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Social inequalities in the association between temperature and mortality in a South European context

To analyse social inequalities in the association between ambient temperature and mortality by sex, age and educational level, in the city of Barcelona for the period 1992-2015.Mortality data are represented by daily counts for natural mortality. As a measure of socioeconomic position, we used the educational level of the deceased. We also considered age group and sex. We considered, as a measure of exposure, the daily maximum temperatures. Time-series Poisson regression with distributed lag non-linear models was fitted for modelling the relationship between temperature and mortality.Women had higher risk of mortality by hot temperatures than men. Temperature-mortality association (heat and cold) was evident for the elderly, except for heat-related mortality in women which was present in all age groups. Men with primary education or more were more vulnerable to moderate or extreme temperatures than those without studies. Finally, women were vulnerable to heat-related mortality in all educational levels while women without studies were more vulnerable to cold temperatures.Social and economic individual characteristics play an important role in vulnerability to high and low temperatures. It is important that decision-making groups consider identified vulnerable subgroups when redacting and implementing climate change resilience and adaptation plans.
- Universitat Pompeu Fabra Spain
- University of London United Kingdom
- Spanish National Research Council Spain
- London School of Hygiene & Tropical Medicine United Kingdom
- Institute of Environmental Assessment and Water Research Spain
Adult, Male, Hot Temperature, Reduce inequality within and among countries, Sex Factors, Climate change, Humans, Socioeconomic inequalities, Cities, Mortality, Ensure healthy lives and promote well-being for all at all ages, Aged, Aged, 80 and over, Ambient Temperature, Age Factors, Temperature, Middle Aged, Heat, Cold Temperature, //metadata.un.org/sdg/3 [http], Socioeconomic Factors, Spain, Educational Status, Female, Cold, Social inequalities
Adult, Male, Hot Temperature, Reduce inequality within and among countries, Sex Factors, Climate change, Humans, Socioeconomic inequalities, Cities, Mortality, Ensure healthy lives and promote well-being for all at all ages, Aged, Aged, 80 and over, Ambient Temperature, Age Factors, Temperature, Middle Aged, Heat, Cold Temperature, //metadata.un.org/sdg/3 [http], Socioeconomic Factors, Spain, Educational Status, Female, Cold, Social inequalities
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).53 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 1% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 10% visibility views 41 download downloads 28 - 41views28downloads
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