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| Título: | Fluctuating temperature modifies heat-mortality association around the globe |
| Autor: | Yao, Wu Bo, Wen Shanshan, Li Colistro, Valentina |
| Tipo: | Artículo |
| Palabras clave: | Heat, Modification effect, Mortality, Temperature variability |
| Descriptores: | TEMPERATURAS EXTREMAS, CALOR, SALUD GLOBAL, MORTALIDAD |
| Fecha de publicación: | 2022 |
| Resumen: | Studies have investigated the effects of heat and temperature variability (TV) on mortality. However, few assessed whether TV modifies the heat-mortality association. Data on daily temperature and mortality in the warm season were collected from 717 locations across 36 countries. TV was calculated as the standard deviation of the average of the same and previous days' minimum and maximum temperatures. We used location-specific quasi-Poisson regression models with an interaction term between the cross-basis term for mean temperature and quartiles of TV to obtain heat-mortality associations under each quartile of TV, and then pooled estimates at the country, regional, and global levels. Results show the increased risk in heat-related mortality with increments in TV, accounting for 0.70% (95% confidence interval [CI]: -0.33 to 1.69), 1.34% (95% CI: -0.14 to 2.73), 1.99% (95% CI: 0.29-3.57), and 2.73% (95% CI: 0.76-4.50) of total deaths for Q1-Q4 (first quartile-fourth quartile) of TV. The modification effects of TV varied geographically. Central Europe had the highest attributable fractions (AFs), corresponding to 7.68% (95% CI: 5.25-9.89) of total deaths for Q4 of TV, while the lowest AFs were observed in North America, with the values for Q4 of 1.74% (95% CI: -0.09 to 3.39). 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. |
| Descripción: | Yao Wu 1 2, Bo Wen 1 2, Shanshan Li 1 2, Antonio Gasparrini 3 4 5, Shilu Tong 6 7 8 9, Ala Overcenco 10, Aleš Urban 11 12, Alexandra Schneider 13, Alireza Entezari 2 14, Ana Maria Vicedo-Cabrera 3 15 16, Antonella Zanobetti 17, Antonis Analitis 18, Ariana Zeka 19, Aurelio Tobias 20 21, Barrak Alahmad 17, Ben Armstrong 3, Bertil Forsberg 22, Carmen Íñiguez 23 24, Caroline Ameling 25, César De la Cruz Valencia 26, Christofer Åström 22, Danny Houthuijs 25, Do Van Dung 27, Dominic Royé 24 28, Ene Indermitte 29, Eric Lavigne 30 31, Fatemeh Mayvaneh 14, Fiorella Acquaotta 32, Francesca de'Donato 33, Francesco Sera 34, Gabriel Carrasco-Escobar 35 36, Haidong Kan 37, Hans Orru 29, Ho Kim 38, Iulian-Horia Holobaca 39, Jan Kyselý 11 12, Joana Madureira 40 41 42, Joel Schwartz 17, Klea Katsouyanni 18 43, Magali Hurtado-Diaz 26, Martina S Ragettli 44 45, Masahiro Hashizume 46, Mathilde Pascal 47, Micheline de Sousa Zanotti Stagliorio Coélho 48, Noah Scovronick 49, Paola Michelozzi 33, Patrick Goodman 50, Paulo Hilario Nascimento Saldiva 51, Rosana Abrutzky 52, Samuel Osorio 53, Tran Ngoc Dang 27, Valentina Colistro 54, Veronika Huber 55 56, Whanhee Lee 57 58, Xerxes Seposo 21, Yasushi Honda 59, Michelle L Bell 57, Yuming Guo 1 2 Affiliations 1Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia. 2Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia. 3Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. 4Centre for Statistical Methodology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. 5Centre on Climate Change & Planetary Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. 6Shanghai Children's Medical Centre, Shanghai Jiao Tong University, Shanghai 200025, China. 7School of Public Health, Institute of Environment and Human Health, Anhui Medical University, Hefei 230032, China. 8Center for Global Health, Nanjing Medical University, Nanjing 211166, China. 9School of Public Health and Social Work, Queensland University of Technology, Brisbane 4000, Australia. 10National Agency for Public Health of the Ministry of Health, Labour, and Social Protection of the Republic of Moldova, Chisinau MD-2009, Republic of Moldova. 11Institute of Atmospheric Physics, Czech Academy of Sciences, Prague 141 00, Czech Republic. 12Faculty of Environmental Sciences, Czech University of Life Sciences, Prague 165 00, Czech Republic. 13Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg 85747, Germany. 14Faculty of Geography and Environmental Sciences, Hakim Sabzevari University, Sabzevar 9617976487, Iran. 15Institute of Social and Preventive Medicine, University of Bern, Bern 3012, Switzerland. 16Oeschger Center for Climate Change Research, University of Bern, Bern 3012, Switzerland. 17Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA. 18Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Athens 11527, Greece. 19Institute for Environment, Health, and Societies, Brunel University London, London UB8 3PN, UK. 20Institute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona 08034, Spain. 21School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki 852-8521, Japan. 22Department of Public Health and Clinical Medicine, Umeå University, Umeå 901 87, Sweden. 23Department of Statistics and Computational Research, Universitat de València, València 46003, Spain. 24CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid 28029, Spain. 25National Institute for Public Health and the Environment (RIVM), Centre for Sustainability and Environmental Health, Bilthoven 3720 BA, Netherlands. 26Department of Environmental Health, National Institute of Public Health, Cuernavaca Morelos 62100, Mexico. 27Department of Environmental Health, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 17000, Vietnam. 28Department of Geography, University of Santiago de Compostela, Santiago de Compostela 15705, Spain. 29Institute of Family Medicine and Public Health, University of Tartu, Tartu 50090, Estonia. 30School of Epidemiology & Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON K1N 6N5, Canada. 31Air Health Science Division, Health Canada, Ottawa, ON K1A 0K9, Canada. 32Department of Earth Sciences, University of Turin, Turin 10125, Italy. 33Department of Epidemiology, Lazio Regional Health Service, Rome 00147, Italy. 34Department of Statistics, Computer Science, and Applications "G. Parenti", University of Florence, Florence 50121, Italy. 35Health Innovation Laboratory, Institute of Tropical Medicine "Alexander von Humboldt", Universidad Peruana Cayetano Heredia, Lima 15102, Peru. 36Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA 92093, USA. 37Department of Environmental Health, School of Public Health, Fudan University, Shanghai 200032, China. 38Graduate School of Public Health, Seoul National University, Seoul 08826, Republic of Korea. 39Faculty of Geography, Babeş-Bolyai University, Cluj-Napoca 400084, Romania. 40EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto 4050-600, Portugal. 41Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto 4050-600, Portugal. 42Environmental Health Department, Instituto Nacional de Saúde Dr. Ricardo Jorge, Porto 4000-055, Portugal. 43School of Population Health and Environmental Sciences, King's College London, London WC2R 2LS, UK. 44Swiss Tropical and Public Health Institute, Basel 4051, Switzerland. 45University of Basel, Basel 4001, Switzerland. 46Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8654, Japan. 47Santé Publique France, Department of Environmental Health, French National Public Health Agency, Saint Maurice 94 410, France. 48Department of Pathology, Faculty of Medicine, University of São Paulo, São Paulo 05508-270, Brazil. 49Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. 50Technological University Dublin, Dublin D07 EWV4, Ireland. 51INSPER, São Paulo 04546-042, Brazil. 52Universidad de Buenos Aires, Facultad de Ciencias Sociales, Instituto de Investigaciones Gino Germani, Buenos Aires C1053ABH, Argentina. 53Department of Environmental Health, University of São Paulo, São Paulo 01246-904, Brazil. 54Department of Quantitative Methods, School of Medicine, University of the Republic, Montevideo 11200, Uruguay. 55IBE-Chair of Epidemiology, Ludwig Maximilian University Munich, Munich 81377, Germany. 56Department of Physical, Chemical, and Natural Systems, Universidad Pablo de Olavide, Sevilla 41013, Spain. 57School of the Environment, Yale University, New Haven, CT 06511, USA. 58Department of Occupational and Environmental Medicine, School of Medicine, Ewha Womans University, Seoul 03760, South Korea. 59Center for Climate Change Adaptation, National Institute for Environmental Studies, Tsukuba, Ibaraki 305-8506, Japan. |
| Editorial: | Elsevier |
| EN: | Innovation. 2022;3(2) |
| Citación: | Yao W, Bo W, Shanshan L y otros. Fluctuating temperature modifies heat-mortality association around the globe. Innovation [en línea]. 2022;3(2). 8 p. |
| Licencia: | Licencia Creative Commons Atribución (CC - By 4.0) |
| Aparece en las colecciones: | Publicaciones Académicas y Científicas - Facultad de Medicina |
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