Investigating the impact of climate change on the mortality rates of COPD with the generalized estimating equation
摘要
Chronic Obstructive Pulmonary Disease (COPD) is a major global public health concern, with mortality rates affected by various factors, including climate change. Rising global temperatures and increased temperature variability due to climate change present heightened risks for COPD patients, worsening morbidity and mortality. This study investigates the effect of climate change on COPD mortality rates using Generalized Estimating Equations (GEE), which account for repeated measures over time and incorporation covariates. The analysis uses longitudinal data from 2009, 2014, and 2019, covering six world regions: North America and the Caribbean, Central and South America, Asia, Oceania, Europe, and Africa. Independent variables include regional classification, temperature levels, and greenhouse gas emissions. The results indicate that COPD mortality rates are significantly associated with greenhouse gas levels and specific regions, particularly Oceania and Europe. However, the temperature variable does not considerably influence COPD mortality statistically. These findings underscore the need for region-specific strategies to mitigate health risks related to climate change.