ArticleInternational journal of epidemiology2008
Vulnerability to heat-related mortality in Latin America: a case-crossover study in Sao Paulo, Brazil, Santiago, Chile and Mexico City, Mexico.
Article in International journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 3 of them syntheses that pooled it.
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Who cites it
116 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Thermal indices for assessing the impact of outdoor thermal environments on human health: a systematic review of epidemiological studies.International journal of biometeorology · 2025Pooled it
- Global Health Impacts for Economic Models of Climate Change: A Systematic Review and Meta-Analysis.Annals of the American Thoracic Society · 2022Pooled it
- Daily average temperature and mortality among the elderly: a meta-analysis and systematic review of epidemiological evidence.International journal of biometeorology · 2012Pooled it
- Ambient temperature and biomarkers of heart failure: a repeated measures analysis.Environmental health perspectives · 2012Trial
- Article
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- Association between long-term, short-term spatial land surface temperature variations and health-related quality of life in Lima, Peru.International journal of health geographics · 2026Article
- Climate change: a critical time for respiratory health.Respiratory research & clinical practice · 2026Review
- Impact of extreme temperature on hospitalization for cardiovascular diseases in Lanzhou, China.BMC public health · 2025Article
- The risk of hospitalization associated with foehn winds and temperature in the mountainous region of Switzerland.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- The effect of non-optimal ambient temperature on daily mortality in Colombia 2010-2019.Air quality, atmosphere, & health · 2025Article
- Neurological consequences of climate change: a review of emerging challenges and potential impacts on brain health.Annals of medicine and surgery (2012) · 2025Review
- Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability.Environment international · 2025Article
- The correlation between temperature and the incidence of acute ischaemic stroke in Yanji, China: a time series study.Frontiers in public health · 2025Article
- Excess mortality associated with extreme heat in Rio de Janeiro, Brazil, 2023.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Mortality burden and economic loss attributable to cold and heat in Central and South America.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Heat Index: An Alternative Indicator for Measuring the Impacts of Meteorological Factors on Diarrhoea in the Climate Change Era: A Time Series Study in Dhaka, Bangladesh.International journal of environmental research and public health · 2024Article
- Compound impact of heatwaves on vulnerable groups considering age, income, and disability.Scientific reports · 2024Article
- Temperature-mortality associations by age and cause: a multi-country multi-city study.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Association of ambient temperature on acute ischemic stroke in Yancheng, China.BMC public health · 2024Article
56 more citing papers are in PubMed but not listed here.
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6 authors.
Funding
Abstract
backgroundFactors affecting vulnerability to heat-related mortality are not well understood. Identifying susceptible populations is of particular importance given anticipated rising temperatures from climatic change.
methodsWe investigated heat-related mortality for three Latin American cities (Mexico City, Mexico; São Paulo, Brazil; Santiago, Chile) using a case-crossover approach for 754 291 deaths from 1998 to 2002. We considered lagged exposures, confounding by air pollution, cause of death and susceptibilities by educational attainment, age and sex.
resultsSame and previous day apparent temperature were most strongly associated with mortality risk. Effect estimates remained positive though lowered after adjustment for ozone or PM(10). Susceptibility increased with age in all cities. The increase in mortality risk for those >or=65 comparing the 95th and 75th percentiles of same-day apparent temperature was 2.69% (95% CI: -2.06 to 7.88%) for Santiago, 6.51% (95% CI: 3.57-9.52%) for São Paulo and 3.22% (95% CI: 0.93-5.57%) for Mexico City. Patterns of vulnerability by education and sex differed across communities. Effect estimates were higher for women than men in Mexico City, and higher for men elsewhere, although results by sex were not appreciably different for any city. In São Paulo, those with less education were more susceptible, whereas no distinct patterns by education were observed in the other cities.
conclusionsElevated temperatures are associated with mortality risk in these Latin American cities, with the strongest associations in São Paulo, the hottest city. The elderly are an important population for targeted prevention measures, but vulnerability by sex and education differed by city.
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