ArticleEnvironmental health : a global access science source2014
Acclimatization across space and time in the effects of temperature on mortality: a time-series analysis.
Article in Environmental health : a global access science source, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impacts of climate change on women's reproductive and sexual health: a systematic review.Reproductive health · 2026Pooled it
- Changes in Susceptibility to Heat During the Summer: A Multicountry Analysis.American journal of epidemiology · 2016Pooled it
- Extreme Heat and Emergency Health Impacts in the US (2018-2025).International journal of environmental research and public health · 2026Article
- Extreme ambient heat and outcomes of assisted reproduction in the continental United States, 1996 to 2018.Environmental research · 2026Article
- Long-term temperature exposure and depression incidence in the Nurses' Health Study II, a U.S.-based prospective cohort.Environment international · 2026Article
- Within-summer variation in the heat-related emergency department visits among older adults in South Korea: a population-based case-crossover study.The Lancet regional health. Western Pacific · 2026Article
- Influence of extreme heat waves as an aggravating factor in the cause of death from cardiovascular diseases in Southeast Brazil.Cadernos de saude publica · 2026Article
- Risk of hospitalization and mortality across US climate regions following extreme heat exposure in patients with end-stage kidney disease (ESKD) receiving in-center hemodialysis: a space-time-stratified case-crossover analysis.Environmental health : a global access science source · 2025Article
- Quantitative Health Impact Assessment of Environmental Exposures Linked to Urban Transport and Land Use in Europe: State of Research and Research Agenda.Current environmental health reports · 2025Review
- The risk of heat stress to South African emergency medicine registrars rotating through hospitals in warmer climate zones during summer months.International journal of biometeorology · 2025Article
- The Association between Multiple Environmental Exposures and Symptoms of Generalized Anxiety Disorder in a Prospective, US-Based Cohort Study.Environmental health perspectives · 2025Article
- In-hospital mortality of heat-related disease associated with wet bulb globe temperature: a Japanese nationwide inpatient data analysis.International journal of biometeorology · 2025Article
- Article
- Reductions in premature deaths from heat and particulate matter air pollution in South Asia, China, and the United States under decarbonization.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Association of Temperature Thresholds with Heat Illness- and Cardiorespiratory-Related Emergency Visits during Summer Months in Alaska.Environmental health perspectives · 2023Article
- Association between the temperature difference and acute exacerbations of chronic obstructive pulmonary disease: A time-series analysis with 143,318 hospital admissions in Beijing, China.Frontiers in public health · 2023Article
- Heat-related mortality prediction using low-frequency climate oscillation indices: Case studies of the cities of Montréal and Québec, Canada.Environmental epidemiology (Philadelphia, Pa.) · 2022Article
- Geographical variability in the relationship between synoptic weather type and emergency department visits for pain across North Carolina.International journal of biometeorology · 2022Article
- Data-Enhancement Strategies in Weather-Related Health Studies.International journal of environmental research and public health · 2022Article
- Cold Weather and Cardiac Arrest in 4 Seasons: Helsinki, Finland, 1997‒2018.American journal of public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundClimate change has increased the days of unseasonal temperature. Although many studies have examined the association between temperature and mortality, few have examined the timing of exposure where whether this association varies depending on the exposure month even at the same temperature. Therefore, we investigated monthly differences in the effects of temperature on mortality in a study comprising a wide range of weather and years, and we also investigated heterogeneity among regions.
methodsWe analyzed 38,005,616 deaths from 148 cities in the U.S. from 1973 through 2006. We fit city specific Poisson regressions to examine the effect of temperature on mortality separately for each month of the year, using penalized splines. We used cluster analysis to group cities with similar weather patterns, and combined results across cities within clusters using meta-smoothing.
resultsThere was substantial variation in the effects of the same temperature by month. Heat effects were larger in the spring and early summer and cold effects were larger in late fall. In addition, heat effects were larger in clusters where high temperatures were less common, and vice versa for cold effects.
conclusionsThe effects of a given temperature on mortality vary spatially and temporally based on how unusual it is for that time and location. This suggests changes in variability of temperature may be more important for health as climate changes than changes of mean temperature. More emphasis should be placed on warnings targeted to early heat/cold temperature for the season or month rather than focusing only on the extremes.
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