ArticleInternational journal of epidemiology2022
Assessing seasonality and the role of its potential drivers in environmental epidemiology: a tutorial.
Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Building the model: a review of input structures in extreme temperature-health.Environmental health : a global access science source · 2026Pooled it
- Relative circadian disruption in urinary excretion associates with renal function in biopsy-proven primary glomerular diseases: a cross-sectional study using the novel CRDI metric.Renal failure · 2026Article
- Long-term exposure to extreme temperature and high-impact chronic pain among middle-aged and older U.S. adults.Environmental research, health : ERH · 2026Article
- Preliminary Insights into the Seasonal Variation, Phylogenetic Diversity, and Biofilm-Forming Capacity of CultivableMicroorganisms · 2026Article
- Seasonality and effects of climatic exposures on community-acquired Legionnaires' disease incidence, Italy, 2005 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026Article
- Seasonality in Mortality and Health: Environmental and Demographic Perspectives.Environment & health (Washington, D.C.) · 2026Review
- Seasonal Variations in the Occurrence of SARS-CoV-2 RNA Recovered from Wastewater Treatment Facilities (WWTFs) Within South Africa.Microorganisms · 2026Article
- Changes in the use of e-cigarettes to stop smoking among adults following the rise of disposable vapes: a repeat cross-sectional survey 2016-2023 in England.BMJ public health · 2026Article
- Seasonal variation influences fibromyalgia severity in terms of widespread pain among female patients: data from a large national registry.Clinical rheumatology · 2025Article
- Comparing mortality burdens attributable to ambient temperature and seasonal variation across major causes of death in Spain.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Seasonal variations in bathtub drowning deaths and the impact of outdoor temperatures: a nationwide time-series analysis with future projections.Environmental health and preventive medicine · 2025Article
- Investigating the association between season of birth and symptoms of depression and anxiety in adults.PLOS mental health · 2025Article
- The Multi-Country Multi-City Collaborative Research Network: An international research consortium investigating environment, climate, and health.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Heat-related mortality and ambulance transport after a power outage in the Tokyo metropolitan area.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Incidence and seasonality of Kawasaki disease in children in the Philippines, and its association with ambient air temperature.Frontiers in pediatrics · 2024Article
- Ambient temperature and seasonal variation in inpatient mortality from respiratory diseases: a retrospective observational study.The Lancet regional health. Europe · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several methods have been used to assess the seasonality of health outcomes in epidemiological studies. However, little information is available on the methods to study the changes in seasonality before and after adjusting for environmental or other known seasonally varying factors. Such investigations will help us understand the role of these factors in seasonal variation in health outcomes and further identify currently unknown or unmeasured risk factors. This tutorial illustrates a statistical procedure for examining the seasonality of health outcomes and their changes, after adjusting for potential environmental drivers by assessing and comparing shape, timings and size. We recommend a three-step procedure, each carried out and compared before and after adjustment: (i) inspecting the fitted seasonal curve to determine the broad shape of seasonality; (ii) identifying the peak and trough of seasonality to determine the timings of seasonality; and (iii) estimating the peak-to-trough ratio and attributable fraction to measure the size of seasonality. Reporting changes in these features on adjusting for potential drivers allows readers to understand their role in seasonality and the nature of any residual seasonal pattern. Furthermore, the proposed approach can be extended to other health outcomes and environmental drivers.
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