Temperature-mortality associations by age and cause: a multi-country multi-city study.

Autor:	Scovronick N; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta., Sera F; Environment and Health Modelling (EHM) Lab, 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., Vu B; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta.; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Vicedo-Cabrera AM; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.; Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland., Roye D; Climate Research Foundation (FIC), Madrid, Spain.; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Tobias A; Institute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona, Spain.; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan., Seposo X; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan., Forsberg B; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden., Guo Y; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.; Climate, Air Quality Research Unit, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia., Li S; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.; Climate, Air Quality Research Unit, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia., Honda Y; Center for Climate Change Adaptation, National Institute for Environmental Studies, Tsukuba, Japan., Abrutzky R; Universidad de Buenos Aires, Facultad de Ciencias Sociales, Instituto de Investigaciones Gino Germani, Buenos Aires, Argentina., de Sousa Zanotti Stagliorio Coelho M; Department of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil., Nascimento Saldiva PH; INSPER, São Paulo, Brazil., Lavigne E; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada.; Environmental Health Science and Research Bureau, Health Canada, Ottawa, Canada., Kan H; Department of Environmental Health, School of Public Health, Fudan University, Shanghai, China., Osorio S; Department of Environmental Health, University of São Paulo, São Paulo, Brazil., Kyselý J; Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic.; Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic., 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., Orru H; Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia., Indermitte E; Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia., Jaakkola JJ; Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland.; Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland., Ryti N; Center for Environmental and Respiratory Health Research (CERH), University of Oulu, Oulu, Finland.; Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland., Pascal M; Santé Publique France, Department of Environmental and Occupational Health, French National Public Health Agency, Saint Maurice, France., Katsouyanni K; Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece.; School of Population Health and Environmental Sciences, King's College, London, UK., Mayvaneh F; Climatology Research Group, Institute of Landscape Ecology, University of Münster, Münster, Germany., Entezari A; Climate, Air Quality Research Unit, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.; Faculty of Geography and Environmental Sciences, Hakim Sabzevari University, Sabzevar Khorasan Razavi, Iran., Goodman P; Technological University Dublin, Ireland., Zeka A; Institute for Global Health, University College London, London, UK.; College of Health, Medicine and Life Sciences, Brunel University London, London, UK., Michelozzi P; Department of Epidemiology, Lazio Regional Health Service, Rome, Italy., de'Donato F; Department of Epidemiology, Lazio Regional Health Service, Rome, Italy., Hashizume M; Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Alahmad B; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Zanobetti A; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Schwartz J; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts., Hurtado Diaz M; Department of Environmental Health, National Institute of Public Health, Cuernavaca Morelos, Mexico., De La Cruz Valencia C; Department of Environmental Health, National Institute of Public Health, Cuernavaca Morelos, Mexico., Rao S; Norwegian Institute of Public Health, Oslo, Norway., 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., Acquaotta F; Department of Earth Sciences, University of Torino, Turin, Italy., Kim H; Graduate School of Public Health, Seoul National University, Seoul, South Korea., Lee W; School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University, Yangsan, South Korea., Iniguez C; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.; Department of Statistics and Computational Research. Universitat de València, València, Spain., Ragettli MS; Swiss Tropical and Public Health Institute, Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Guo YL; Environmental and Occupational Medicine, National Taiwan University (NTU) College of Medicine and NTU Hospital, Taipei, Taiwan.; National Institute of Environmental Health Science, National Health Research Institutes, Zhunan, Taiwan., Dang TN; Department of Environmental Health, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Dung DV; Department of Environmental Health, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Armstrong B; Environment and Health Modelling (EHM) Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom., Gasparrini A; Environment and Health Modelling (EHM) Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Jazyk:	angličtina
Zdroj:	Environmental epidemiology (Philadelphia, Pa.) [Environ Epidemiol] 2024 Sep 24; Vol. 8 (5), pp. e336. Date of Electronic Publication: 2024 Sep 24 (Print Publication: 2024).
DOI:	10.1097/EE9.0000000000000336
Abstrakt:	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. Competing Interests: The authors declare that they have no conflicts of interest with regard to the content of this report. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The Environmental Epidemiology. All rights reserved.)
Databáze:	MEDLINE
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