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  • Stafoggia, M.Department of Epidemiology, Lazio Region Health Service / ASL, Rome, Italy,Department of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil,Swiss Tropical and Public Health Institute, Basel, Switzerland (author)

Joint effect of heat and air pollution on mortality in 620 cities of 36 countries

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Elsevier,2023

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/332353
  • https://gup.ub.gu.se/publication/332353URI
  • https://doi.org/10.1016/j.envint.2023.108258DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215864URI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: The epidemiological evidence on the interaction between heat and ambient air pollution on mor-tality is still inconsistent. Objectives: To investigate the interaction between heat and ambient air pollution on daily mortality in a large dataset of 620 cities from 36 countries. Methods: We used daily data on all-cause mortality, air temperature, particulate matter <= 10 mu m (PM10), PM <= 2.5 mu m (PM2.5), nitrogen dioxide (NO2), and ozone (O3) from 620 cities in 36 countries in the period 1995-2020. We restricted the analysis to the six consecutive warmest months in each city. City-specific data were analysed with over-dispersed Poisson regression models, followed by a multilevel random-effects meta-analysis. The joint association between air temperature and air pollutants was modelled with product terms between non-linear functions for air temperature and linear functions for air pollutants. Results: We analyzed 22,630,598 deaths. An increase in mean temperature from the 75th to the 99th percentile of city-specific distributions was associated with an average 8.9 % (95 % confidence interval: 7.1 %, 10.7 %) mortality increment, ranging between 5.3 % (3.8 %, 6.9 %) and 12.8 % (8.7 %, 17.0 %), when daily PM10 was equal to 10 or 90 mu g/m3, respectively. Corresponding estimates when daily O3 concentrations were 40 or 160 mu g/ m3 were 2.9 % (1.1 %, 4.7 %) and 12.5 % (6.9 %, 18.5 %), respectively. Similarly, a 10 mu g/m3 increment in PM10 was associated with a 0.54 % (0.10 %, 0.98 %) and 1.21 % (0.69 %, 1.72 %) increase in mortality when daily air temperature was set to the 1st and 99th city-specific percentiles, respectively. Corresponding mortality estimate for O3 across these temperature percentiles were 0.00 % (-0.44 %, 0.44 %) and 0.53 % (0.38 %, 0.68 %). Similar effect modification results, although slightly weaker, were found for PM2.5 and NO2. Conclusions: Suggestive evidence of effect modification between air temperature and air pollutants on mortality during the warm period was found in a global dataset of 620 cities.

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  • Michelozzi, P.Department of Epidemiology, Lazio Region Health Service / ASL, Rome, Italy,Department of Public Health, Universidad de los Andes, Santiago, Chile (author)
  • Schneider, A.Institute of Epidemiology, Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Neuherberg, Germany (author)
  • Armstrong, B.Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom (author)
  • Scortichini, M.Department of Epidemiology, Lazio Region Health Service / ASL, Rome, Italy (author)
  • Rai, M.Institute of Epidemiology, Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Neuherberg, Germany (author)
  • Achilleos, S.Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus (author)
  • Alahmad, B.Department of Environmental Health, Harvard T.H. Chan School of Public Health, MA, Boston, United States (author)
  • Analitis, A.Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece (author)
  • Åström, Christofer,1983-Umeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)chas0002 (author)
  • Bell, M. L.School of the Environment, Yale University, CT, New Haven, United States,Estonian Environmental Research Centre, Tallinn, Estonia (author)
  • Calleja, N.Directorate for Health Information and Research, Malta (author)
  • Carlsen, Hanne KrageGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden(Swepub:gu)xkraha (author)
  • Carrasco, G.Institute of Tropical Medicine “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Peru (author)
  • Cauchi, J. P.Queen Mary University of London, London, United Kingdom (author)
  • Coelho, Mdszs (author)
  • Correa, P. M.Santé Publique France, Department of Environmental Health, French National Public Health Agency, Saint Maurice, France (author)
  • Diaz, M. H.Department of Environmental Health, National Institute of Public Health, Morelos, Cuernavaca, Mexico,Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan (author)
  • Entezari, A.Faculty of Geography and Environmental Sciences, Hakim Sabzevari University, Khorasan Razavi, Sabzevar, Iran (author)
  • Forsberg, Bertil,professor,1956-Umeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)befo0001 (author)
  • Garland, R. M.Department of Geography, Geoinformatics and Meteorology, University of Pretoria, Pretoria, South Africa,Braun School of Public Health and Community Medicine, The Hebrew University of Jerusalem, Israel (author)
  • Guo, Y. L.Environmental and Occupational Medicine, Institute of Environmental and Occupational Health Sciences, National Taiwan University (NTU) and NTU Hospital, Taipei, Taiwan,Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia (author)
  • Guo, Y. M. (author)
  • Hashizume, M. (author)
  • Holobaca, I. H.Faculty of Geography, Babes-Bolay University, Cluj-Napoca, Romania (author)
  • Iñiguez, C.Department of Statistics and Computational Research, Universitat de València, València, Spain (author)
  • Jaakkola, J. J. K.Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland,Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece; Environmental Research Group, School of Public Health, Faculty of Medicine, Imperial College London, London, United Kingdom,Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic; Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic (author)
  • Kan, H. D.Department of Environmental Health, School of Public Health, Fudan University, Shanghai, China (author)
  • Katsouyanni, K.Department of Epidemiology, Lazio Region Health Service / ASL, Rome, Italy (author)
  • Kim, H.Graduate School of Public Health, Seoul National University, Seoul, South Korea (author)
  • Kysely, J. (author)
  • Lavigne, E.School of Epidemiology & Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Environmental Health Science and Research Bureau, Health Canada, Ottawa, Canada (author)
  • Lee, W.School of the Environment, Yale University, CT, New Haven, United States (author)
  • Li, S. S.Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia (author)
  • Maasikmets, M. (author)
  • Madureira, J.Department of Environmental Health, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal (author)
  • Mayvaneh, F.Faculty of Geography and Environmental Sciences, Hakim Sabzevari University, Khorasan Razavi, Sabzevar, Iran (author)
  • Ng, C. F. S.Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan,Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom; Department of Statistics, Computer Science and Applications “G. Parenti”, University of Florence, Florence, Italy (author)
  • Nunes, B.Department of Epidemiology, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal (author)
  • Orru, H.Department of Family Medicine and Public Health, University of Tartu, Tartu, Estonia (author)
  • Ortega, N.Department of Public Health, Universidad de los Andes, Santiago, Chile (author)
  • Osorio, S.Department of Environmental Health, University of São Paulo, São Paulo, Brazil (author)
  • Palomares, A. D. L.Norwegian Institute of Public Health, Oslo, Norway (author)
  • Pan, S. C.National Institute of Environmental Health Science, National Health Research Institutes, Zhunan, Taiwan (author)
  • Pascal, M. (author)
  • Ragettli, M. S. (author)
  • Rao, S.Norwegian Institute of Public Health, Oslo, Norway (author)
  • Raz, R. (author)
  • Roye, D.Climate Research Foundation, Madrid, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Spain (author)
  • Ryti, N.Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland (author)
  • Saldiva, P. H. N.Department of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil (author)
  • Samoli, E.Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece (author)
  • Schwartz, J.Department of Environmental Health, Harvard T.H. Chan School of Public Health, MA, Boston, United States (author)
  • Scovronick, N.Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, United States (author)
  • Sera, F. (author)
  • Tobias, A.Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain (author)
  • Tong, S. L.School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia (author)
  • Valencia, CdlcDepartment of Environmental Health, National Institute of Public Health, Morelos, Cuernavaca, Mexico (author)
  • Vicedo-Cabrera, A. M.Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland; Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland (author)
  • Urban, A.Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic; Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic (author)
  • Gasparrini, A.Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom (author)
  • Breitner, S.IBE-Chair of Epidemiology, LMU Munich, Munich, Germany (author)
  • de Donato, F. K. (author)
  • Department of Epidemiology, Lazio Region Health Service / ASL, Rome, ItalyDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil (creator_code:org_t)

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  • In:Environment International: Elsevier1810160-41201873-6750

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