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Socioenvironmental factors associated with heat and cold-related mortality in Vadu HDSS, western India: a population-based case-crossover study
- Source :
- International Journal of Biometeorology
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Ambient temperatures (heat and cold) are associated with mortality, but limited research is available about groups most vulnerable to these effects in rural populations. We estimated the effects of heat and cold on daily mortality among different sociodemographic groups in the Vadu HDSS area, western India. We studied all deaths in the Vadu HDSS area during 2004-2013. A conditional logistic regression model in a case-crossover design was used. Separate analyses were carried out for summer and winter season. Odds ratios (OR) and 95% confidence intervals (CI) were estimated for total mortality and population subgroups. Temperature above a threshold of 31 A degrees C was associated with total mortality (OR 1.48, CI = 1.05-2.09) per 1 A degrees C increase in daily mean temperature. Odds ratios were higher among females (OR 1.93; CI = 1.07-3.47), those with low education (OR 1.65; CI = 1.00-2.75), those owing larger agricultural land (OR 2.18; CI = 0.99-4.79), and farmers (OR 1.70; CI = 1.02-2.81). In winter, per 1 A degrees C decrease in mean temperature, OR for total mortality was 1.06 (CI = 1.00-1.12) in lag 0-13 days. High risk of cold-related mortality was observed among people occupied in housework (OR = 1.09; CI = 1.00-1.19). Our study suggests that both heat and cold have an impact on mortality particularly heat, but also, to a smaller degree, cold have an impact. The effects may differ partly by sex, education, and occupation. These findings might have important policy implications in preventing heat and cold effects on particularly vulnerable groups of the rural populations in low and middle-income countries with hot semi-arid climate. Originally included in thesis in manuscript form with title: "Socio-environmental factors associated with heat and cold related mortality in Vadu HDSS, western India: A Population based case-crossover study design".
- Subjects :
- Adult
Male
Atmospheric Science
Hot Temperature
Adolescent
Health, Toxicology and Mutagenesis
India
Population based
Socioeconomic factors
010501 environmental sciences
01 natural sciences
Young Adult
03 medical and health sciences
0302 clinical medicine
Odds Ratio
Humans
030212 general & internal medicine
Occupations
Mortality
Socioenvironmental factors
Aged
0105 earth and related environmental sciences
Aged, 80 and over
Original Paper
Cross-Over Studies
Ecology
Ownership
Temperature
Public Health, Global Health, Social Medicine and Epidemiology
Odds ratio
Middle Aged
Heat
Crossover study
Cold Temperature
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Geography
Housing
Educational Status
Female
Rural population
Cold
Demography
Subjects
Details
- ISSN :
- 14321254 and 00207128
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- International Journal of Biometeorology
- Accession number :
- edsair.doi.dedup.....97b6e240e69b81130d6fd9ba152d2458