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Temperature-mortality associations by age and cause: a multi-country multi-city study
N. Scovronick, F. Sera, B. Vu, AM. Vicedo-Cabrera, D. Roye, A. Tobias, X. Seposo, B. Forsberg, Y. Guo, S. Li, Y. Honda, R. Abrutzky, M. de Sousa Zanotti Stagliorio Coelho, PH. Nascimento Saldiva, E. Lavigne, H. Kan, S. Osorio, J. Kyselý, A....
Status neindexováno Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2018
PubMed Central
od 2019
ROAD: Directory of Open Access Scholarly Resources
od 2017
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Heterogeneity in temperature-mortality relationships across locations may partly result from differences in the demographic structure of populations and their cause-specific vulnerabilities. Here we conduct the largest epidemiological study to date on the association between ambient temperature and mortality by age and cause using data from 532 cities in 33 countries. METHODS: We collected daily temperature and mortality data from each country. Mortality data was provided as daily death counts within age groups from all, cardiovascular, respiratory, or noncardiorespiratory causes. We first fit quasi-Poisson regression models to estimate location-specific associations for each age-by-cause group. For each cause, we then pooled location-specific results in a dose-response multivariate meta-regression model that enabled us to estimate overall temperature-mortality curves at any age. The age analysis was limited to adults. RESULTS: We observed high temperature effects on mortality from both cardiovascular and respiratory causes compared to noncardiorespiratory causes, with the highest cold-related risks from cardiovascular causes and the highest heat-related risks from respiratory causes. Risks generally increased with age, a pattern most consistent for cold and for nonrespiratory causes. For every cause group, risks at both temperature extremes were strongest at the oldest age (age 85 years). Excess mortality fractions were highest for cold at the oldest ages. CONCLUSIONS: There is a differential pattern of risk associated with heat and cold by cause and age; cardiorespiratory causes show stronger effects than noncardiorespiratory causes, and older adults have higher risks than younger adults.
Center for Climate Change Adaptation National Institute for Environmental Studies Tsukuba Japan
Center for Environmental and Respiratory Health Research University of Oulu Oulu Finland
CIBER de Epidemiología y Salud Pública Madrid Spain
Climate Research Foundation Madrid Spain
Climatology Research Group Institute of Landscape Ecology University of Münster Münster Germany
College of Health Medicine and Life Sciences Brunel University London London UK
Department of Earth Sciences University of Torino Turin Italy
Department of Environmental Health Instituto Nacional de Saúde Dr Ricardo Jorge Porto Portugal
Department of Environmental Health National Institute of Public Health Cuernavaca Morelos Mexico
Department of Environmental Health School of Public Health Fudan University Shanghai China
Department of Environmental Health University of São Paulo São Paulo Brazil
Department of Epidemiology Lazio Regional Health Service Rome Italy
Department of Global Health Policy Graduate School of Medicine The University of Tokyo Tokyo Japan
Department of Pathology Faculty of Medicine University of São Paulo São Paulo Brazil
Department of Public Health and Clinical Medicine Umeå University Umeå Sweden
Department of Statistics and Computational Research Universitat de València València Spain
Environmental Health Science and Research Bureau Health Canada Ottawa Canada
EPIUnit Instituto de Saúde Pública Universidade do Porto Porto Portugal
Faculty of Environmental Sciences Czech University of Life Sciences Prague Czech Republic
Graduate School of Public Health Seoul National University Seoul South Korea
Institute for Global Health University College London London UK
Institute of Atmospheric Physics Czech Academy of Sciences Prague Czech Republic
Institute of Family Medicine and Public Health University of Tartu Tartu Estonia
Institute of Social and Preventive Medicine University of Bern Bern Switzerland
Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional Porto Portugal
Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland
National Institute of Environmental Health Science National Health Research Institutes Zhunan Taiwan
Norwegian Institute of Public Health Oslo Norway
Oeschger Center for Climate Change Research University of Bern Bern Switzerland
School of Epidemiology and Public Health Faculty of Medicine University of Ottawa Ottawa Canada
School of Population Health and Environmental Sciences King's College London UK
School of Tropical Medicine and Global Health Nagasaki University Nagasaki Japan
Swiss Tropical and Public Health Institute Allschwil Switzerland
Citace poskytuje Crossref.org
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- $a Scovronick, Noah $u Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta $1 https://orcid.org/0000000314103337
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- $a Temperature-mortality associations by age and cause: a multi-country multi-city study / $c N. Scovronick, F. Sera, B. Vu, AM. Vicedo-Cabrera, D. Roye, A. Tobias, X. Seposo, B. Forsberg, Y. Guo, S. Li, Y. Honda, R. Abrutzky, M. de Sousa Zanotti Stagliorio Coelho, PH. Nascimento Saldiva, E. Lavigne, H. Kan, S. Osorio, J. Kyselý, A. Urban, H. Orru, E. Indermitte, JJ. Jaakkola, N. Ryti, M. Pascal, K. Katsouyanni, F. Mayvaneh, A. Entezari, P. Goodman, A. Zeka, P. Michelozzi, F. de'Donato, M. Hashizume, B. Alahmad, A. Zanobetti, J. Schwartz, M. Hurtado Diaz, C. De La Cruz Valencia, S. Rao, J. Madureira, F. Acquaotta, H. Kim, W. Lee, C. Iniguez, MS. Ragettli, YL. Guo, TN. Dang, DV. Dung, B. Armstrong, A. Gasparrini
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- $a BACKGROUND: Heterogeneity in temperature-mortality relationships across locations may partly result from differences in the demographic structure of populations and their cause-specific vulnerabilities. Here we conduct the largest epidemiological study to date on the association between ambient temperature and mortality by age and cause using data from 532 cities in 33 countries. METHODS: We collected daily temperature and mortality data from each country. Mortality data was provided as daily death counts within age groups from all, cardiovascular, respiratory, or noncardiorespiratory causes. We first fit quasi-Poisson regression models to estimate location-specific associations for each age-by-cause group. For each cause, we then pooled location-specific results in a dose-response multivariate meta-regression model that enabled us to estimate overall temperature-mortality curves at any age. The age analysis was limited to adults. RESULTS: We observed high temperature effects on mortality from both cardiovascular and respiratory causes compared to noncardiorespiratory causes, with the highest cold-related risks from cardiovascular causes and the highest heat-related risks from respiratory causes. Risks generally increased with age, a pattern most consistent for cold and for nonrespiratory causes. For every cause group, risks at both temperature extremes were strongest at the oldest age (age 85 years). Excess mortality fractions were highest for cold at the oldest ages. CONCLUSIONS: There is a differential pattern of risk associated with heat and cold by cause and age; cardiorespiratory causes show stronger effects than noncardiorespiratory causes, and older adults have higher risks than younger adults.
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