npj Climate and Atmospheric Science ( IF 8.5 ) Pub Date : 2024-11-05 , DOI: 10.1038/s41612-024-00825-9 Jianxiong Hu, Yuliang Er, Xiao Deng, Tao Liu, Fangfang Zeng, Pengpeng Ye, Guanhao He, Qijiong Zhu, Ye Jin, Sujuan Chen, Cuirong Ji, Ziqiang Lin, Fengrui Jing, Leilei Duan, Yuan Wang, Wenjun Ma
The night-time temperature-related injury risks and burdens were unclear. Using 11,512,467 non-fatal injury cases in 243 surveillance hospitals across China from 2006-2021, we estimated the associations between daytime or night-time temperature and injury by a time-stratified case-crossover study, and compared their injury burden during 1990s–2010s. We found the excess risk (ER) for per 1°C rise in night-time temperature (ER = 1.21%, 95%CI:1.03%,1.39%) was greater than that in daytime (ER = 0.86%, 95%CI:0.72%,1.00%). Compared with the 1980s, the attributable fractions (AFs) for daytime and night-time temperature change during the 1990s–2010s were 0.59% (95%eCI:0.54%,0.67%) and 0.73% (95%eCI:0.69%,0.77%), respectively. Spatially, the higher AFs of night-time temperature were more widely distributed than daytime temperature. The non-fatal injury risk attributed to night-time temperature was stronger than daytime temperature, and increased night-time temperatures posed a heavier injury burden compared with daytime temperature in China. Our findings indicate that high night-time temperature is an important injury risk in the context of climate change.