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Title: Cold-related mortality in three European metropolitan areas: Athens, Lisbon and London. Implications for health promotion
Authors: Almendra, Ricardo Jorge Meireles 
Rodrigues, Ana Paula Santana 
Mitsakou, Christina
Heaviside, Clare
Samoli, Evangelia
Rodopoulou, Sophia
Katsouyanni, Klea 
Vardoulakis, Sotiris
Issue Date: Dec-2019
Publisher: Elsevier
Project: info:eu-repo/grantAgreement/FCT/SFRH/SFRH/BD/92568/2013/PT/A vulnerabilidade ao frio em Portugal: custos sociais e económicos do excesso de mortalidade e morbilidade durante o Inverno 
refª FCT: UID/GEO/04084/2013 
info:eu-repo/grantAgreement/EC/H2020/643398/EU/Shaping EUROpean policies to promote HEALTH equitY 
Serial title, monograph or event: Urban Climate
Volume: 30
Abstract: 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.
ISSN: 22120955
DOI: 10.1016/j.uclim.2019.100532
Rights: embargoedAccess
Appears in Collections:I&D CEGOT - Artigos em Revistas Internacionais

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