An ecological time-series study of heat-related mortality in three European cities
2008

Heat-Related Deaths in Three European Cities

publication Evidence: moderate

Author Information

Author(s): Ishigami Ai, Hajat Shakoor, Kovats R Sari, Bisanti Luigi, Rognoni Magda, Russo Antonio, Paldy Anna

Primary Institution: Public & Environmental Health Research Unit, London School of Hygiene & Tropical Medicine

Hypothesis

What are the determinants of heat-related mortality in Budapest, London, and Milan?

Conclusion

The study found consistent factors influencing heat-related mortality across the three cities, particularly age and gender.

Supporting Evidence

  • The risk of heat-related death increased with age.
  • Females had a greater risk than males in age groups ≥65 years in London and Milan.
  • Mortality from external causes increases at higher temperatures.

Takeaway

When it gets really hot, older people, especially women, are more likely to get sick and die. This study looked at how heat affects people in three big cities in Europe.

Methodology

An ecological time-series study using Poisson generalized linear models to analyze daily mortality data linked with temperature and socio-economic indicators.

Potential Biases

Potential biases due to the ecological nature of the study and reliance on area-level socio-economic indicators.

Limitations

The study may not account for all confounding factors and relies on ecological data which can lead to ecological fallacy.

Participant Demographics

The study focused on mortality data from Budapest, London, and Milan, with particular attention to age and gender.

Statistical Information

Confidence Interval

95% CI: 1.07–1.12 for males aged 75–84 in London

Digital Object Identifier (DOI)

10.1186/1476-069X-7-5

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication