TY - JOUR
T1 - Cold-related mortality in three European metropolitan areas
T2 - Athens, Lisbon and London. Implications for health promotion
AU - Almendra, Ricardo
AU - Santana, Paula
AU - Mitsakou, Christina
AU - Heaviside, Clare
AU - Samoli, Evangelia
AU - Rodopoulou, Sophia
AU - Katsouyanni, Klea
AU - Vardoulakis, Sotiris
N1 - Funding Information:
RA is funded by FCT doctoral fellowship SFRH/BD/92568/2013 . RA and PS are members of CEGOT, Research Centre in Geography and Spatial Planning, which is supported by European Regional Development Funds through COMPETE 2020 – Operational Programme ‘ Competitiveness and Internationalization ’, under Grant POCI-01-0145- FEDER-006891 , and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013 .
Funding Information:
RA is funded by FCT doctoral fellowship SFRH/BD/92568/2013. RA and PS are members of CEGOT, Research Centre in Geography and Spatial Planning, which is supported by European Regional Development Funds through COMPETE 2020 ? Operational Programme ?Competitiveness and Internationalization?, under Grant POCI-01-0145- FEDER-006891, and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013. The authors gratefully acknowledge the Hellenic Statistical Authority for having provided the Athens data. This research is embedded in the Euro-Healthy project, which received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 643398.
Funding Information:
This research is embedded in the Euro-Healthy project, which received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 643398 .
PY - 2019/12
Y1 - 2019/12
N2 - The aim of this study is to estimate the mortality burden attributable to low temperature in Athens, Lisbon and London from 2002 to 2011 and to discuss related inequalities in socioeconomic conditions. We address a lack of quantitative estimates of cold-related mortality, particularly for the cities of Lisbon and Athens. To estimate the mortality burden attributable to low temperature, time-series regression analyses were carried out on daily mortality with respect to daily mean temperature for the three metropolitan areas to estimate the relative risk associated with a decrease in temperature. The number of cold-related deaths was estimated using the population Attributable Fraction. Lisbon presents higher relative risk (RR) than London and Athens; the RR for Athens is lower than for London. The coldrelated death rate is higher in Lisbon (53.2 deaths per 100,000 inhabitants) than in Athens (32.6) and London (37.6). The spatial heterogeneity between the three metropolitan areas in the risk estimates and cold-related mortality may result from the significant disparities in the built environment. Adequate public health planning and preventive measures in the built environment may help reduce cold-related deaths and decrease vulnerability to cold in European cities.
AB - The aim of this study is to estimate the mortality burden attributable to low temperature in Athens, Lisbon and London from 2002 to 2011 and to discuss related inequalities in socioeconomic conditions. We address a lack of quantitative estimates of cold-related mortality, particularly for the cities of Lisbon and Athens. To estimate the mortality burden attributable to low temperature, time-series regression analyses were carried out on daily mortality with respect to daily mean temperature for the three metropolitan areas to estimate the relative risk associated with a decrease in temperature. The number of cold-related deaths was estimated using the population Attributable Fraction. Lisbon presents higher relative risk (RR) than London and Athens; the RR for Athens is lower than for London. The coldrelated death rate is higher in Lisbon (53.2 deaths per 100,000 inhabitants) than in Athens (32.6) and London (37.6). The spatial heterogeneity between the three metropolitan areas in the risk estimates and cold-related mortality may result from the significant disparities in the built environment. Adequate public health planning and preventive measures in the built environment may help reduce cold-related deaths and decrease vulnerability to cold in European cities.
UR - http://www.scopus.com/inward/record.url?scp=85072231796&partnerID=8YFLogxK
U2 - 10.1016/j.uclim.2019.100532
DO - 10.1016/j.uclim.2019.100532
M3 - Article
AN - SCOPUS:85072231796
SN - 2212-0955
VL - 30
SP - 1
EP - 9
JO - Urban Climate
JF - Urban Climate
M1 - 100532
ER -
