Modifying temperature-related cardiovascular mortality through green-blue space exposure.

Green-blue spaces (GBS) are pivotal in mitigating thermal discomfort. However, their management lacks guidelines rooted in epidemiological evidence for specific planning and design. Here we show how various GBS types modify the link between non-optimal temperatures and cardiovascular mortality across different thermal extremes. We merged fine-scale population density and GBS data to create novel GBS exposure index. A case time series approach was employed to analyse temperature-cardiovascular mortality association and the effect modifications of type-specific GBSs across 1085 subdistricts in south-eastern China. Our findings indicate that both green and blue spaces may significantly reduce high-temperature-related cardiovascular mortality risks (e.g., for low (5%) vs. high (95%) level of overall green spaces at 99th vs. minimum mortality temperature (MMT), Ratio of relative risk (RRR) = 1.14 (95% CI: 1.07, 1.21); for overall blue spaces, RRR = 1.20 (95% CI: 1.12, 1.29)), while specific blue space types offer protection against cold temperatures (e.g., for the rivers at 1st vs MMT, RRR = 1.17 (95% CI: 1.07, 1.28)). Notably, forests, parks, nature reserves, street greenery, and lakes are linked with lower heat-related cardiovascular mortality, whereas rivers and coasts mitigate cold-related cardiovascular mortality. Blue spaces provide greater benefits than green spaces. The severity of temperature extremes further amplifies GBS's protective effects. This study enhances our understanding of how type-specific GBS influences health risks associated with non-optimal temperatures, offering valuable insights for integrating GBS into climate adaptation strategies for maximal health benefits.

Greenspace exposure may increase life expectancy of elderly adults, especially for those with low socioeconomic status.

With an increasing aging population in many cities worldwide, promoting and maintaining the health of elderly individuals has become a pressing public health issue. Although greenspaces may deliver many health outcomes for the elderly population, existing evidence remains inconsistent, partly due to discrepancies in the measure of greenspace and health outcomes. In addition, few studies examined the effect of greenspace exposure on life expectancy at the individual level. Thus, this study comprehensively investigated the association between greenspace exposure and life expectancy among elderly adults in Guangzhou, China, based on the individual-level mortality dataset. The data were analyzed at both the individual level and aggregate level, and two types of buffers (straight-line vs. street-network buffer) were used to define individual greenspace exposure. After controlling for the random effects and multiple types of covariates, we found that 1) elderly individuals with higher greenspace exposure were associated with an increased life expectancy; 2) elderly individuals with lower socioeconomic status benefit more from greenspace (i.e., equigenesis hypothesis); 3) different greenspace measurements lead to different results; 4) greenspace had the highest effects on life expectancy and equigenesis within the street-network buffer distances of 3000 m and 2500 m, respectively. This study underscores the potential health benefits of greenspace exposure on elderly individuals and the importance of provision and upkeep of greenspace, especially among socially disadvantaged groups.

Effect Modifications of Overhead-View and Eye-Level Urban Greenery on Heat-Mortality Associations: Small-Area Analyses Using Case Time Series Design and Different Greenery Measurements.

BACKGROUND: The protective effect of urban greenery from adverse heat impacts remains inconclusive. Existing inconsistent findings could be attributed to the different estimation techniques used. OBJECTIVES: We investigated how effect modifications of urban greenery on heat-mortality associations vary when using different greenery measurements reflecting overhead-view and eye-level urban greenery. METHODS: We collected meteorological and daily mortality data for 286 territory planning units between 2005 and 2018 in Hong Kong. Three greenery measurements were extracted for each unit: a) the normalized difference vegetation index (NDVI) from Landsat remote sensing images, b) the percentage of greenspace based on land use data, and c) eye-level street greenery from street view images via a deep learning technique. Time-series analyses were performed using the case time series design with a linear interaction between the temperature term and each of the three greenery measurements. Effect modifications were also estimated for different age groups, sex categories, and cause-specific diseases. RESULTS: Higher mortality risks were associated with both moderate and extreme heat, with relative risks (RRs) of 1.022 (95% CI: 1.000, 1.044) and 1.045 (95% CI: 1.013, 1.079) at the 90th and 99th percentiles of temperatures relative to the minimum mortality temperature (MMT). Lower RRs were observed in greener areas whichever of the three greenery measurements was used, but the disparity of RRs between areas with low and high levels of urban greenery was more apparent when using eye-level street greenery as the index at high temperatures (99th percentile relative to MMT), with RRs for low and high levels of greenery, respectively, of 1.096 (95% CI: 1.035, 1.161) and 0.985 (95% CI: 0.920, 1.055) for NDVI (p=0.0193), 1.068 (95% CI: 1.021, 1.117) and 0.990 (95% CI: 0.906, 1.081) for the percentage of greenspace (p=0.1338), and 1.103 (95% CI: 1.034, 1.177) and 0.943 (95% CI: 0.841, 1.057) for eye-level street greenery (p=0.0186). Health discrepancies remained for nonaccidental mortality and cardiorespiratory diseases and were more apparent for older adults (≥65 years of age) and females. DISCUSSION: This study provides new evidence that eye-level street greenery shows stronger associations with reduced heat-mortality risks compared with overhead-view greenery based on NDVI and percentage of greenspace. The effect modification of urban greenery tends to be amplified as temperatures rise and are more apparent in older adults and females. Heat mitigation strategies and health interventions, in particular with regard to accessible and visible greenery, are needed for helping heat-sensitive subpopulation groups in coping with extreme heat. https://doi.org/10.1289/EHP12589.

[Characteristics of Ozone Pollution and High-impact Meteorological Factors in Urban Cities: A Case of Suzhou].

The problem of urban ozone (O3) pollution has become prominent in recent years. However, the meteorological factors associated with O3 pollution remain unclear. Analyzing the characteristics of O3 pollution in Suzhou, as a typical urban city, and exploring the high-impact meteorological factors with O3 pollution are crucial to the prevention and control of air pollution in this region. This study used correlation analysis and machine learning methods to analyze the variation in O3 concentration and the relationship between meteorological driving factors in Suzhou based on the O3 concentration data provided by Suzhou Environmental Monitoring Center and the contemporaneous meteorological observation data in Suzhou from April to September in 2015 to 2020. The results showed that: ① O3 pollution exceeding the standard rate was more than 20% in ozone seasons during the past six years; further, pollution days of O3 and the number of pollution days of O3 as the primary pollutant increased yearly. Evidently, the problem of O3 pollution has become increasingly prominent. ② The diurnal variations in O3 were unimodal with the valley point at 07:00 and the highest peak between 15:00 and 16:00. Similar trends were found in diurnal variations of both air temperature and solar radiation, but the daily highest peak came earlier than that of O3. The results also showed an apparent weekend effect of O3 concentration in 2017 and 2019 and a significant correlation between O3 concentration and solar irradiance during the week. In addition, the monthly variation in O3 concentration and pollution exceeding the standard rate was bimodal. ③The occurrence of ozone pollution was affected by various meteorological conditions. The maximum number of days appeared when daily sunshine hours lasted longer than 7 hours, with a daily maximum air temperature around 30℃, solar irradiance ranging from 350 to 440 kW·m-2, and relative humidity ranging from 50% to 75%, at which time the intensity of pollution was the strongest. When the wind speed of easterly wind was less than 1.5 m·s-1, or the wind speed of southwest wind was less than 3.5 m·s-1, moderate ozone pollution occurred. ④ An optimal prediction model of O3 concentration was established based on machine learning, which had good predictive ability for O3 concentration in April, May, July, and September but did not perform well when O3 concentration exceeded 200 µg·m-3. Meanwhile, it was found that solar radiation had the most obvious effect on O3 concentration, followed by relative humidity, whereas the temperature and wind were less important than the former two factors.

Effect modifications of green space and blue space on heat-mortality association in Hong Kong, 2008-2017.

BACKGROUND: Despite emerging recognition of the benefits of green and blue spaces on human health, evidence for their effect modifications on heat-mortality associations is limited. We aimed to investigate the effect modifications of green and blue spaces on heat-mortality associations among different age and sex groups and at different heat levels. METHODS: Daily mortality and meteorological data from 2008 to 2017 in Hong Kong, China were collected. The Normalized Difference Vegetation Index and distance to coast were used as proxies for green and blue space exposure, respectively. Time-series analyses was performed using fitting generalized linear mixed models with an interaction term between heat and levels of exposure to either green or blue space. Age-, sex-, and heat level-stratified analyses were also conducted. RESULTS: With a 1 °C increase in temperature above the 90th percentile (29.61 °C), mortality increased by 5.7% (95% confidence interval [CI]: 1.6, 10.1%), 5.4% (1.4, 9.5%), and 4.6% (0.8, 8.9%) for low, medium and high levels of green space exposure, respectively, and by 7.5% (3.9, 11.2%) and 3.5% (0.3, 6.8%) for low and high levels of blue space exposure, respectively. Significant effect modifications of green and blue spaces were not observed for the whole population or any specific age and sex group, either at a moderate heat level or a heat level (Ps > 0.05). CONCLUSIONS: No significant effect modifications of green and blue spaces on heat-related mortality risk were observed in Hong Kong. These findings challenge the existing evidence on the prominent protective role of green and blue spaces in mitigating heat-related mortality risks.

Association between outdoor artificial light at night and sleep duration among older adults in China: A cross-sectional study.

BACKGROUND: Light after dusk disrupts the circadian rhythms and shifts the timing of sleep later; but it is unknown whether outdoor artificial light at night (ALAN) affects sleep quality. This study aimed to explore the association between residential outdoor ALAN and sleep duration in a nationally representative sample of Chinese older adults. METHODS: We examined the cross-sectional associations of outdoor ALAN with self-reported sleep duration in 13,474 older adults participating in the 2017-2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Outdoor ALAN exposure was estimated at the residence level using satellite images. We applied generalized linear mixed models to investigate the association between ALAN exposure and sleep duration. We performed stratified analyses by age, sex, education, and household income levels. Moreover, we used multi-level logistic regression models to investigate the effects of ALAN on the short sleep duration (≤6 h) and the long sleep duration (>8 h), respectively, in reference to sleep for >6-8 h per day. RESULTS: We found a significant association between outdoor ALAN intensity and sleep duration. The highest quartile of ALAN was associated with 17.04 (95% CI: 9.42-24.78) fewer minutes of sleep as compared to the lowest quartile. The reductions in sleep duration per quartile change in ALAN were greater in the young old (≥65-85 years) and in those with higher levels of education, and those with higher household income, respectively. We did not detect a sex difference. In addition, those in the highest quartile of ALAN were more likely to report a 25% (95% CI: 10%-42%) increase in short sleep (<6 h), and a 21% (95% CI: 9%-31%) decrease in long sleep (>8 h). CONCLUSIONS: Increasing outdoor nighttime light intensity surrounding residences was associated with shorter sleep duration in older residents in China. This finding implies the importance of urban outdoor artificial light management as a potential means to lower the public health burden of sleep disorders.

Fine-scale mapping of an evidence-based heat health risk index for high-density cities: Hong Kong as a case study.

The most recent extreme heat recorded in Europe re-alerts the world to the threat of heat stress. Future extreme heat events are reported to be more frequent, long-lasting, and intense. The intense exposure to hot temperatures can cause an excess of heat-related deaths, leading to an increasing risk of heat-related health. In reducing Heat Health Risk (HHR), the use of fine-scale evidence-based mapping of heat-related health risk index (HHRI) and its underlying contributors is essential for policy-making and site-specific action plans. However, its use is still considered to be at an early stage, especially in high-density cities like Hong Kong. This study conducted a spatially explicit assessment of HHR in Hong Kong and constructed a HHRI based on indicators categorized through Principle Component Analysis (PCA) into four meaningful components representing social/language, social isolation, socioeconomic, and urbanization/environmental risks. The applicability of the index was validated against heat-related mortality data at the community level. The community-level maps of HHRI and its subcomponents revealed that portions of Kowloon Peninsula had always suffered exceptionally high HHR ten years ago and after, but the hot spots and problematic communities experienced displacement and the dominant underlying factors of their HHR also varied. Results also showed that HHRI correlated fairly well with the heat-related deaths ratio (R2 = 0.60) at the community level for most of Hong Kong (62.33% of all communities that contain 81.69% of total population). Our analysis results helped generate an evidence-based index to assess HHR in high-density cities like Hong Kong and provided fine-scale maps of the index and its subcomponents, with the aim of benefiting site-specific policy making and optimizing the existing action plans.

Assessing local resilience to typhoon disasters: A case study in Nansha, Guangzhou.

Building communities' resilience to natural weather hazards requires the appropriate assessment of such capabilities. The resilience of a community is affected not only by social, economic, and infrastructural factors but also by natural factors (including both site characteristics and the intensity and frequency of events). To date, studies of natural factors have tended to draw on annual censuses and to use aggregated data, thus allowing only a limited understanding of site-specific hot or cold spots of resilience. To improve this situation, we carried out a comprehensive assessment of resilience to typhoon disasters in Nansha district, Guangzhou, China. We measured disaster resilience on 1×1-km grid units with respect to socioeconomic and infrastructural dimensions using a set of variables and also estimated natural factors in a detailed manner with a meteorological modeling tool, the Weather Research and Forecast model. We selected typhoon samples over the past 10 years, simulated the maximum typhoon-borne strong winds and precipitation of each sample, and predicted the wind speed and precipitation volume at the 100-year return-level on the basis of extreme value analysis. As a result, a composite resilience index was devised by combining factors in different domains using factor analysis coupled with the analytic hierarchy process. Resilience mapping using this composite resilience index allows local governments and planners to identify potential hot or cold spots of resilience and the dominant factors in particular locations, thereby assisting them in making more rational site-specific measures to improve local resilience to future typhoon disasters.

[Influence of the active layer thickness on the performance of bulk heterojunction solar cell].

Bulk heterojunction polymer solar cells based on the blend of MEH-PPV (poly[2-methoxy-5-(2'-ethylhexyloxy)-1,4-phenylenevinylene]) and PCBM (1-(3-mehyloxycarbonyl)propyl-phenyl[6,6]C61) were fabricated. The thickness of the active layer was controlled by changing the concentration of MEH-PPV : PCBM (1 : 4 in weight ratio) solution and spin speeds. Investigation of the effects of active layer thicknesses on the performance of the photovoltaic devices indicates that, when the spin-coated speeds are lower than 4,000 r x min(-1) (round per minute), the open-circuit voltage (V(oc)) remains almost unchanged at approximately 0.8 V, whereas the short-circuit density (J(sc)) monotonically increases and the fill factor (FF) decreases slightly. The spin speeds that are higher than 5,000 r x min(-1) rpm result in the V(oc) and J(sc) both reduced. The V(oc) decreases from 0. 78 V at the spin-speed of 5,000 r x min(-1) to 0.67 V at 8,000 r x min(-1), and the J(sc) even decreases from 3.96 mA x cm(-2) at 5 000 r min(-1) to 1.76 mA x cm(-2) at 8,000 r x min(-1). J(sc) depends on the mutual impact of light absorption and carrier transport, while a contradicting effect from the two aspects is caused by varying the thickness of the active layer. The thicker the active layer, the more the excitons induced by light absorption. However, the build-in electric field becomes weaker and the pathway becomes longer for transporting the opposite charge carriers derived from exiciton separation to their corresponding electrodes at the same time, which makes the probability of charges collection by respective electrodes lower. With respect to the reduced V(oc), it may be attributed to the increased proportion of exciton dissociation at the interfaces of MEH-PPV and PCBM with the relevant electrodes.

White emission via electroplex emission from two blue materials.

Influences of electric fields on the emission from organic light-emitting diodes (OLEDs) based on poly (N-vinylcarbazole) (PVK); 2, 9-dimethyl-4, 7-diphenyl-1, 10-phenanthroline (BCP); and tris (8-hydroxyquinoline) aluminum (Alq3) were studied. There are three emission peaks at 420 nm, 520 nm, and 620 nm of the device ITO/PEDOT: PSS/PVK/BCP/LiF/Al under different driving voltages. The emissions at 420 nm and 520 nm should be from the exciton emission of PVK and Alq3, respectively. The last emission at 620 nm could be attributed to electroplex emission at the interface between the PVK and BCP layers. A high intensity white emission via electroplex formation was obtained with Commission International d'Eclairage (CIE) coordinates (0.33, 0.34) at 15 V, which is very close to the equienergy white point (0.33, 0.33).

[Evaluating acceleration ability of electrons of different acceleration layers in solid state cathodoluminescence].

Solid state cathodoluminescence is a brand-new excitation mode. In the device, electron acceleration layer plays a very important role in obtaining high energy hot electrons to excite organic luminescent materials in solid state cathodoluminescence. Two kinds of structural devices (A: ITO/MEH-PPV/SiO2/Al, B: ITO/MEH-PPV/ZnO/Al) were fabricated. The theoretical calculation and analysis show that the tunnel current and electric field was higher in SiO2 layer than that in ZnO layer under the same applied driving voltage. The experimental results show that the intensity of device A with SiO2 as electrons acceleration layer is stronger than that of device B with ZnO as electrons acceleration layer under the same driving voltage. And the result demonstrated that electrons in the conduction band of SiO2 can be heated to higher energy than that in ZnO.