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Heat-related cardio...
Heat-related cardiorespiratory mortality : effect modification by air pollution across 482 cities from 24 countries
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- Rai, Masna (författare)
- Institute of Epidemiology, Helmholtz Munich, - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology – IBE, Pettenkofer School of Public Health, LMU Munich, Munich, Germany
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- Stafoggia, Massimo (författare)
- Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy
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- de'Donato, Francesca (författare)
- Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy
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- Scortichini, Matteo (författare)
- Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy
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- Zafeiratou, Sofia (författare)
- epartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece
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- Vazquez Fernandez, Liliana (författare)
- Department of Air Pollution and Noise, Norwegian Institute of Public Health, Oslo, Norway
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- Zhang, Siqi (författare)
- Institute of Epidemiology, Helmholtz Munich, - German Research Center for Environmental Health, Neuherberg, Germany
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- Katsouyanni, Klea (författare)
- epartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece
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- Samoli, Evangelia (författare)
- epartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece
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- Rao, Shilpa (författare)
- Department of Air Pollution and Noise, Norwegian Institute of Public Health, Oslo, Norway
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- Lavigne, Eric (författare)
- School of Epidemiology & Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada and Environmental Health Science & Research Bureau, Health Canada, Ottawa, Canada
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- Guo, Yuming (författare)
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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- Kan, Haidong (författare)
- Department of Environmental Health, School of Public Health, Fudan University, Shanghai, China
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- Osorio, Samuel (författare)
- Department of Environmental Health, University of São Paulo, São Paulo, Brazil
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- Kyselý, Jan (författare)
- Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic
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- Urban, Aleš (författare)
- Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic
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- Orru, Hans (författare)
- Department of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
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- Maasikmets, Marek (författare)
- Estonian Environmental Research Centre, Tallinn, Estonia
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- Jaakkola, Jouni J.K. (författare)
- Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland
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- Ryti, Niilo (författare)
- Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland
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- Pascal, Mathilde (författare)
- Santé Publique France, Department of Environmental Health, French National Public Health Agency, Saint Maurice, France
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- Hashizume, Masahiro (författare)
- Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
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- Fook Sheng Ng, Chris (författare)
- School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
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- Alahmad, Barrak (författare)
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, MA, Boston, United States
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- Hurtado Diaz, Magali (författare)
- Department of Environmental Health, National Institute of Public Health, Morelos, Cuernavaca, Mexico
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- De la Cruz Valencia, César (författare)
- Department of Environmental Health, National Institute of Public Health, Morelos, Cuernavaca, Mexico
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- Nunes, Baltazar (författare)
- Department of Environmental Health, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto, Portugal
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- Madureira, Joana (författare)
- Department of Environmental Health, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto, Portugal
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- Scovronick, Noah (författare)
- Department of Environmental Health. Rollins School of Public Health, Emory University, Atlanta, United States
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- Garland, Rebecca M. (författare)
- Department of Geography, Geoinformatics and Meteorology, University of Pretoria, Pretoria, South Africa
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- Kim, Ho (författare)
- Graduate School of Public Health, Seoul National University, Seoul, South Korea
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- Lee, Whanhee (författare)
- School of Biomedical Convergence Engineering, Pusan National University, Yangsan, South Korea
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- Tobias, Aurelio (författare)
- Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
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- Íñiguez, Carmen (författare)
- Department of Statistics and Computational Research, Universitat de València, València, Spain
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- Forsberg, Bertil, professor, 1956- (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Åström, Christofer, 1983- (författare)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Maria Vicedo-Cabrera, Ana (författare)
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
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- Ragettli, Martina S. (författare)
- Swiss Tropical and Public Health Institute, Basel, Switzerland
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- Leon Guo, Yue-Liang (författare)
- Environmental and Occupational Medicine, Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University (NTU) and NTU Hospital, Taipei, Taiwan
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- Pan, Shih-Chun (författare)
- National Institute of Environmental Health Science, National Health Research Institutes, Zhunan, Taiwan
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- Li, Shanshan (författare)
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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- Gasparrini, Antonio (författare)
- Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom
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- Sera, Francesco (författare)
- Department of Statistics, Computer Science and Applications “G. Parenti”, University of Florence, Florence, Italy
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- Masselot, Pierre (författare)
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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- Schwartz, Joel (författare)
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, MA, Boston, United States
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- Zanobetti, Antonella (författare)
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, MA, Boston, United States
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- Bell, Michelle L. (författare)
- School of Forestry and Environmental Studies, Yale University, CT, New Haven, United States
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- Schneider, Alexandra (författare)
- Institute of Epidemiology, Helmholtz Munich, - German Research Center for Environmental Health, Neuherberg, Germany
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- Breitner, Susanne (författare)
- Institute of Epidemiology, Helmholtz Munich, - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology – IBE, Pettenkofer School of Public Health, LMU Munich, Munich, Germany
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Environment International. - : Elsevier. - 0160-4120 .- 1873-6750. ; 174
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Evidence on the potential interactive effects of heat and ambient air pollution on cause-specific mortality is inconclusive and limited to selected locations. Objectives: We investigated the effects of heat on cardiovascular and respiratory mortality and its modification by air pollution during summer months (six consecutive hottest months) in 482 locations across 24 countries.Methods: Location-specific daily death counts and exposure data (e.g., particulate matter with diameters ≤ 2.5 µm [PM2.5]) were obtained from 2000 to 2018. We used location-specific confounder-adjusted Quasi-Poisson regression with a tensor product between air temperature and the air pollutant. We extracted heat effects at low, medium, and high levels of pollutants, defined as the 5th, 50th, and 95th percentile of the location-specific pollutant concentrations. Country-specific and overall estimates were derived using a random-effects multilevel meta-analytical model.Results: Heat was associated with increased cardiorespiratory mortality. Moreover, the heat effects were modified by elevated levels of all air pollutants in most locations, with stronger effects for respiratory than cardiovascular mortality. For example, the percent increase in respiratory mortality per increase in the 2-day average summer temperature from the 75th to the 99th percentile was 7.7% (95% Confidence Interval [CI] 7.6–7.7), 11.3% (95%CI 11.2–11.3), and 14.3% (95% CI 14.1–14.5) at low, medium, and high levels of PM2.5, respectively. Similarly, cardiovascular mortality increased by 1.6 (95%CI 1.5–1.6), 5.1 (95%CI 5.1–5.2), and 8.7 (95%CI 8.7–8.8) at low, medium, and high levels of O3, respectively.Discussion: We observed considerable modification of the heat effects on cardiovascular and respiratory mortality by elevated levels of air pollutants. Therefore, mitigation measures following the new WHO Air Quality Guidelines are crucial to enhance better health and promote sustainable development.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Nyckelord
- Air pollution
- Air temperature
- Cardiovascular mortality
- Effect modification
- Heat
- Respiratory mortality
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- art (ämneskategori)
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Rai, Masna
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Stafoggia, Massi ...
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de'Donato, Franc ...
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Scortichini, Mat ...
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Zafeiratou, Sofi ...
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Vazquez Fernande ...
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visa fler...
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Zhang, Siqi
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Katsouyanni, Kle ...
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Samoli, Evangeli ...
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Rao, Shilpa
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Lavigne, Eric
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Guo, Yuming
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Kan, Haidong
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Osorio, Samuel
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Kyselý, Jan
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Urban, Aleš
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Orru, Hans
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Maasikmets, Mare ...
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Jaakkola, Jouni ...
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Ryti, Niilo
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Pascal, Mathilde
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Hashizume, Masah ...
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Fook Sheng Ng, C ...
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Alahmad, Barrak
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Hurtado Diaz, Ma ...
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De la Cruz Valen ...
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Nunes, Baltazar
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Madureira, Joana
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Scovronick, Noah
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Garland, Rebecca ...
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Kim, Ho
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Lee, Whanhee
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Tobias, Aurelio
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Íñiguez, Carmen
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Forsberg, Bertil ...
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Åström, Christof ...
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Maria Vicedo-Cab ...
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Ragettli, Martin ...
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Leon Guo, Yue-Li ...
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Pan, Shih-Chun
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Li, Shanshan
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Gasparrini, Anto ...
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Sera, Francesco
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Masselot, Pierre
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Schwartz, Joel
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Zanobetti, Anton ...
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Bell, Michelle L ...
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Schneider, Alexa ...
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Breitner, Susann ...
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