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Search: (L773:0012 1797 OR L773:1939 327X) srt2:(2005-2009) > (2005) > Heat effects on mor...

  • Baccini, Michela (author)

Heat effects on mortality in 15 European cities.

  • Article/chapterEnglish2008

Publisher, publication year, extent ...

  • 2008
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-19646
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-19646URI
  • https://doi.org/10.1097/EDE.0b013e318176bfcdDOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

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

Notes

  • BACKGROUND: Epidemiologic studies show that high temperatures are related to mortality, but little is known about the exposure-response function and the lagged effect of heat. We report the associations between daily maximum apparent temperature and daily deaths during the warm season in 15 European cities. METHODS: The city-specific analyses were based on generalized estimating equations and the city-specific results were combined in a Bayesian random effects meta-analysis. We specified distributed lag models in studying the delayed effect of exposure. Time-varying coefficient models were used to check the assumption of a constant heat effect over the warm season. RESULTS: The city-specific exposure-response functions have a V shape, with a change-point that varied among cities. The meta-analytic estimate of the threshold was 29.4 degrees C for Mediterranean cities and 23.3 degrees C for north-continental cities. The estimated overall change in all natural mortality associated with a 1 degrees C increase in maximum apparent temperature above the city-specific threshold was 3.12% (95% credibility interval = 0.60% to 5.72%) in the Mediterranean region and 1.84% (0.06% to 3.64%) in the north-continental region. Stronger associations were found between heat and mortality from respiratory diseases, and with mortality in the elderly. CONCLUSIONS: There is an important mortality effect of heat across Europe. The effect is evident from June through August; it is limited to the first week following temperature excess, with evidence of mortality displacement. There is some suggestion of a higher effect of early season exposures. Acclimatization and individual susceptibility need further investigation as possible explanations for the observed heterogeneity among cities.

Added entries (persons, corporate bodies, meetings, titles ...)

  • Biggeri, Annibale (author)
  • Accetta, Gabriele (author)
  • Kosatsky, Tom (author)
  • Katsouyanni, Klea (author)
  • Analitis, Antonis (author)
  • Anderson, H Ross (author)
  • Bisanti, Luigi (author)
  • D'Ippoliti, Daniela (author)
  • Danova, Jana (author)
  • Forsberg, BertilUmeå universitet,Yrkes- och miljömedicin(Swepub:umu)befo0001 (author)
  • Medina, Sylvia (author)
  • Paldy, Anna (author)
  • Rabczenko, Daniel (author)
  • Schindler, Christian (author)
  • Michelozzi, Paola (author)
  • Umeå universitetYrkes- och miljömedicin (creator_code:org_t)

Related titles

  • In:Epidemiology (Cambridge, Mass.)19:5, s. 711-91531-5487

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