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Orru, H., Guo, J. & Veber, T. (Eds.). (2024). Conference on connecting health and climate change: abstracts book. Paper presented at Conference on Connecting Health and Climate Change, Stockholm, Sweden, October 11-12, 2023. Umeå University
Öppna denna publikation i ny flik eller fönster >>Conference on connecting health and climate change: abstracts book
2024 (Engelska)Proceedings (redaktörskap) (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Umeå University, 2024. s. 207
Nyckelord
climate change, human health, public health
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
klimatförändringar; epidemiologi; folkhälsa; arbets- och miljömedicin; hälso- och sjukvårdsforskning
Identifikatorer
urn:nbn:se:umu:diva-220927 (URN)978-91-8070-316-1 (ISBN)
Konferens
Conference on Connecting Health and Climate Change, Stockholm, Sweden, October 11-12, 2023
Forskningsfinansiär
EU, Horisont 2020, 101003966
Tillgänglig från: 2024-02-14 Skapad: 2024-02-14 Senast uppdaterad: 2024-02-14Bibliografiskt granskad
Dahal, U., Orru, K., Orru, H. & Dijst, M. (2024). Green dreams, local realities: Complexities of the European Union's energy transition to ensure local health and well-being in a fossil fuel-based industrial region. Environmental impact assessment review, 106, Article ID 107520.
Öppna denna publikation i ny flik eller fönster >>Green dreams, local realities: Complexities of the European Union's energy transition to ensure local health and well-being in a fossil fuel-based industrial region
2024 (Engelska)Ingår i: Environmental impact assessment review, ISSN 0195-9255, E-ISSN 1873-6432, Vol. 106, artikel-id 107520Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

European Union's Green Deal is a legal obligation to EU countries to shift towards environment-friendly energy systems from fossil-fuel-based systems. This transition will bring significant global health benefits by combating climate change, but it is crucial to understand the so far understudied impacts on local communities' lives and, thus, on their health and well-being. The study proposes a novel conceptual framework based on socio-technical systems theory and the production of space theory to identify the interacting points between energy systems and health and well-being systems in the energy transition context. This framework is tested in Estonia's transitioning fossil fuel oil-shale-based energy system based on four focus group discussions, ten expert interviews, and document analysis. We innovatively pinpoint pathways, including feedback loops, through a causal loop diagram (CLD) impacting inhabitants' health and well-being from the interplay between energy and health and well-being systems. The analysis indicates that protecting and promoting health and well-being has been a challenge not only due to disruption created by the energy transition process but also due to the accumulated problems regarding socioeconomic conditions, environmental health impacts, and well-being at the local level. The compound effects of multiple existing and emerging issues, including the divergent interpretations of health and the lack of holistic support mechanisms for inhabitants to navigate the changes in sociocultural and economic space, can harm locals' health and well-being. The developed conceptual framework provides an important theoretical background to study the impacts on the mental and physical health, including social health and well-being, of the inhabitants living in the fossil-fuel-based industrial area. The CLD developed using this framework demonstrates the interacting points to avoid unintended consequences of energy transition.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nyckelord
Causal loop diagram, Climate change action, Health and well-being impacts, Just energy transition, People in a vulnerable situation, Social and environmental impacts
Nationell ämneskategori
Övrig annan samhällsvetenskap
Identifikatorer
urn:nbn:se:umu:diva-224240 (URN)10.1016/j.eiar.2024.107520 (DOI)2-s2.0-85192169201 (Scopus ID)
Tillgänglig från: 2024-05-15 Skapad: 2024-05-15 Senast uppdaterad: 2024-05-15Bibliografiskt granskad
Reckien, D., Buzasi, A., Olazabal, M., Spyridaki, N.-A., Eckersley, P., Simoes, S. G., . . . Wejs, A. (2023). Quality of urban climate adaptation plans over time. npj Urban Sustainability, 3(1), Article ID 13.
Öppna denna publikation i ny flik eller fönster >>Quality of urban climate adaptation plans over time
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2023 (Engelska)Ingår i: npj Urban Sustainability, E-ISSN 2661-8001, Vol. 3, nr 1, artikel-id 13Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Defining and measuring progress in adaptation are important questions for climate adaptation science, policy, and practice. Here, we assess the progress of urban adaptation planning in 327 European cities between 2005 and 2020 using three 'ADAptation plan Quality Assessment' indices, called ADAQA-1/ 2/ 3, that combine six plan quality principles. Half of the cities have an adaptation plan and its quality significantly increased over time. However, generally, plan quality is still low in many cities. Participation and monitoring and evaluation are particularly weak aspects in urban adaptation policy, together with plan 'consistency'. Consistency connects impacts and vulnerabilities with adaptation goals, planned measures, actions, monitoring and evaluation, and participation processes. Consistency is a key factor in the overall quality of plans. To help evaluate the quality of plans and policies and promote learning, we suggest incorporating our ADAptation plan Quality Assessment indices into the portfolio of adaptation progress assessments and tracking methodologies.

Ort, förlag, år, upplaga, sidor
Springer Nature, 2023
Nationell ämneskategori
Miljövetenskap Övrig annan samhällsvetenskap
Identifikatorer
urn:nbn:se:umu:diva-218118 (URN)10.1038/s42949-023-00085-1 (DOI)000999964000001 ()2-s2.0-85161781023 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 101019707 (2021–2024)EU, Horisont 2020, 101036458 (2021–2025)
Tillgänglig från: 2023-12-19 Skapad: 2023-12-19 Senast uppdaterad: 2024-01-04Bibliografiskt granskad
Markevych, I., Zhao, T., Fuertes, E., Marcon, A., Dadvand, P., Vienneau, D., . . . Heinrich, J. (2023). Residential greenspace and lung function decline over 20 years in a prospective cohort: the ECRHS study. Environment International, 178, Article ID 108036.
Öppna denna publikation i ny flik eller fönster >>Residential greenspace and lung function decline over 20 years in a prospective cohort: the ECRHS study
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2023 (Engelska)Ingår i: Environment International, ISSN 0160-4120, E-ISSN 1873-6750, Vol. 178, artikel-id 108036Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The few studies that have examined associations between greenspace and lung function in adulthood have yielded conflicting results and none have examined whether the rate of lung function decline is affected.

Objective: We explored the association between residential greenspace and change in lung function over 20 years in 5559 adults from 22 centers in 11 countries participating in the population-based, international European Community Respiratory Health Survey.

Methods: Forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were measured by spirometry when participants were approximately 35 (1990–1994), 44 (1999–2003), and 55 (2010–2014) years old. Greenness was assessed as the mean Normalized Difference Vegetation Index (NDVI) in 500 m, 300 m, and 100 m circular buffers around the residential addresses at the time of lung function measurement. Green spaces were defined as the presence of agricultural, natural, or urban green spaces in a circular 300 m buffer. Associations of these greenspace parameters with the rate of lung function change were assessed using adjusted linear mixed effects regression models with random intercepts for subjects nested within centers. Sensitivity analyses considered air pollution exposures.

Results: A 0.2-increase (average interquartile range) in NDVI in the 500 m buffer was consistently associated with a faster decline in FVC (−1.25 mL/year [95% confidence interval: −2.18 to −0.33]). These associations were especially pronounced in females and those living in areas with low PM10 levels. We found no consistent associations with FEV1 and the FEV1/FVC ratio. Residing near forests or urban green spaces was associated with a faster decline in FEV1, while agricultural land and forests were related to a greater decline in FVC.

Conclusions: More residential greenspace was not associated with better lung function in middle-aged European adults. Instead, we observed slight but consistent declines in lung function parameters. The potentially detrimental association requires verification in future studies.

Ort, förlag, år, upplaga, sidor
Elsevier, 2023
Nyckelord
ECRHS, FEV1, FVC, Green space, Nature, Spirometry
Nationell ämneskategori
Arbetsmedicin och miljömedicin Lungmedicin och allergi
Identifikatorer
urn:nbn:se:umu:diva-211162 (URN)10.1016/j.envint.2023.108036 (DOI)37336027 (PubMedID)2-s2.0-85162112141 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 633212Europeiska regionala utvecklingsfonden (ERUF)
Tillgänglig från: 2023-07-05 Skapad: 2023-07-05 Senast uppdaterad: 2023-07-05Bibliografiskt granskad
Veber, T., Pyko, A., Carlsen, H. K., Holm, M., Gislason, T., Janson, C., . . . Orru, H. (2023). Traffic noise in the bedroom in association with markers of obesity: a cross-sectional study and mediation analysis of the respiratory health in Northern Europe cohort. BMC Public Health, 23(1), Article ID 1246.
Öppna denna publikation i ny flik eller fönster >>Traffic noise in the bedroom in association with markers of obesity: a cross-sectional study and mediation analysis of the respiratory health in Northern Europe cohort
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2023 (Engelska)Ingår i: BMC Public Health, E-ISSN 1471-2458, Vol. 23, nr 1, artikel-id 1246Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Previous research suggests an association between road traffic noise and obesity, but current evidence is inconclusive. The aim of this study was to assess the association between nocturnal noise exposure and markers of obesity and to assess whether sleep disturbance might be a mediator in this association.

Methods: We applied data from the Respiratory Health in Northern Europe (RHINE) cohort. We used self-measured waist circumference (WC) and body mass index (BMI) as outcome values. Noise exposure was assessed as perceived traffic noise in the bedroom and/or the bedroom window’s location towards the street. We applied adjusted linear, and logistic regression models, evaluated effect modifications and conducted mediation analysis.

Results: Based on fully adjusted models we found that women, who reported very high traffic noise levels in bedroom, had 1.30 (95% CI 0.24–2.37) kg/m2 higher BMI and 3.30 (95% CI 0.39–6.20) cm higher WC compared to women, who reported no traffic noise in the bedroom. Women who reported higher exposure to road traffic noise had statistically significant higher odds of being overweight and have abdominal obesity with OR varying from 1.15 to 1.26 compared to women, who reported no traffic noise in the bedroom. For men, the associations were rather opposite, although mostly statistically insignificant. Furthermore, men, who reported much or very much traffic noise in the bedroom, had a statistically significantly lower risk of abdominal obesity. Sleep disturbance fully or partially mediated the association between noise in bedroom and obesity markers among women.

Conclusion: Our results suggest that self-reported traffic noise in the bedroom may be associated to being overweight or obese trough sleep disturbance among women, but associations were inconclusive among men.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Adiposity, Indoor, Nocturnal, Noise, Obesity, Overweight, Road Traffic, Self-reported
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-212047 (URN)10.1186/s12889-023-16128-2 (DOI)2-s2.0-85163708638 (Scopus ID)
Tillgänglig från: 2023-07-18 Skapad: 2023-07-18 Senast uppdaterad: 2023-08-28Bibliografiskt granskad
Wang, J., Janson, C., Gislason, T., Gunnbjörnsdottir, M., Jogi, R., Orru, H. & Norbäck, D. (2023). Volatile organic compounds (VOC) in homes associated with asthma and lung function among adults in Northern Europe. Environmental Pollution, 321, Article ID 121103.
Öppna denna publikation i ny flik eller fönster >>Volatile organic compounds (VOC) in homes associated with asthma and lung function among adults in Northern Europe
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2023 (Engelska)Ingår i: Environmental Pollution, ISSN 0269-7491, E-ISSN 1873-6424, Vol. 321, artikel-id 121103Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Associations between measured specific VOC reported to be associated with dampness and microbial growth in dwellings and asthma, lung function were investigated in 159 adults (one adult/home) from three North European cities (Reykjavik, Uppsala and Tartu). Spirometry was performed and forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1) and FEV1/FVC were measured. Among 159 participants, 58% were females, 24.5% atopics, 25.8% current smokers and 41% reported dampness or mold at home. Dimethyl disulphide (p = 0.004), ethyl isobutyrate (p = 0.021) and ethyl 2-methylbutyrate (p = 0.035) were associated with asthma. Isobutanol (p = 0.043), 3-methyl-1-butanol (p = 0.020), 2-hexanone (p = 0.033), 1-octen-3-ol (p = 0.027), 2-methyl-1-butanol (p = 0.022) and 2-ethyl-1-hexanol (p = 0.045) were associated with lower FEV1. Isobutanol (p = 0.004), 3-methyl-1-butanol (p = 0.001), 2-heptanone (p = 0.047) and 2-methyl-1-butanol (p = 0.002) were associated with lower FEV1/FVC. The association between dimethyl disulphide and asthma was more pronounced in females (p for interaction 0.099). The association between 1-butanol and lower FEV1 was more pronounced in males (p for interaction 0.046). The associations between 3-octanone (p for interaction 0.064), 2-ethyl-1-hexanol (p for interaction 0.049) and lower FEV1, and between 2-heptanone (p for interaction 0.021), 3-octanone (p for interaction 0.008) and lower FEV1/FVC were stronger in homes with dampness/mold. Factor analysis identified one VOC factor related to asthma and two VOC factors related to lower lung function. Increased air concentrations of 2-heptanone, ethyl 2-methylbutyrate and ethyl isobutyrate were related to prescence of certain mold species (Aspergillus sp., Cladosporum sp. and Penicillium sp.) or building dampness. Some VOC were associated with type of dwelling, building age and pet keeping. In conclusion, some VOC reported to be associated with dampness and microbial growth can be associated with asthma and lower lung function in adults. Associations between these VOC and respiratory illness can be stronger in homes with dampness/mold. There can be gender differences in respiratory health effects when exposed to indoor VOC.

Nyckelord
Asthma, Building dampness, FEV1, Home environment exposure, Lung function, Volatile organic compounds
Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
urn:nbn:se:umu:diva-204390 (URN)10.1016/j.envpol.2023.121103 (DOI)000926831100001 ()36690293 (PubMedID)2-s2.0-85146539288 (Scopus ID)
Forskningsfinansiär
Hjärt-LungfondenVårdalstiftelsenAstma- och AllergiförbundetForte, Forskningsrådet för hälsa, arbetsliv och välfärdAFA Försäkring, 467801100Bror Hjerpstedts stiftelse
Tillgänglig från: 2023-02-03 Skapad: 2023-02-03 Senast uppdaterad: 2023-09-05Bibliografiskt granskad
Liu, C., Cai, J., Chen, R., Sera, F., Guo, Y., Tong, S., . . . Kan, H. (2022). Coarse particulate air pollution and daily mortality: a global study in 205 cities. American Journal of Respiratory and Critical Care Medicine, 206(8), 999-1007
Öppna denna publikation i ny flik eller fönster >>Coarse particulate air pollution and daily mortality: a global study in 205 cities
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2022 (Engelska)Ingår i: American Journal of Respiratory and Critical Care Medicine, ISSN 1073-449X, E-ISSN 1535-4970, Vol. 206, nr 8, s. 999-1007Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

RATIONALE: The associations between ambient coarse particulate matter (PM2.5-10) and daily mortality is not fully understood at a global scale.

OBJECTIVES: To evaluate the short-term associations between PM2.5-10 and total, cardiovascular, and respiratory mortality across multiple countries/regions worldwide.

METHODS: We collected daily mortality (total, cardiovascular, respiratory) and air pollution data from 205 cities in 20 countries/regions. Concentrations of PM2.5-10 were computed as the difference between inhalable and fine particulate matter. A two-stage time-series analytic approach was applied, with over-dispersed generalized linear models and multilevel meta-analysis. We fitted two-pollutant models to test the independent effect of PM2.5-10 from co-pollutants (fine particulate matter, nitrogen dioxide, sulfur dioxide, ozone, and carbon monoxide). Exposure-response relationship curves were pooled and regional analyses were conducted.

MEASUREMENTS AND MAIN RESULTS: A 10 μg/m3 increase in PM2.5-10 concentration on lag 0-1 day was associated with increments of 0.51% (95% confidence interval [CI]: 0.18%, 0.84%), 0.43% (95%CI: 0.15%, 0.71%) and 0.41% (95%CI: 0.06%, 0.77%) in total, cardiovascular, and respiratory mortality, respectively. The associations varied by country and region. These associations were robust to adjustment by all co-pollutants in two-pollutant models, especially for PM2.5. The exposure-response curves for total, cardiovascular, and respiratory mortality were positive, with steeper slopes at lower exposure ranges and without discernible thresholds.

CONCLUSIONS: This study provides novel global evidence on the robust and independent associations between short-term exposure to ambient PM2.5-10 and total, cardiovascular and respiratory mortality, suggesting the need to establish a unique guideline or regulatory limit for daily concentrations of PM2.5-10.

Ort, förlag, år, upplaga, sidor
American Thoracic Society, 2022
Nyckelord
PM2.5-10, air pollution, mortality, multi-center study, time-series study
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:umu:diva-199029 (URN)10.1164/rccm.202111-2657OC (DOI)000871243100012 ()35671471 (PubMedID)2-s2.0-85140144957 (Scopus ID)
Tillgänglig från: 2022-09-01 Skapad: 2022-09-01 Senast uppdaterad: 2022-11-24Bibliografiskt granskad
Olstrup, H., Åström, C. & Orru, H. (2022). Daily Mortality in Different Age Groups Associated with Exposure to Particles, Nitrogen Dioxide and Ozone in Two Northern European Capitals: Stockholm and Tallinn. Environments, 9(7), Article ID 83.
Öppna denna publikation i ny flik eller fönster >>Daily Mortality in Different Age Groups Associated with Exposure to Particles, Nitrogen Dioxide and Ozone in Two Northern European Capitals: Stockholm and Tallinn
2022 (Engelska)Ingår i: Environments, E-ISSN 2076-3298, Vol. 9, nr 7, artikel-id 83Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Although the association between air pollution and mortality is well established, less is known about the effects in different age groups. This study analyzes the short-term associations between mortality in different age groups (0–14 years of age, 15–64 years of age, and 65+ years of age) and a number of air pollutants in two relatively clean northern European capitals: Stockholm and Tallinn. The concentrations in PM10 (particles with an aerodynamic diameter smaller than or equal to 10 µm), PM2.5–10 (coarse particles), PM2.5 (particles with an aerodynamic diameter smaller than or equal to 2.5 µm), BC (black carbon), PNC4 (particle number count of particles larger than or equal to 4 nm), NO2 (nitrogen dioxide), and O3 (ozone) were measured during the period of 2000–2016 in Stockholm and 2001–2018 in Tallinn (except for BC and PNC4 which were only measured in Stockholm). The excess risks in daily mortality associated with an interquartile range (IQR) increase in the measured air pollutants were calculated in both single- and multi-pollutant models for lag01 and lag02 (average concentration during the same and the previous day, and the same and the previous two days, respectively) using a quasi-Poisson regression model with a logistic link function. In general, the calculated excess risks per IQR increase were highest in the age group 0–14 years of age in both Stockholm and Tallinn. However, in Stockholm, a statistically significant effect was shown for PM2.5–10, and in Tallinn for O3. In the oldest age group (65+), statistically significant effects were shown for both PM2.5–10, PM10, and O3 in Stockholm, and for O3 in Tallinn.

Ort, förlag, år, upplaga, sidor
MDPI, 2022
Nyckelord
age groups, air pollution, children, daily mortality, elderly, exposure, short-term
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-198036 (URN)10.3390/environments9070083 (DOI)000831486000001 ()2-s2.0-85133542897 (Scopus ID)
Tillgänglig från: 2022-07-15 Skapad: 2022-07-15 Senast uppdaterad: 2023-09-05Bibliografiskt granskad
Masselot, P., Sera, F., Schneider, R., Kan, H., Lavigne, É., Stafoggia, M., . . . Gasparrini, A. (2022). Differential mortality risks associated with PM2.5 components: a multi-country, multi-city study. Epidemiology, 33(2), 167-175
Öppna denna publikation i ny flik eller fönster >>Differential mortality risks associated with PM2.5 components: a multi-country, multi-city study
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2022 (Engelska)Ingår i: Epidemiology, ISSN 1044-3983, E-ISSN 1531-5487, Vol. 33, nr 2, s. 167-175Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: The association between fine particulate matter (PM2.5) and mortality widely differs between as well as within countries. Differences in PM2.5 composition can play a role in modifying the effect estimates, but there is little evidence about which components have higher impacts on mortality.

METHODS: We applied a two-stage analysis on data collected from 210 locations in 16 countries. In the first stage, we estimated location-specific relative risks (RR) for mortality associated with daily total PM2.5 through time series regression analysis. We then pooled these estimates in a meta-regression model that included city-specific logratio-transformed proportions of seven PM2.5 components as well as meta-predictors derived from city-specific socio-economic and environmental indicators.

RESULTS: We found associations between RR and several PM2.5 components. Increasing the ammonium (NH4+) proportion from 1% to 22%, while keeping a relative average proportion of other components, increased the RR from 1.0063 (95%CI: 1.0030-1.0097) to 1.0102 (95%CI:1.0070-1.0135). Conversely, an increase in nitrate (NO3-) from 1% to 71% resulted in a reduced RR, from 1.0100 (95%CI: 1.0067-1.0133) to 1.0037 (95%CI: 0.9998- 1.0077). Differences in composition explained a substantial part of the heterogeneity in PM2.5 risk.

CONCLUSIONS: These findings contribute to the identification of more hazardous emission sources. Further work is needed to understand the health impacts of PM2.5 components and sources given the overlapping sources and correlations among many components.

Ort, förlag, år, upplaga, sidor
Wolters Kluwer, 2022
Nationell ämneskategori
Arbetsmedicin och miljömedicin Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
folkhälsa
Identifikatorer
urn:nbn:se:umu:diva-190752 (URN)10.1097/EDE.0000000000001455 (DOI)000749166000005 ()34907973 (PubMedID)2-s2.0-85123973639 (Scopus ID)
Forskningsfinansiär
EU, Horisont 2020, 820655EU, Horisont 2020, 874990
Tillgänglig från: 2021-12-27 Skapad: 2021-12-27 Senast uppdaterad: 2022-02-15Bibliografiskt granskad
Choi, H. M., Lee, W., Roye, D., Heo, S., Urban, A., Entezari, A., . . . Bell, M. L. (2022). Effect modification of greenness on the association between heat and mortality: A multi-city multi-country study. EBioMedicine, 84, Article ID 104251.
Öppna denna publikation i ny flik eller fönster >>Effect modification of greenness on the association between heat and mortality: A multi-city multi-country study
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2022 (Engelska)Ingår i: EBioMedicine, E-ISSN 2352-3964, Vol. 84, artikel-id 104251Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Identifying how greenspace impacts the temperature-mortality relationship in urban environments is crucial, especially given climate change and rapid urbanization. However, the effect modification of greenspace on heat-related mortality has been typically focused on a localized area or single country. This study examined the heat-mortality relationship among different greenspace levels in a global setting.

METHODS: We collected daily ambient temperature and mortality data for 452 locations in 24 countries and used Enhanced Vegetation Index (EVI) as the greenspace measurement. We used distributed lag non-linear model to estimate the heat-mortality relationship in each city and the estimates were pooled adjusting for city-specific average temperature, city-specific temperature range, city-specific population density, and gross domestic product (GDP). The effect modification of greenspace was evaluated by comparing the heat-related mortality risk for different greenspace groups (low, medium, and high), which were divided into terciles among 452 locations.

FINDINGS: Cities with high greenspace value had the lowest heat-mortality relative risk of 1·19 (95% CI: 1·13, 1·25), while the heat-related relative risk was 1·46 (95% CI: 1·31, 1·62) for cities with low greenspace when comparing the 99th temperature and the minimum mortality temperature. A 20% increase of greenspace is associated with a 9·02% (95% CI: 8·88, 9·16) decrease in the heat-related attributable fraction, and if this association is causal (which is not within the scope of this study to assess), such a reduction could save approximately 933 excess deaths per year in 24 countries.

INTERPRETATION: Our findings can inform communities on the potential health benefits of greenspaces in the urban environment and mitigation measures regarding the impacts of climate change.

FUNDING: This publication was developed under Assistance Agreement No. RD83587101 awarded by the U.S. Environmental Protection Agency to Yale University. It has not been formally reviewed by EPA. The views expressed in this document are solely those of the authors and do not necessarily reflect those of the Agency. EPA does not endorse any products or commercial services mentioned in this publication. Research reported in this publication was also supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under Award Number R01MD012769. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Also, this work has been supported by the National Research Foundation of Korea (2021R1A6A3A03038675), Medical Research Council-UK (MR/V034162/1 and MR/R013349/1), Natural Environment Research Council UK (Grant ID: NE/R009384/1), Academy of Finland (Grant ID: 310372), European Union's Horizon 2020 Project Exhaustion (Grant ID: 820655 and 874990), Czech Science Foundation (22-24920S), Emory University's NIEHS-funded HERCULES Center (Grant ID: P30ES019776), and Grant CEX2018-000794-S funded by MCIN/AEI/ 10.13039/501100011033 The funders had no role in the design, data collection, analysis, interpretation of results, manuscript writing, or decision to publication.

Ort, förlag, år, upplaga, sidor
Elsevier, 2022
Nyckelord
Effect modification, Greenspace, Heat, Mortality
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-200045 (URN)10.1016/j.ebiom.2022.104251 (DOI)000877614200004 ()36088684 (PubMedID)2-s2.0-85137373543 (Scopus ID)
Forskningsfinansiär
NIH (National Institutes of Health), R01MD012769EU, Horisont 2020, 820655EU, Horisont 2020, 874990
Anmärkning

Errata: Hayon Michelle Choi, Whanhee Lee, Dominic Roye, Seulkee Heo, Aleš Urban, Alireza Entezari et al. Corrigendum to “Effect modification of greenness on the association between heat and mortality: A multi-city multi-country study”, eBioMedicine, 2023, 87;104396. DOI: 10.1016/j.ebiom.2022.104396

Tillgänglig från: 2022-10-06 Skapad: 2022-10-06 Senast uppdaterad: 2023-03-06Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-7965-9451

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