Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.

<h4>Background</h4>Prior studies from around the world have indicated that very high temperatures tend to increase summertime mortality. However possible effect modification by urban micro heat islands has only been examined by a few studies in North America and Europe. This study examin...

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Autores principales: William B Goggins, Emily Y Y Chan, Edward Ng, Chao Ren, Liang Chen
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:8e250fdaa9cc44868121f32f014dcd752021-11-18T07:14:34ZEffect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.1932-620310.1371/journal.pone.0038551https://doaj.org/article/8e250fdaa9cc44868121f32f014dcd752012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22761684/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Prior studies from around the world have indicated that very high temperatures tend to increase summertime mortality. However possible effect modification by urban micro heat islands has only been examined by a few studies in North America and Europe. This study examined whether daily mortality in micro heat island areas of Hong Kong was more sensitive to short term changes in meteorological conditions than in other areas.<h4>Method</h4>An urban heat island index (UHII) was calculated for each of Hong Kong's 248 geographical tertiary planning units (TPU). Daily counts of all natural deaths among Hong Kong residents were stratified according to whether the place of residence of the decedent was in a TPU with high (above the median) or low UHII. Poisson Generalized Additive Models (GAMs) were used to estimate the association between meteorological variables and mortality while adjusting for trend, seasonality, pollutants and flu epidemics. Analyses were restricted to the hot season (June-September).<h4>Results</h4>Mean temperatures (lags 0-4) above 29 °C and low mean wind speeds (lags 0-4) were significantly associated with higher daily mortality and these associations were stronger in areas with high UHII. A 1 °C rise above 29 °C was associated with a 4.1% (95% confidence interval (CI): 0.7%, 7.6%) increase in natural mortality in areas with high UHII but only a 0.7% (95% CI: -2.4%, 3.9%) increase in low UHII areas. Lower mean wind speeds (5(th) percentile vs. 95(th) percentile) were associated with a 5.7% (95% CI: 2.7, 8.9) mortality increase in high UHII areas vs. a -0.3% (95% CI: -3.2%, 2.6%) change in low UHII areas.<h4>Conclusion</h4>The results suggest that urban micro heat islands exacerbate the negative health consequences of high temperatures and low wind speeds. Urban planning measures designed to mitigate heat island effects may lessen the health effects of unfavorable summertime meteorological conditions.William B GogginsEmily Y Y ChanEdward NgChao RenLiang ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e38551 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
William B Goggins
Emily Y Y Chan
Edward Ng
Chao Ren
Liang Chen
Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
description <h4>Background</h4>Prior studies from around the world have indicated that very high temperatures tend to increase summertime mortality. However possible effect modification by urban micro heat islands has only been examined by a few studies in North America and Europe. This study examined whether daily mortality in micro heat island areas of Hong Kong was more sensitive to short term changes in meteorological conditions than in other areas.<h4>Method</h4>An urban heat island index (UHII) was calculated for each of Hong Kong's 248 geographical tertiary planning units (TPU). Daily counts of all natural deaths among Hong Kong residents were stratified according to whether the place of residence of the decedent was in a TPU with high (above the median) or low UHII. Poisson Generalized Additive Models (GAMs) were used to estimate the association between meteorological variables and mortality while adjusting for trend, seasonality, pollutants and flu epidemics. Analyses were restricted to the hot season (June-September).<h4>Results</h4>Mean temperatures (lags 0-4) above 29 °C and low mean wind speeds (lags 0-4) were significantly associated with higher daily mortality and these associations were stronger in areas with high UHII. A 1 °C rise above 29 °C was associated with a 4.1% (95% confidence interval (CI): 0.7%, 7.6%) increase in natural mortality in areas with high UHII but only a 0.7% (95% CI: -2.4%, 3.9%) increase in low UHII areas. Lower mean wind speeds (5(th) percentile vs. 95(th) percentile) were associated with a 5.7% (95% CI: 2.7, 8.9) mortality increase in high UHII areas vs. a -0.3% (95% CI: -3.2%, 2.6%) change in low UHII areas.<h4>Conclusion</h4>The results suggest that urban micro heat islands exacerbate the negative health consequences of high temperatures and low wind speeds. Urban planning measures designed to mitigate heat island effects may lessen the health effects of unfavorable summertime meteorological conditions.
format article
author William B Goggins
Emily Y Y Chan
Edward Ng
Chao Ren
Liang Chen
author_facet William B Goggins
Emily Y Y Chan
Edward Ng
Chao Ren
Liang Chen
author_sort William B Goggins
title Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
title_short Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
title_full Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
title_fullStr Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
title_full_unstemmed Effect modification of the association between short-term meteorological factors and mortality by urban heat islands in Hong Kong.
title_sort effect modification of the association between short-term meteorological factors and mortality by urban heat islands in hong kong.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/8e250fdaa9cc44868121f32f014dcd75
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