SynthesisEnvironmental health : a global access science source2013
A time series study on the effects of heat on mortality and evaluation of heterogeneity into European and Eastern-Southern Mediterranean cities: results of EU CIRCE project.
Synthesis in Environmental health : a global access science source, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 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
- Modification of heat-related effects on mortality by air pollution concentration, at small-area level, in the Attica prefecture, Greece.Environmental health : a global access science source · 2024Pooled it
- Impact of Short-Term Exposure to Extreme Temperatures on Mortality: A Multi-City Study in Belgium.International journal of environmental research and public health · 2022Pooled it
- Socioeconomic disparities in heat vulnerability among adults in Finland.Scientific reports · 2025Article
- Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability.Environment international · 2025Article
- Dynamic evolution of Day-To-Day Temperature fluctuations and population exposure on a global scale.PloS one · 2025Article
- The effect of temporal data aggregation to assess the impact of changing temperatures in Europe: an epidemiological modelling study.The Lancet regional health. Europe · 2024Article
- The Scorching Truth: Investigating the Impact of Heatwaves on Selangor's Elderly Hospitalisations.International journal of environmental research and public health · 2023Article
- City-level meteorological conditions modify the relationships between exposure to multiple air pollutants and the risk of pediatric hand, foot, and mouth disease in the Sichuan Basin, China.Frontiers in public health · 2023Article
- Social inequalities in heat-attributable mortality in the city of Turin, northwest of Italy: a time series analysis from 1982 to 2018.Environmental health : a global access science source · 2020Article
- Excess Mortality in Istanbul during Extreme Heat Waves between 2013 and 2017.International journal of environmental research and public health · 2019Article
- Mapping the increased minimum mortality temperatures in the context of global climate change.Nature communications · 2019Article
- Spatial Variability in the Effect of High Ambient Temperature on Mortality: An Analysis at Municipality Level within the Greater Athens Area.International journal of environmental research and public health · 2019Article
- Heatwaves and hospitalizations due to hyperthermia in defined climate regions in the conterminous USA.Environmental monitoring and assessment · 2019Article
- Heat and health in Antwerp under climate change: Projected impacts and implications for prevention.Environment international · 2018Article
- Evolution of Minimum Mortality Temperature in Stockholm, Sweden, 1901-2009.Environmental health perspectives · 2016Article
- Projected heat-related mortality under climate change in the metropolitan area of Skopje.BMC public health · 2016Article
- Associations of Inter- and Intraday Temperature Change With Mortality.American journal of epidemiology · 2016Article
- Article
- A time series analysis of meteorological factors and hospital outpatient admissions for cardiovascular disease in the Northern district of Guizhou Province, China.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2014Review
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Mediterranean region is particularly vulnerable to the effect of summer temperature.Within the CIRCE project this time-series study aims to quantify for the first time the effect of summer temperature in Eastern-Southern Mediterranean cities and compared it with European cities around the Mediterranean basin, evaluating city characteristics that explain between-city heterogeneity.
methodsThe city-specific effect of maximum apparent temperature (Tappmax) was assessed by Generalized Estimation Equations, assuming a linear threshold model. Then, city-specific estimates were included in a random effect meta-regression analysis to investigate the effect modification by several city characteristics.
resultsHeterogeneity in the temperature-mortality relationship was observed among cities. Thresholds recorded higher values in the warmest cities of Tunis (35.5°C) and Tel-Aviv (32.8°C) while the effect of Tappmax above threshold was greater in the European cities. In Eastern-Southern Mediterranean cities a higher effect was observed among younger age groups (0-14 in Tunis and 15-64 in Tel-Aviv and Istanbul) in contrast with the European cities where the elderly population was more vulnerable. Climate conditions explained most of the observed heterogeneity and among socio-demographic and economic characteristics only health expenditure and unemployment rate were identified as effect modifiers.
conclusionsThe high vulnerability observed in the young populations in Eastern-Southern Mediterranean cities represent a major public health problem. Considering the large political and economic changes occurring in this region as well future temperature increase due to climate change, it is important to strengthen research and public health efforts in these Mediterranean countries.
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