Abstract
The objective of this study is to determine whether the excess of mortality which occurred in Barcelona during the summer of 2003 was dependent on age, gender and educational level. We included all deaths among Barcelona residents 20 years of age and older that occurred in the city during the months of June, July and August of 2003 and also during the same months of the five preceding years. Poisson regression models were fitted to obtain the risk of death in 2003 with respect to the period 1998–2002. The relative risk (RR) of mortality during the summer of 2003, compared to the summers of the previous 5 years, was higher for women than for men and among older ages. Although an increase among women was observed in all educational groups, in some age groups the increase was larger for people with less than primary education. The excess number of deaths was higher for those with less education. These results suggest that age, gender and educational level were important determinants of excess mortality in the 2003 Barcelona heat wave.
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References
Basu R, Samet JM (2002) Relation between elevated ambient temperature and mortality: A review of the epidemiologic evidence. Epidemiol Rev 24:190–202
McGeehin MA, Mirabelli M (2001) The potential impacts of climate variability and change on temperature related morbidity and mortality in the United States. Environ Health Perspect 109(Suppl 2):185–189
Whitman S, Good G, Donoghue ER, Benbow N, Shou W, Mou S (1997) Mortality in Chicago attributed to the July 1995 heat wave. Am J Public Health 87(9):1515–1518
Schuman SH (1972) Patterns of urban heat-wave deaths and implications for prevention: Data from New York and St. Louis during July, 1966. Environ Res 5:59–75
Naughton MP, Henderson A, Mirabelli MC, et al. (2002) Heath-related mortality during 1999 heat wave in Chicago. Am J Prev Med 22:221–227
Mirabelli MC, Richardson DB (2005) Heat-related fatalities in North Carolina. Am J Public Health 95:635–637
Michelozzi P, de’Donato F, Bisanti L, et al. (2005) The impact of the summer 2003 heat waves on mortality in four Italian cities. Euro Surveill 10(7):161–165
Vandentorren S, Suzan F, Medina S, et al. (2004) Mortality in 13 French cities during the August 2003 heat wave. Am J Public Health 94:1518–1520
Kosatsky T (2005) The 2003 European heat waves. Euro Surveill 10(7):148–149
Brücker G (2005) Vulnerable populations: Lessons learnt from the summer 2003 heat waves in Europe. Euro Surveill 10(7):147
Martínez-Navarro F, Simón-Soria F, López-Abente G. Valoración del impacto de la ola de calor del verano de 2003 sobre la mortalidad. In: Borrell C, García-Calvente M. La salud pública desde la perspectiva de género y clase social. Gac Sanit, 2004:18 Suppl 1: 250–258
Simón F, Lopez-Abente G, Ballester E, Martínez F (2005) Mortality in Spain during the heat waves of summer 2003. Euro Surveill 10(7):156–161
Díaz J, Linares C, García-Herrera R, et al. (2004) Salud ambiental: temperaturas extremas y mortalidad: el caso de España en el verano del 2003. Revista Interdisciplinar de Gestión Ambiental 70:13–29
Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G (2006) Indicators of socioeconomic position (part 1). J Epidemiol Community Health 60(1):7–12 Jan
Arribas P, Cirera E, Tristán M (2004) Buscando una aguja en un pajar: las técnicas de conexión de registros en los sistemas de información sanitaria. Med Clin (Barc) 122(Suppl 1):16–20
Shryock HS, Siegel JS (1976) The Materials and Methods of Demography. Academic Press, New York, p. 214
Breslow NE, Day NE (1987) Statistical Methods in Cancer Research. Volume II: The Design and Analysis of Cohort Studies. International Agency for Research in Cancer, Lyon
Meehl GA, Tebaldi C. More intense, more frequent, and longer lasting heat waves in the 21st century. Science 13 August 2004; 305: 994–997
Arber S, Ginn J (1993) Gender and inequalities in health in later life. Soc Sci Med 36:33–46
Klinenberg E (2002) Heat Wave: A Social Autopsy of Disaster in Chicago. The University Chicago Press, Chicago
Semeza JC, Rubin Ch, Kalter KH, et al. (1996) Heath-related deaths during July 1995 heath wave in Chicago. New Eng J Med 335:84–90
Muntaner C (2004) Social capital, social class, and the slow progress of psychosocial epidemiology. Int J Epidemiol 33(4):674–680
Navarro V, Muntaner C, Borrell C, et al. The politics of health policy. Lancet 2006 (in press)
O’Neill MS, Zanobetti A, Schwartz J (2005) Disparities by race in heat-related mortality in four US cities: The role of air conditioning prevalence. J Urban Health 82:191–197
Krieger N, Williams DR, Moss NE (1997) Measuring social class in US public health research: Concepts, methodologies, and guidelines. Annu Rev Public Health 18:341–378
Borrell C, Pasarín MI (1999) The study of social inequalities in health in Spain: Where are we? J Epidemiol Community Health 53: 388–389
Bernard SM, McGeehin MA (2004) Municipal heath wave response plans. Am J Public Health 94:1520–1522
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This study was partially funded by the “Red de Centros de Investigación en Epidemiología y Salud Pública” of the “Fondo de Investigaciones Sanitarias” (FISS C03/09).
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Borrell, C., Marí-Dell’Olmo, M., Rodríguez-Sanz, M. et al. Socioeconomic position and excess mortality during the heat wave of 2003 in Barcelona. Eur J Epidemiol 21, 633–640 (2006). https://doi.org/10.1007/s10654-006-9047-4
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DOI: https://doi.org/10.1007/s10654-006-9047-4