Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece

Atmosphere

Francesca de’Donato¹  Stavros Cheristanidis²  Stavros Ch. Keppas²  Dimitrios Melas²  Christos Giannaros²  Sofia Papadogiannaki²  Daphne Parliari²  Christos Sarras³ 

[1] Department of Epidemiology, Lazio Regional Health Service, ASL ROMA 1, 00147 Rome, Italy;Laboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;Regional Meteorological Center, Hellenic National Meteorological Service, 41001 Larisa, Greece;

关键词: heat-related mortality;    apparent temperature;    cardiovascular mortality;    respiratory mortality;    cerebrovascular mortality;    Thessaloniki;   

DOI  :  10.3390/atmos13060852

来源: DOAJ

【 摘 要 】

Although there is a growing interest in the association between ambient temperatures and mortality, little evidence is available for Thessaloniki, the second largest city of Greece. In this study, we present an assessment of the effects of temperature on daily mortality from 2006 to 2016 in the urban area of Thessaloniki, by describing the exposure-lag-response association between temperature and cause-specific mortality with the use of a distributed lag non-linear model (DLNM). A J-shaped relationship was found between temperature and mortality. The highest values of risk were evident for respiratory (RR > 10) and cardiovascular causes (RR > 3), probably due to the fact that health status of individuals with chronic respiratory and cardiovascular diseases rapidly deteriorates during hot periods. Cold effects had longer lags of up to 15 days, whereas heat effects were short-lived, up to 4 days. Percentage change in all- and cause-specific mortality per 1 °C change above and below Minimum Mortality Temperature showed a larger increase for all-cause mortality in heat (1.95%, 95% CI: 1.07–2.84), in contrast to a smaller increase in cold (0.54%, 95% CI: 0, 1.09). Overall, 3.51% of all-cause deaths were attributable to temperature, whereas deaths attributed to heat (2.34%) were more than deaths attributed to cold (1.34%). The findings of this study present important evidence for planning public-health interventions, to reduce the health impact of extreme temperatures.

【 授权许可】

Unknown