Assessing Impact of Temperature Variability of Climate Change on Mortality Based on Multiple GCM Projections in China

Gradually increasing durations of high temperature caused by climate change harm the health of individuals and then lead to death. This study aimed to investigate the relationship between durations of different daily mean air-temperature categories and mortality in China and forecast future mortality changes in China for 2020–2050 under Representative Concentration Pathways (RCP)4.5 and RCP8.5 scenarios. The daily mean air temperature was divided into 10 categories, and the days under each air-temperature category were counted during the period of 2000–2015. Then, the connection between the days of each of the 10 air-temperature categories and mortality was established using the semi parametric regression model. Results indicate that the days of the >32 °C category have the largest impact on mortality in China, with the death rate increasing by 23‰ for one additional day. Predictions reveal that mortality in China will increase 25.48% and 26.26% under the RCP4.5 and RCP8.5 scenarios, respectively. Moreover, the mortality of 86 regions in western China will increase 30.42%. Therefore, in the future, the increasing duration of days of high temperatures will raise the mortality rate in China and aggravate the mortality gap between developed and underdeveloped regions.