Fluctuating temperature modifies heat-mortality association around the globe
Studies have investigated the effects of heat and temperature variability (TV) on mortality. However, few assessed whether TV modifies the heat-mortality association.TV was calculated as the standard deviation of the average of the same and previous days’ minimum and maximum temperatures.TV had a significant modification effect on the heat-mortality association, causing a higher heat-related mortality burden with increments of TV. Implementing targeted strategies against heat exposure and fluctuant temperatures simultaneously would benefit public health.