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26.03.2018 | Original Article

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

verfasst von: Marc Marí-Dell’Olmo, Aurelio Tobías, Anna Gómez-Gutiérrez, Maica Rodríguez-Sanz, Patricia García de Olalla, Esteve Camprubí, Antonio Gasparrini, Carme Borrell

Erschienen in: International Journal of Public Health | Ausgabe 1/2019

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Abstract

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

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Titel: Social inequalities in the association between temperature and mortality in a South European context
verfasst von: Marc Marí-Dell’Olmo
Aurelio Tobías
Anna Gómez-Gutiérrez
Maica Rodríguez-Sanz
Patricia García de Olalla
Esteve Camprubí
Antonio Gasparrini
Carme Borrell
Publikationsdatum: 26.03.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 1/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1094-6

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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