Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece
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 urba...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Atmosphere |
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| Online Access: | https://www.mdpi.com/2073-4433/13/6/852 |
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| author | Daphne Parliari Stavros Cheristanidis Christos Giannaros Stavros Ch. Keppas Sofia Papadogiannaki Francesca de’Donato Christos Sarras Dimitrios Melas |
| author_facet | Daphne Parliari Stavros Cheristanidis Christos Giannaros Stavros Ch. Keppas Sofia Papadogiannaki Francesca de’Donato Christos Sarras Dimitrios Melas |
| author_sort | Daphne Parliari |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T00:27:55Z |
| format | Article |
| id | doaj.art-aaa3bdb2b8a84987a20b0e0ddd869c92 |
| institution | Directory Open Access Journal |
| issn | 2073-4433 |
| language | English |
| last_indexed | 2024-03-10T00:27:55Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Atmosphere |
| spelling | doaj.art-aaa3bdb2b8a84987a20b0e0ddd869c922023-11-23T15:31:37ZengMDPI AGAtmosphere2073-44332022-05-0113685210.3390/atmos13060852Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, GreeceDaphne Parliari0Stavros Cheristanidis1Christos Giannaros2Stavros Ch. Keppas3Sofia Papadogiannaki4Francesca de’Donato5Christos Sarras6Dimitrios Melas7Laboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceLaboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceLaboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceLaboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceLaboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Epidemiology, Lazio Regional Health Service, ASL ROMA 1, 00147 Rome, ItalyRegional Meteorological Center, Hellenic National Meteorological Service, 41001 Larisa, GreeceLaboratory of Atmospheric Physics, School of Physics, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceAlthough 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.https://www.mdpi.com/2073-4433/13/6/852heat-related mortalityapparent temperaturecardiovascular mortalityrespiratory mortalitycerebrovascular mortalityThessaloniki |
| spellingShingle | Daphne Parliari Stavros Cheristanidis Christos Giannaros Stavros Ch. Keppas Sofia Papadogiannaki Francesca de’Donato Christos Sarras Dimitrios Melas Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece Atmosphere heat-related mortality apparent temperature cardiovascular mortality respiratory mortality cerebrovascular mortality Thessaloniki |
| title | Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece |
| title_full | Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece |
| title_fullStr | Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece |
| title_full_unstemmed | Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece |
| title_short | Short-Term Effects of Apparent Temperature on Cause-Specific Mortality in the Urban Area of Thessaloniki, Greece |
| title_sort | short term effects of apparent temperature on cause specific mortality in the urban area of thessaloniki greece |
| topic | heat-related mortality apparent temperature cardiovascular mortality respiratory mortality cerebrovascular mortality Thessaloniki |
| url | https://www.mdpi.com/2073-4433/13/6/852 |
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