2016.
All research outputs
#18,467,278
of 22,882,389 outputs
Outputs from Environmental Health
#1,264
of 1,495 outputs
Outputs of similar age
#281,515
of 364,241 outputs
Outputs of similar age from Environmental Health
#18
of 23 outputs
Altmetric has tracked 22,882,389 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,495 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 31.3. This one is in the 10th percentile – i.e., 10% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 364,241 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.