Evidence map›Paper›PMID 38267931›Full record

SynthesisEnvironmental health : a global access science source2024

Modification of heat-related effects on mortality by air pollution concentration, at small-area level, in the Attica prefecture, Greece.

Sofia Zafeiratou, Evangelia Samoli, Antonis Analitis, Konstantina Dimakopoulou, Christos Giannakopoulos, Konstantinos V Varotsos, Alexandra Schneider, Massimo Stafoggia, Kristin Aunan, Klea Katsouyanni

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Environmental health : a global access science source, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sofia ZafeiratouDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Evangelia SamoliDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Antonis AnalitisDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Konstantina DimakopoulouDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Christos GiannakopoulosInstitute for Environmental Research and Sustainable Development, National Observatory of Athens, Athens, Greece.
Konstantinos V VarotsosInstitute for Environmental Research and Sustainable Development, National Observatory of Athens, Athens, Greece.
Alexandra SchneiderInstitute of Epidemiology, Helmholtz Zentrum München (HMGU), Neuherberg, Germany.
Massimo StafoggiaDepartment of Epidemiology of the Lazio Region Health Service (ASL ROMA 1), Rome, Italy.
Kristin AunanCICERO Center for International Climate Research, Oslo, Norway.
Klea KatsouyanniDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece. kkatsouy@med.uoa.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe independent effects of short-term exposure to increased air temperature and air pollution on mortality are well-documented. There is some evidence indicating that elevated concentrations of air pollutants may lead to increased heat-related mortality, but this evidence is not consistent. Most of these effects have been documented through time-series studies using city-wide data, rather than at a finer spatial level. In our study, we examined the possible modification of the heat effects on total and cause-specific mortality by air pollution at municipality level in the Attica region, Greece, during the warm period of the years 2000 to 2016.

methodsA municipality-specific over-dispersed Poisson regression model during the warm season (May-September) was used to investigate the heat effects on mortality and their modification by air pollution. We used the two-day average of the daily mean temperature and daily mean PM

resultsA rise in mean temperature from the 75th to the 99th percentile of the municipality-specific temperature distribution resulted in an increase in total mortality of 12.4% (95% Confidence Interval (CI):7.76-17.24) on low PM

conclusionsOur results support the evidence of elevated heat effects on mortality at higher levels of PM

Indexed as

Air PollutionEnvironmental PollutantsOzoneGreeceHot TemperatureHumansNitrogen DioxideEnvironmental PollutantsNitrogen DioxideOzoneAir pollutionAir temperatureEffect modificationMortality

Identifiers

PMID38267931
PMCPMC10809516

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.