Social inequalities in the association between temperature and mortality in a South European context

Marc Marí-Dell’Olmo (), Aurelio Tobías, Anna Gómez-Gutiérrez, Maica Rodríguez-Sanz, Patricia García de Olalla, Esteve Camprubí, Antonio Gasparrini and Carme Borrell
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Marc Marí-Dell’Olmo: Agència de Salut Pública de Barcelona
Aurelio Tobías: Spanish Council for Scientific Research (CSIC)
Anna Gómez-Gutiérrez: Agència de Salut Pública de Barcelona
Maica Rodríguez-Sanz: Agència de Salut Pública de Barcelona
Patricia García de Olalla: Agència de Salut Pública de Barcelona
Esteve Camprubí: Agència de Salut Pública de Barcelona
Antonio Gasparrini: London School of Hygiene and Tropical Medicine
Carme Borrell: Agència de Salut Pública de Barcelona

International Journal of Public Health, 2019, vol. 64, issue 1, No 6, 27-37

Abstract: Abstract Objectives To analyse social inequalities in the association between ambient temperature and mortality by sex, age and educational level, in the city of Barcelona for the period 1992–2015. Methods Mortality data are represented by daily counts for natural mortality. As a measure of socioeconomic position, we used the educational level of the deceased. We also considered age group and sex. We considered, as a measure of exposure, the daily maximum temperatures. Time-series Poisson regression with distributed lag non-linear models was fitted for modelling the relationship between temperature and mortality. Results Women had higher risk of mortality by hot temperatures than men. Temperature–mortality association (heat and cold) was evident for the elderly, except for heat-related mortality in women which was present in all age groups. Men with primary education or more were more vulnerable to moderate or extreme temperatures than those without studies. Finally, women were vulnerable to heat-related mortality in all educational levels while women without studies were more vulnerable to cold temperatures. Conclusions Social and economic individual characteristics play an important role in vulnerability to high and low temperatures. It is important that decision-making groups consider identified vulnerable subgroups when redacting and implementing climate change resilience and adaptation plans.

Keywords: Socioeconomic inequalities; Mortality; Temperature; Cold; Heat; Climate change (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (3)

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DOI: 10.1007/s00038-018-1094-6

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