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Effect of extreme hot and cold weather on cause-specific hospitalizations in Sweden: A time series analysis
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).ORCID iD: 0000-0002-0253-5928
Department of Geography, Kent State University, Kent, OH, USA.
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). (Arcum)ORCID iD: 0000-0002-1561-4094
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). (Arcum)ORCID iD: 0000-0002-9722-0370
2021 (English)In: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 193, article id 110535Article in journal (Refereed) Published
Abstract [en]

Considering that several meteorological variables can contribute to weather vulnerability, the estimation of their synergetic effects on health is particularly useful. The spatial synoptic classification (SSC) has been used in biometeorological applications to estimate the effect of the entire suite of weather conditions on human morbidity and mortality. In this study, we assessed the relationships between extremely hot and dry (dry tropical plus, DT+) and hot and moist (moist tropical plus, MT+) weather types in summer and extremely cold and dry (dry polar plus, DP+) and cold and moist (moist polar, MP+) weather types in winter and cardiovascular and respiratory hospitalizations by age and sex. Time-series quasi-Poisson regression with distributed lags was used to assess the relationship between oppressive weather types and daily hospitalizations over 14 subsequent days in the extended summer (May to August) and 28 subsequent days during the extended winter (November to March) over 24 years in 4 Swedish locations from 1991 to 2014. In summer, exposure to hot weather types appeared to reduce cardiovascular hospitalizations while increased the risk of hospitalizations for respiratory diseases, mainly related to MT+. In winter, the effect of cold weather on both cause-specific hospitalizations was small; however, MP+ was related to a delayed increase in cardiovascular hospitalizations, whilst MP+ and DP + increased the risk of hospitalizations due to respiratory diseases. This study provides useful information for the staff of hospitals and elderly care centers who can help to implement protective measures for patients and residents. Also, our results could be helpful for vulnerable people who can adopt protective measures to reduce health risks.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 193, article id 110535
Keywords [en]
Cardiovascular hospitalizations, Respiratory hospitalizations, Spatial synoptic classification, Hot weather, Cold weather, Sweden
National Category
Public Health, Global Health and Social Medicine Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-177327DOI: 10.1016/j.envres.2020.110535ISI: 000613940400002Scopus ID: 2-s2.0-85097420161OAI: oai:DiVA.org:umu-177327DiVA, id: diva2:1507007
Available from: 2020-12-06 Created: 2020-12-06 Last updated: 2025-02-20Bibliographically approved

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Fonseca Rodriguez, OsvaldoHäggström Lundevaller, ErlingSchumann, Barbara

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Fonseca Rodriguez, OsvaldoHäggström Lundevaller, ErlingSchumann, Barbara
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Environmental Research
Public Health, Global Health and Social MedicineOccupational Health and Environmental Health

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CiteExportLink to record
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