Temperature-related mortality: a systematic review and investigation of effect modifiers

Background : Understanding which populations are vulnerable and which factors affect vulnerability to temperature-mortality associations is important to reduce the health burden from current day weather extremes and climate change. Objectives: We reviewed population-based studies on the impact of te...

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Main Authors: Ji-Young Son, Jia Coco Liu, Michelle L Bell
Format: Article
Language:English
Published: IOP Publishing 2019-01-01
Series:Environmental Research Letters
Subjects:
Online Access:https://doi.org/10.1088/1748-9326/ab1cdb
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author Ji-Young Son
Jia Coco Liu
Michelle L Bell
author_facet Ji-Young Son
Jia Coco Liu
Michelle L Bell
author_sort Ji-Young Son
collection DOAJ
description Background : Understanding which populations are vulnerable and which factors affect vulnerability to temperature-mortality associations is important to reduce the health burden from current day weather extremes and climate change. Objectives: We reviewed population-based studies on the impact of temperature on mortality and assessed the vulnerability to temperature-mortality associations systematically. Methods: We identified 207 studies published between 1980 and 2017 and summarized findings on effect modification based on individual- and community-level characteristics. Results: In our assessment of vulnerability to temperature-mortality associations, we found strong evidence of effect modification for several individual-level factors such as age and sex. We also found limited or suggestive evidence for other individual-level factors such as education, place of death, occupation, race, marital status, and chronic conditions. Evidence on effect modification by community-level characteristics for temperature-mortality associations is limited. We found weak evidence of effect modification for population density, heating system, healthcare facilities, proximity to water, housing quality, and air pollution level. We found limited or suggestive evidence for community-level socio-economic status, latitude, urban/rural, air conditioning, climatic condition, green space, and previous winter mortality. Conclusions: Our findings provide scientific evidence on which populations could be targeted for establishing appropriate strategies to reduce the health burden from extreme temperatures, and for policies on climate change.
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spelling doaj.art-779d56e6e8b64f08b1339a052abf34082023-08-09T14:44:18ZengIOP PublishingEnvironmental Research Letters1748-93262019-01-0114707300410.1088/1748-9326/ab1cdbTemperature-related mortality: a systematic review and investigation of effect modifiersJi-Young Son0Jia Coco Liu1Michelle L Bell2School of Forestry & Environmental Studies, Yale University , CT, United States of AmericaDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, MD, United States of AmericaSchool of Forestry & Environmental Studies, Yale University , CT, United States of AmericaBackground : Understanding which populations are vulnerable and which factors affect vulnerability to temperature-mortality associations is important to reduce the health burden from current day weather extremes and climate change. Objectives: We reviewed population-based studies on the impact of temperature on mortality and assessed the vulnerability to temperature-mortality associations systematically. Methods: We identified 207 studies published between 1980 and 2017 and summarized findings on effect modification based on individual- and community-level characteristics. Results: In our assessment of vulnerability to temperature-mortality associations, we found strong evidence of effect modification for several individual-level factors such as age and sex. We also found limited or suggestive evidence for other individual-level factors such as education, place of death, occupation, race, marital status, and chronic conditions. Evidence on effect modification by community-level characteristics for temperature-mortality associations is limited. We found weak evidence of effect modification for population density, heating system, healthcare facilities, proximity to water, housing quality, and air pollution level. We found limited or suggestive evidence for community-level socio-economic status, latitude, urban/rural, air conditioning, climatic condition, green space, and previous winter mortality. Conclusions: Our findings provide scientific evidence on which populations could be targeted for establishing appropriate strategies to reduce the health burden from extreme temperatures, and for policies on climate change.https://doi.org/10.1088/1748-9326/ab1cdbeffect modificationmortalitytemperaturevulnerability
spellingShingle Ji-Young Son
Jia Coco Liu
Michelle L Bell
Temperature-related mortality: a systematic review and investigation of effect modifiers
Environmental Research Letters
effect modification
mortality
temperature
vulnerability
title Temperature-related mortality: a systematic review and investigation of effect modifiers
title_full Temperature-related mortality: a systematic review and investigation of effect modifiers
title_fullStr Temperature-related mortality: a systematic review and investigation of effect modifiers
title_full_unstemmed Temperature-related mortality: a systematic review and investigation of effect modifiers
title_short Temperature-related mortality: a systematic review and investigation of effect modifiers
title_sort temperature related mortality a systematic review and investigation of effect modifiers
topic effect modification
mortality
temperature
vulnerability
url https://doi.org/10.1088/1748-9326/ab1cdb
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AT jiacocoliu temperaturerelatedmortalityasystematicreviewandinvestigationofeffectmodifiers
AT michellelbell temperaturerelatedmortalityasystematicreviewandinvestigationofeffectmodifiers