The Association Between High Ambient Temperature and Mortality in the Mediterranean Basin: a Systematic Review and Meta-analysis.

IF 7.4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Current Environmental Health Reports Pub Date : 2023-03-01 DOI:10.1007/s40572-022-00386-0

Talila Perry, Uri Obolski, Chava Peretz

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引用次数: 2

Abstract

Purpose of review: The Mediterranean basin is highly vulnerable to climate change. This study is aimed at quantifying the risk of mortality associated with exposure to high ambient temperature in the Mediterranean basin in the general population and in vulnerable sub-populations.

Recent findings: We retrieved effect estimates from studies linking temperature and mortality in the Mediterranean basin, between 2000 and 2021. In a meta-analysis of 16 studies, we found an increased risk of all-cause mortality due to ambient heat/high temperature exposure in the Mediterranean basin, with a pooled RR of 1.035 (95%CI 1.028-1.041) per 1 °C increase in temperature above local thresholds (I² = 79%). Risk was highest for respiratory mortality (RR = 1.063, 95% CI 1.052-1.074) and cardiovascular mortality (RR = 1.046, 95% CI 1.036-1.057). Hot ambient temperatures increase the mortality risk across the Mediterranean basin. Further studies, especially in North African, Asian Mediterranean, and eastern European countries, are needed to bolster regional preparedness against future heat-related health burdens.

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地中海盆地高环境温度与死亡率之间的关系:系统回顾和荟萃分析。

审查目的:地中海盆地极易受到气候变化的影响。本研究旨在量化地中海盆地普通人群和脆弱亚人群暴露于高环境温度相关的死亡风险。最近的发现:我们从2000年至2021年期间地中海盆地温度和死亡率之间的研究中检索了影响估计。在对16项研究的荟萃分析中，我们发现地中海盆地因环境热/高温暴露而导致的全因死亡风险增加，高于当地阈值的温度每升高1°C，总RR为1.035 (95%CI 1.028-1.041) (I2 = 79%)。呼吸系统死亡率(RR = 1.063, 95% CI 1.052-1.074)和心血管死亡率(RR = 1.046, 95% CI 1.036-1.057)的风险最高。炎热的环境温度增加了整个地中海盆地的死亡风险。需要进一步研究，特别是在北非、亚洲、地中海和东欧国家，以加强区域防范未来与热有关的健康负担。

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来源期刊

Current Environmental Health Reports Multiple-

CiteScore

13.60

自引率

1.30%

发文量

期刊介绍： Current Environmental Health Reports provides up-to-date expert reviews in environmental health. The goal is to evaluate and synthesize original research in all disciplines relevant for environmental health sciences, including basic research, clinical research, epidemiology, and environmental policy.