ArticleSocial science & medicine (1982)2023
Modification of temperature-related human mortality by area-level socioeconomic and demographic characteristics in Latin American cities.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 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
- Neighborhood Tree Canopy Coverage and Building Fraction as Modifiers for Heat-related Mortality among Older Adults in Sweden's Largest Urban Areas.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Reclassifying lethal heat.Nature communications · 2026Article
- Anthropogenic climate change drives rising global heat stress and its spatial inequality.Nature communications · 2026Article
- Street view-derived city built environment and vulnerability to temperature extremes: a nationally representative population-based cohort study.BMC medicine · 2025Article
- Ambient temperature and non-accidental mortality: A nationwide space-time-stratified case-crossover study within the 100 million Brazilian Cohort.Environment international · 2025Article
- Community-level risk factors for temperature-related mortality in France.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Future temperature-related mortality in Latin American cities under climate change and population scenarios.Environment international · 2025Article
- The effect of non-optimal ambient temperature on daily mortality in Colombia 2010-2019.Air quality, atmosphere, & health · 2025Article
- Estimating Heat-Related Mortality Burden Changes under Type-Specific Green and Blue Space Scenarios in China.Environmental health perspectives · 2025Article
- The differential effect of ambient temperature on age-specific and sex-specific mortality in the 300 largest cities of Russia, 2000-19: a first national time-series study.The Lancet. Planetary health · 2025Article
- Social disparities in neighborhood flood exposure in 44,698 urban neighborhoods in Latin America.Nature cities · 2025Article
- Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Review
- The heat-mortality association in Jordan: Effect modification by greenness, population density and urbanization level.The Science of the total environment · 2024Article
- Exploring the nexus of urban form, transport, environment and health in large-scale urban studies: A state-of-the-art scoping review.Environmental research · 2024Article
- Climate hazards in Latin American cities: Understanding the role of the social and built environments and barriers to adaptation action.Climate risk management · 2024Article
- Twenty-first-century demographic and social inequalities of heat-related deaths in Brazilian urban areas.PloS one · 2024Article
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13 authors.
Funding
Abstract
backgroundIn Latin America, where climate change and rapid urbanization converge, non-optimal ambient temperatures contribute to excess mortality. However, little is known about area-level characteristics that confer vulnerability to temperature-related mortality.
objectivesExplore city-level socioeconomic and demographic characteristics associated with temperature-related mortality in Latin American cities.
methodsThe dependent variables quantify city-specific associations between temperature and mortality: heat- and cold-related excess death fractions (EDF, or percentages of total deaths attributed to cold/hot temperatures), and the relative mortality risk (RR) associated with 1 °C difference in temperature in 325 cities during 2002-2015. Random effects meta-regressions were used to investigate whether EDFs and RRs associated with heat and cold varied by city-level characteristics, including population size, population density, built-up area, age-standardized mortality rate, poverty, living conditions, educational attainment, income inequality, and residential segregation by education level.
resultsWe find limited effect modification of cold-related mortality by city-level demographic and socioeconomic characteristics and several unexpected associations for heat-related mortality. For example, cities in the highest compared to the lowest tertile of income inequality have all-age cold-related excess mortality that is, on average, 3.45 percentage points higher (95% CI: 0.33, 6.56). Higher poverty and higher segregation were also associated with higher cold EDF among those 65 and older. Large, densely populated cities, and cities with high levels of poverty and income inequality experience smaller heat EDFs compared to smaller and less densely populated cities, and cities with little poverty and income inequality. DISCUSSION: Evidence of effect modification of cold-related mortality in Latin American cities was limited, and unexpected patterns of modification of heat-related mortality were observed. Socioeconomic deprivation may impact cold-related mortality, particularly among the elderly. The findings of higher levels of poverty and income inequality associated with lower heat-related mortality deserve further investigation given the increasing importance of urban adaptation to climate change.
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