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Forsberg, Bertil, professorORCID iD iconorcid.org/0000-0002-0159-6657
Alternativa namn
Biografi [swe]

Bertil Forsberg är professor i miljömedicin vid Umeå universitet, med forskning inriktad på miljöfaktorers effekter på hälsan. Han disputerade 1997 i epidemiologi och folkhälsovetenskap vid Umeå universitet med en avhandling om luftföroreningar och astma. År 2000 började han bygga upp epidemiologisk forskning om luftföroreningars hälsoeffekter, inledningsvis främst kring sjukdomar i andningsorganen. Senare har denna forskning breddats till att omfatta även hjärtkärlsjukdom, födelseutfall, demens och dödlighet. Forskningen om sjukdomar i andningsorganen, särskilt astma, har även undersökt faktorer kopplade till arbetsmiljö och kemisk exponering, boendemiljö och levnadsvanor. 2007 startade han forskning om hälsoeffekter av klimatförändringar och extremväder, särskilt om dödligheten under värmeböljor. Som en vidareutveckling av denna forskning har följt scenariobaserade hälsokonsekvensanalyser, t ex om miljöåtgärder och klimatförändringar. Under senare år studierna även avsett vinster med överföring från bilresor till aktiv transport.         

Publikationer (10 of 373) Visa alla publikationer
Chen, G., Guo, Y., Yue, X., Xu, R., Yu, W., Ye, T., . . . Li, S. (2024). All-cause, cardiovascular, and respiratory mortality and wildfire-related ozone: a multicountry two-stage time series analysis. The Lancet Planetary Health, 8(7), e452-e462
Öppna denna publikation i ny flik eller fönster >>All-cause, cardiovascular, and respiratory mortality and wildfire-related ozone: a multicountry two-stage time series analysis
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2024 (Engelska)Ingår i: The Lancet Planetary Health, E-ISSN 2542-5196, Vol. 8, nr 7, s. e452-e462Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Wildfire activity is an important source of tropospheric ozone (O3) pollution. However, no study to date has systematically examined the associations of wildfire-related O3 exposure with mortality globally.

Methods: We did a multicountry two-stage time series analysis. From the Multi-City Multi-Country (MCC) Collaborative Research Network, data on daily all-cause, cardiovascular, and respiratory deaths were obtained from 749 locations in 43 countries or areas, representing overlapping periods from Jan 1, 2000, to Dec 31, 2016. We estimated the daily concentration of wildfire-related O3 in study locations using a chemical transport model, and then calibrated and downscaled O3 estimates to a resolution of 0·25° × 0·25° (approximately 28 km2 at the equator). Using a random-effects meta-analysis, we examined the associations of short-term wildfire-related O3 exposure (lag period of 0–2 days) with daily mortality, first at the location level and then pooled at the country, regional, and global levels. Annual excess mortality fraction in each location attributable to wildfire-related O3 was calculated with pooled effect estimates and used to obtain excess mortality fractions at country, regional, and global levels.

Findings: Between 2000 and 2016, the highest maximum daily wildfire-related O3 concentrations (≥30 μg/m3) were observed in locations in South America, central America, and southeastern Asia, and the country of South Africa. Across all locations, an increase of 1 μg/m3 in the mean daily concentration of wildfire-related O3 during lag 0–2 days was associated with increases of 0·55% (95% CI 0·29 to 0·80) in daily all-cause mortality, 0·44% (–0·10 to 0·99) in daily cardiovascular mortality, and 0·82% (0·18 to 1·47) in daily respiratory mortality. The associations of daily mortality rates with wildfire-related O3 exposure showed substantial geographical heterogeneity at the country and regional levels. Across all locations, estimated annual excess mortality fractions of 0·58% (95% CI 0·31 to 0·85; 31 606 deaths [95% CI 17 038 to 46 027]) for all-cause mortality, 0·41% (–0·10 to 0·91; 5249 [–1244 to 11 620]) for cardiovascular mortality, and 0·86% (0·18 to 1·51; 4657 [999 to 8206]) for respiratory mortality were attributable to short-term exposure to wildfire-related O3.

Interpretation: In this study, we observed an increase in all-cause and respiratory mortality associated with short-term wildfire-related O3 exposure. Effective risk and smoke management strategies should be implemented to protect the public from the impacts of wildfires.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-227822 (URN)10.1016/S2542-5196(24)00117-7 (DOI)38969473 (PubMedID)2-s2.0-85197272393 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2019-01550
Tillgänglig från: 2024-07-12 Skapad: 2024-07-12 Senast uppdaterad: 2024-07-12Bibliografiskt granskad
Wen, B., Wu, Y., Guo, Y., Gasparrini, A., Tong, S., Overcenco, A., . . . Li, S. (2024). Comparison for the effects of different components of temperature variability on mortality: A multi-country time-series study. Environment International, 187, Article ID 108712.
Öppna denna publikation i ny flik eller fönster >>Comparison for the effects of different components of temperature variability on mortality: A multi-country time-series study
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2024 (Engelska)Ingår i: Environment International, ISSN 0160-4120, E-ISSN 1873-6750, Vol. 187, artikel-id 108712Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Temperature variability (TV) is associated with increased mortality risk. However, it is still unknown whether intra-day or inter-day TV has different effects. Objectives: We aimed to assess the association of intra-day TV and inter-day TV with all-cause, cardiovascular, and respiratory mortality.

Methods: We collected data on total, cardiovascular, and respiratory mortality and meteorology from 758 locations in 47 countries or regions from 1972 to 2020. We defined inter-day TV as the standard deviation (SD) of daily mean temperatures across the lag interval, and intra-day TV as the average SD of minimum and maximum temperatures on each day. In the first stage, inter-day and intra-day TVs were modelled simultaneously in the quasi-Poisson time-series model for each location. In the second stage, a multi-level analysis was used to pool the location-specific estimates.

Results: Overall, the mortality risk due to each interquartile range [IQR] increase was higher for intra-day TV than for inter-day TV. The risk increased by 0.59% (95% confidence interval [CI]: 0.53, 0.65) for all-cause mortality, 0.64% (95% CI: 0.56, 0.73) for cardiovascular mortality, and 0.65% (95% CI: 0.49, 0.80) for respiratory mortality per IQR increase in intra-day TV0–7 (0.9 °C). An IQR increase in inter-day TV0–7 (1.6 °C) was associated with 0.22% (95% CI: 0.18, 0.26) increase in all-cause mortality, 0.44% (95% CI: 0.37, 0.50) increase in cardiovascular mortality, and 0.31% (95% CI: 0.21, 0.41) increase in respiratory mortality. The proportion of all-cause deaths attributable to intra-day TV0–7 and inter-day TV0–7 was 1.45% and 0.35%, respectively. The mortality risks varied by lag interval, climate area, season, and climate type.

Conclusions: Our results indicated that intra-day TV may explain the main part of the mortality risk related to TV and suggested that comprehensive evaluations should be proposed in more countries to help protect human health.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nyckelord
Inter-day, Intra-day, Mortality, Temperature variability
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-224246 (URN)10.1016/j.envint.2024.108712 (DOI)2-s2.0-85192145675 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 820655
Tillgänglig från: 2024-05-15 Skapad: 2024-05-15 Senast uppdaterad: 2024-05-15Bibliografiskt granskad
Gao, Y., Huang, W., Zhao, Q., Ryti, N., Armstrong, B., Gasparrini, A., . . . Li, S. (2024). Global, regional, and national burden of mortality associated with cold spells during 2000-19: a three-stage modelling study. The Lancet Planetary Health, 8(2), e108-e116
Öppna denna publikation i ny flik eller fönster >>Global, regional, and national burden of mortality associated with cold spells during 2000-19: a three-stage modelling study
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2024 (Engelska)Ingår i: The Lancet Planetary Health, E-ISSN 2542-5196, Vol. 8, nr 2, s. e108-e116Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Exposure to cold spells is associated with mortality. However, little is known about the global mortality burden of cold spells.

Methods: A three-stage meta-analytical method was used to estimate the global mortality burden associated with cold spells by means of a time series dataset of 1960 locations across 59 countries (or regions). First, we fitted the location-specific, cold spell-related mortality associations using a quasi-Poisson regression with a distributed lag non-linear model with a lag period of up to 21 days. Second, we built a multivariate meta-regression model between location-specific associations and seven predictors. Finally, we predicted the global grid-specific cold spell-related mortality associations during 2000-19 using the fitted meta-regression model and the yearly grid-specific meta-predictors. We calculated the annual excess deaths, excess death ratio (excess deaths per 1000 deaths), and excess death rate (excess deaths per 100 000 population) due to cold spells for each grid across the world.

Findings: Globally, 205 932 (95% empirical CI [eCI] 162 692-250 337) excess deaths, representing 3·81 (95% eCI 2·93-4·71) excess deaths per 1000 deaths (excess death ratio), and 3·03 (2·33-3·75) excess deaths per 100 000 population (excess death rate) were associated with cold spells per year between 2000 and 2019. The annual average global excess death ratio in 2016-19 increased by 0·12 percentage points and the excess death rate in 2016-19 increased by 0·18 percentage points, compared with those in 2000-03. The mortality burden varied geographically. The excess death ratio and rate were highest in Europe, whereas these indicators were lowest in Africa. Temperate climates had higher excess death ratio and rate associated with cold spells than other climate zones.

Interpretation: Cold spells are associated with substantial mortality burden around the world with geographically varying patterns. Although the number of cold spells has on average been decreasing since year 2000, the public health threat of cold spells remains substantial. The findings indicate an urgency of taking local and regional measures to protect the public from the mortality burdens of cold spells.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-222446 (URN)10.1016/S2542-5196(23)00277-2 (DOI)38331527 (PubMedID)2-s2.0-85184714850 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 820655
Tillgänglig från: 2024-03-18 Skapad: 2024-03-18 Senast uppdaterad: 2024-03-18Bibliografiskt granskad
Kriit, H. K., Forsberg, B. & Nilsson Sommar, J. (2024). Increase in sick leave episodes from short-term fine particulate matter exposure: a case-crossover study in Stockholm, Sweden. Environmental Research, 244, Article ID 117950.
Öppna denna publikation i ny flik eller fönster >>Increase in sick leave episodes from short-term fine particulate matter exposure: a case-crossover study in Stockholm, Sweden
2024 (Engelska)Ingår i: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 244, artikel-id 117950Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Air pollution's short-term effects on a wide range of health outcomes have been studied extensively, primarily focused on vulnerable groups (e.g., children and the elderly). However, the air pollution effects on the adult working population through sick leave have received little attention. This study aims to 1) estimate the associations between particulate matter ≤2.5 μm3 (PM2.5) and sick leave episodes and 2) calculate the attributable number of sick leave days and the consequential productivity loss in the City of Stockholm, Sweden. Individual level daily sick leave data was obtained from Statistics Sweden for the years 2011–2019. Daily average concentrations of PM2.5 were obtained from the main urban background monitoring station in Stockholm. A case-crossover study design was applied to estimate the association between short-term PM2.5 and onset of sick leave episodes. Conditional logistic regression was used to estimate the relative increase in odds of onset per 10 μg/m3 of PM2.5, adjusting for temperature, season, and pollen. A human capital method was applied to estimate the PM2.5 attributable productivity loss. In total, 1.5 million (M) individual sick leave occurrences were studied. The measured daily mean PM2.5 concentration was 4.2 μg/m3 (IQR 3.7 μg/m3). The odds of a sick leave episode was estimated to increase by 8.5% (95% CI: 7.8–9.3) per 10 μg/m3 average exposure 2–4 days before. Sub-group analysis showed that private sector and individuals 15–24 years old had a lower increase in odds of sick leave episodes in relation to PM2.5 exposure. In Stockholm, 4% of the sick leave episodes were attributable to PM2.5 exposure, corresponding to €17 M per year in productivity loss. Our study suggests a positive association between PM2.5 and sick leave episodes in a low exposure area.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nyckelord
Air pollution, Case-crossover, Economic evaluation, Health impact assessment, PM2.5, Sick leave episode
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-220459 (URN)10.1016/j.envres.2023.117950 (DOI)38104916 (PubMedID)2-s2.0-85183348531 (Scopus ID)
Tillgänglig från: 2024-02-14 Skapad: 2024-02-14 Senast uppdaterad: 2024-02-15Bibliografiskt granskad
Domingo, N. G. .., Fiore, A. M., Lamarque, J.-F., Kinney, P. L., Jiang, L., Gasparrini, A., . . . Chen, K. (2024). Ozone-related acute excess mortality projected to increase in the absence of climate and air quality controls consistent with the Paris Agreement. One Earth, 7(2), 325-335
Öppna denna publikation i ny flik eller fönster >>Ozone-related acute excess mortality projected to increase in the absence of climate and air quality controls consistent with the Paris Agreement
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2024 (Engelska)Ingår i: One Earth, ISSN 2590-3330, E-ISSN 2590-3322, Vol. 7, nr 2, s. 325-335Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Short-term exposure to ground-level ozone in cities is associated with increased mortality and is expected to worsen with climate and emission changes. However, no study has yet comprehensively assessed future ozone-related acute mortality across diverse geographic areas, various climate scenarios, and using CMIP6 multi-model ensembles, limiting our knowledge on future changes in global ozone-related acute mortality and our ability to design targeted health policies. Here, we combine CMIP6 simulations and epidemiological data from 406 cities in 20 countries or regions. We find that ozone-related deaths in 406 cities will increase by 45 to 6,200 deaths/year between 2010 and 2014 and between 2050 and 2054, with attributable fractions increasing in all climate scenarios (from 0.17% to 0.22% total deaths), except the single scenario consistent with the Paris Climate Agreement (declines from 0.17% to 0.15% total deaths). These findings stress the need for more stringent air quality regulations, as current standards in many countries are inadequate.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nyckelord
acute excess mortality, bias correction, climate change, CMIP6, Ozone, Paris Agreement, projection, shared socioeconomic pathways, short-term exposure
Nationell ämneskategori
Klimatforskning
Identifikatorer
urn:nbn:se:umu:diva-220318 (URN)10.1016/j.oneear.2024.01.001 (DOI)001188239700001 ()38420618 (PubMedID)2-s2.0-85183166139 (Scopus ID)
Tillgänglig från: 2024-02-13 Skapad: 2024-02-13 Senast uppdaterad: 2024-05-07Bibliografiskt granskad
Carsin, A.-E., Garcia-Aymerich, J., Accordini, S., Dharmage, S., Leynaert, B., De Las Heras, M., . . . Guerra, S. (2024). Spirometric patterns in young and middle-aged adults: a 20-year European study. Thorax, 79(2), 153-162
Öppna denna publikation i ny flik eller fönster >>Spirometric patterns in young and middle-aged adults: a 20-year European study
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2024 (Engelska)Ingår i: Thorax, ISSN 0040-6376, E-ISSN 1468-3296, Vol. 79, nr 2, s. 153-162Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Understanding the natural history of abnormal spirometric patterns at different stages of life is critical to identify and optimise preventive strategies. We aimed to describe characteristics and risk factors of restrictive and obstructive spirometric patterns occurring before 40 years (young onset) and between 40 and 61 years (mid-adult onset).

Methods: We used data from the population-based cohort of the European Community Respiratory Health Survey (ECRHS). Prebronchodilator forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) were assessed longitudinally at baseline (ECRHS1, 1993-1994) and again 20 years later (ECRHS3, 2010-2013). Spirometry patterns were defined as: restrictive if FEV1/FVC≥LLN and FVC<10th percentile, obstructive if FEV1/FVC<LLN or normal otherwise. Five spirometry patterns were derived depending on whether participants never developed restrictive/obstructive (normal), developed restrictive/obstructive at baseline (young onset) or at last follow-up (mid-adult onset). The characteristics and risk factors associated with these patterns were described and assessed using multilevel multinomial logistic regression analysis adjusting for age, sex, sample (random or symptomatic) and centre.

Results: Among 3502 participants (mean age=30.4 (SD 5.4) at ECRHS1, 50.4 (SD 5.4) at ECRHS3), 2293 (65%) had a normal, 371 (11%) a young restrictive, 301 (9%) a young obstructive, 187 (5%) a mid-adult onset restrictive and 350 (10%) a mid-adult onset obstructive spirometric pattern. Being lean/underweight in childhood and young adult life was associated with the occurrence of the young spirometric restrictive pattern (relative risk ratio (RRR)=1.61 95% CI=1.21 to 2.14, and RRR=2.43 95% CI=1.80 to 3.29; respectively), so were respiratory infections before 5 years (RRR=1.48, 95% CI=1.05 to 2.08). The main determinants for young obstructive, mid-adult restrictive and mid-adult obstructive patterns were asthma, obesity and smoking, respectively.

Conclusion: Spirometric patterns with onset in young and mid-adult life were associated with distinct characteristics and risk factors.

Ort, förlag, år, upplaga, sidor
BMJ Publishing Group Ltd, 2024
Nyckelord
Clinical Epidemiology, COPD epidemiology
Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
urn:nbn:se:umu:diva-215238 (URN)10.1136/thorax-2022-219696 (DOI)001076902900001 ()37758456 (PubMedID)2-s2.0-85173063186 (Scopus ID)
Tillgänglig från: 2023-10-16 Skapad: 2023-10-16 Senast uppdaterad: 2024-05-08Bibliografiskt granskad
Malmqvist, E., Andersen, Z. J., Spadaro, J., Nieuwenhuijsen, M., Katsouyanni, K., Forsberg, B., . . . Hoffmann, B. (2024). Urgent call to ensure clean air for all in Europe, fight health inequalities and oppose delays in action. International Journal of Public Health, 69, Article ID 1606958.
Öppna denna publikation i ny flik eller fönster >>Urgent call to ensure clean air for all in Europe, fight health inequalities and oppose delays in action
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2024 (Engelska)Ingår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 69, artikel-id 1606958Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Frontiers Media S.A., 2024
Nyckelord
air pollution, air quality, European Commission, health, legislation
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-221563 (URN)10.3389/ijph.2024.1606958 (DOI)001162409200001 ()38362306 (PubMedID)2-s2.0-85185147240 (Scopus ID)
Tillgänglig från: 2024-03-05 Skapad: 2024-03-05 Senast uppdaterad: 2024-03-05Bibliografiskt granskad
Boogaard, H., Andersen, Z. J., Brunekreef, B., Forastiere, F., Forsberg, B., Hoek, G., . . . Hoffmann, B. (2023). Aria pulita in Europa per tutti. Un invito ad agire in modo più incisivo: [Clean air in Europe for all. A call for more ambitious action]. Epidemiologia & Prevenzione, 47(3), 118-121
Öppna denna publikation i ny flik eller fönster >>Aria pulita in Europa per tutti. Un invito ad agire in modo più incisivo: [Clean air in Europe for all. A call for more ambitious action]
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2023 (Italienska)Ingår i: Epidemiologia & Prevenzione, ISSN 1120-9763, E-ISSN 2385-1937, Vol. 47, nr 3, s. 118-121Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Inferenze Scarl, 2023
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-212244 (URN)10.19191/EP23.3.041 (DOI)2-s2.0-85164103025 (Scopus ID)
Tillgänglig från: 2023-07-20 Skapad: 2023-07-20 Senast uppdaterad: 2023-07-20Bibliografiskt granskad
Boogaard, H., Andersen, Z. J., Brunekreef, B., Forastiere, F., Forsberg, B., Hoek, G., . . . Hoffmann, B. (2023). Clean air in Europe for all: a call for more ambitious action. Environmental Epidemiology, 7(2), Article ID E245.
Öppna denna publikation i ny flik eller fönster >>Clean air in Europe for all: a call for more ambitious action
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2023 (Engelska)Ingår i: Environmental Epidemiology, E-ISSN 2474-7882, Vol. 7, nr 2, artikel-id E245Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Wolters Kluwer, 2023
Nationell ämneskategori
Arbetsmedicin och miljömedicin Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-205921 (URN)10.1097/EE9.0000000000000245 (DOI)2-s2.0-85149844095 (Scopus ID)
Tillgänglig från: 2023-03-24 Skapad: 2023-03-24 Senast uppdaterad: 2023-03-24Bibliografiskt granskad
Rai, M., Stafoggia, M., de'Donato, F., Scortichini, M., Zafeiratou, S., Vazquez Fernandez, L., . . . Breitner, S. (2023). Heat-related cardiorespiratory mortality: effect modification by air pollution across 482 cities from 24 countries. Environment International, 174, Article ID 107825.
Öppna denna publikation i ny flik eller fönster >>Heat-related cardiorespiratory mortality: effect modification by air pollution across 482 cities from 24 countries
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2023 (Engelska)Ingår i: Environment International, ISSN 0160-4120, E-ISSN 1873-6750, Vol. 174, artikel-id 107825Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Evidence on the potential interactive effects of heat and ambient air pollution on cause-specific mortality is inconclusive and limited to selected locations. Objectives: We investigated the effects of heat on cardiovascular and respiratory mortality and its modification by air pollution during summer months (six consecutive hottest months) in 482 locations across 24 countries.

Methods: Location-specific daily death counts and exposure data (e.g., particulate matter with diameters ≤ 2.5 µm [PM2.5]) were obtained from 2000 to 2018. We used location-specific confounder-adjusted Quasi-Poisson regression with a tensor product between air temperature and the air pollutant. We extracted heat effects at low, medium, and high levels of pollutants, defined as the 5th, 50th, and 95th percentile of the location-specific pollutant concentrations. Country-specific and overall estimates were derived using a random-effects multilevel meta-analytical model.

Results: Heat was associated with increased cardiorespiratory mortality. Moreover, the heat effects were modified by elevated levels of all air pollutants in most locations, with stronger effects for respiratory than cardiovascular mortality. For example, the percent increase in respiratory mortality per increase in the 2-day average summer temperature from the 75th to the 99th percentile was 7.7% (95% Confidence Interval [CI] 7.6–7.7), 11.3% (95%CI 11.2–11.3), and 14.3% (95% CI 14.1–14.5) at low, medium, and high levels of PM2.5, respectively. Similarly, cardiovascular mortality increased by 1.6 (95%CI 1.5–1.6), 5.1 (95%CI 5.1–5.2), and 8.7 (95%CI 8.7–8.8) at low, medium, and high levels of O3, respectively.

Discussion: We observed considerable modification of the heat effects on cardiovascular and respiratory mortality by elevated levels of air pollutants. Therefore, mitigation measures following the new WHO Air Quality Guidelines are crucial to enhance better health and promote sustainable development.

Ort, förlag, år, upplaga, sidor
Elsevier, 2023
Nyckelord
Air pollution, Air temperature, Cardiovascular mortality, Effect modification, Heat, Respiratory mortality
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-206020 (URN)10.1016/j.envint.2023.107825 (DOI)000981629200001 ()2-s2.0-85150267738 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 820655
Tillgänglig från: 2023-03-28 Skapad: 2023-03-28 Senast uppdaterad: 2023-09-05Bibliografiskt granskad
Projekt
Samhällets och vårdens möjligheter att inom riskgrupper förebygga dödsfall under allt mer extrema värmeböljor [2009-00454_Forte]; Umeå universitetKlimatförändringar, råvattenkvalitet, rening och distribution ? bedömning av mikrobiella risker genom hälsostudier [2010-134_Formas]; Umeå universitetPåskyndar trafikföroreningar hjärnans åldrande och demensutveckling? En lång uppföljningsstudie med individuellauppgifter o... [2011-01218_Forte]; Umeå universitetPotential för bättre folkhälsa och miljö genom att överföra arbetsresor från bil till cykel - en helhetsbedömning [2012-01296_Forte]; Umeå universitetTrikloramin i luften på badhus och dess relation till hälsoeffekter hos exponerade barn. [2013-431_Formas]; Umeå universitetTål man luftföroreningarna bättre bara man anstränger sig lite? [2014-01908_Forte]; Umeå universitetEffekter av buller, socioekonomisk status och gener i sambandet mellan luftföroreningar och demens [2015-1099_Formas]; Umeå universitet
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-0159-6657

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