DSpace Repository

Joint effect of heat and air pollution on mortality in 620 cities of 36 countries

Show simple item record

dc.contributor.author Stafoggia, Massimo
dc.contributor.author Michelozzi, Paola
dc.contributor.author Schneider, Alexandra
dc.contributor.author Armstrong, Ben
dc.contributor.author Scortichini, Matteo
dc.contributor.author Rai, Masna
dc.contributor.author Achilleos, Souzana
dc.contributor.author Alahmad, Barrak
dc.contributor.author Analitis, Antonis
dc.contributor.author Åström, Christofer
dc.contributor.author Bell, Michelle L.
dc.contributor.author Calleja, Neville
dc.contributor.author Krage Carlsen, Hanne
dc.contributor.author Carrasco Escobar, Gabriel
dc.contributor.author Paul Cauchi, John
dc.contributor.author Dszs Coelho, Micheline
dc.contributor.author Correa, Patricia M.
dc.contributor.author Diaz, Magali H.
dc.contributor.author Entezari, Alireza
dc.contributor.author Forsberg, Bertil
dc.contributor.author Garland, Rebecca M.
dc.contributor.author Leon Guo, Yue
dc.contributor.author Guo, Yuming
dc.contributor.author Hashizume, Masahiro
dc.contributor.author Holobaca, Iulian H.
dc.contributor.author Íñiguez, Carmen
dc.contributor.author Jaakkola, Jouni J. K.
dc.contributor.author Kan, Haidong
dc.contributor.author Katsouyanni, Klea
dc.contributor.author Kim, Ho
dc.contributor.author Kyselý, Jan
dc.contributor.author Lavigne, Eric
dc.contributor.author Lee, Whanhee
dc.contributor.author Li, Shanshan
dc.contributor.author Maasikmets, Marek
dc.contributor.author Madureira, Joana
dc.contributor.author Mayvaneh, Fatemeh
dc.contributor.author Fook Sheng Ng, Chris
dc.contributor.author Nunes, Baltazar
dc.contributor.author Orru, Hans
dc.contributor.author V Ortega, Nicolás
dc.contributor.author Osorio, Samuel
dc.contributor.author Palomares, Alfonso D. L.
dc.contributor.author Pan, Shih-Chun
dc.contributor.author Pascal, Mathilde
dc.contributor.author Ragettli, Martina S.
dc.contributor.author Rao, Shilpa
dc.contributor.author Raz, Raanan
dc.contributor.author Roye, Dominic
dc.contributor.author Ryti, Niilo
dc.contributor.author Hn Saldiva, Paulo
dc.contributor.author Samoli, Evangelia
dc.contributor.author Schwartz, Joel
dc.contributor.author Scovronick, Noah
dc.contributor.author Sera, Francesco
dc.contributor.author Tobias, Aurelio
dc.contributor.author Tong, Shilu
dc.contributor.author Dlc Valencia, César
dc.contributor.author Maria Vicedo-Cabrera, Ana
dc.contributor.author Urban, Aleš
dc.contributor.author Gasparrini, Antonio
dc.contributor.author Breitner, Susanne
dc.contributor.author De' Donato, Francesca K.
dc.date.accessioned 2023-12-05T17:48:01Z
dc.date.available 2023-12-05T17:48:01Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14641
dc.description.abstract Background: The epidemiological evidence on the interaction between heat and ambient air pollution on mortality is still inconsistent. Objectives: To investigate the interaction between heat and ambient air pollution on daily mortality in a large dataset of 620 cities from 36 countries. Methods: We used daily data on all-cause mortality, air temperature, particulate matter ≤ 10 μm (PM10), PM ≤ 2.5 μm (PM2.5), nitrogen dioxide (NO2), and ozone (O3) from 620 cities in 36 countries in the period 1995–2020. We restricted the analysis to the six consecutive warmest months in each city. City-specific data were analysed with over-dispersed Poisson regression models, followed by a multilevel random-effects meta-analysis. The joint association between air temperature and air pollutants was modelled with product terms between non-linear functions for air temperature and linear functions for air pollutants. Results: We analyzed 22,630,598 deaths. An increase in mean temperature from the 75th to the 99th percentile of city-specific distributions was associated with an average 8.9 % (95 % confidence interval: 7.1 %, 10.7 %) mortality increment, ranging between 5.3 % (3.8 %, 6.9 %) and 12.8 % (8.7 %, 17.0 %), when daily PM10 was equal to 10 or 90 μg/m3, respectively. Corresponding estimates when daily O3 concentrations were 40 or 160 μg/m3 were 2.9 % (1.1 %, 4.7 %) and 12.5 % (6.9 %, 18.5 %), respectively. Similarly, a 10 μg/m3 increment in PM10 was associated with a 0.54 % (0.10 %, 0.98 %) and 1.21 % (0.69 %, 1.72 %) increase in mortality when daily air temperature was set to the 1st and 99th city-specific percentiles, respectively. Corresponding mortality estimate for O3 across these temperature percentiles were 0.00 % (-0.44 %, 0.44 %) and 0.53 % (0.38 %, 0.68 %). Similar effect modification results, although slightly weaker, were found for PM2.5 and NO2. Conclusions: Suggestive evidence of effect modification between air temperature and air pollutants on mortality during the warm period was found in a global dataset of 620 cities. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Environment International
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Air temperature en_US
dc.subject Air pollution en_US
dc.subject Effect modification en_US
dc.subject Epidemiology en_US
dc.subject Mortality en_US
dc.subject.mesh Temperatura
dc.subject.mesh Contaminación del Aire
dc.subject.mesh Epidemiología
dc.subject.mesh Mortalidad
dc.title Joint effect of heat and air pollution on mortality in 620 cities of 36 countries en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.envint.2023.108258
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.05.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1873-6750


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

info:eu-repo/semantics/restrictedAccess Except where otherwise noted, this item's license is described as info:eu-repo/semantics/restrictedAccess

Search DSpace


Browse

My Account

Statistics