The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study

Background: Heat waves are correlated with increased mortality in the aged population. Social isolation is known as a vulnerability factor. This study aims at evaluating the correlation between an intervention to reduce social isolation and the increase in mortality in the population over 80 during...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Stefano Orlando, Claudia Mosconi, Carolina De Santo, Leonardo Emberti Gialloreti, Maria Chiara Inzerilli, Olga Madaro, Sandro Mancinelli, Fausto Ciccacci, Maria Cristina Marazzi, Leonardo Palombi, Giuseppe Liotta
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	extreme weather heat waves environment and public health aged older adults social behavior Medicine R
Acceso en línea:	https://doaj.org/article/a767b15a9ae7418b879a518676ab3234
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a767b15a9ae7418b879a518676ab3234
record_format	dspace
spelling	oai:doaj.org-article:a767b15a9ae7418b879a518676ab32342021-11-11T16:41:45ZThe Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study10.3390/ijerph1821115871660-46011661-7827https://doaj.org/article/a767b15a9ae7418b879a518676ab32342021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11587https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Heat waves are correlated with increased mortality in the aged population. Social isolation is known as a vulnerability factor. This study aims at evaluating the correlation between an intervention to reduce social isolation and the increase in mortality in the population over 80 during heat waves. Methods: This study adopted a retrospective ecologic design. We compared the excess mortality rate (EMR) in the over-80 population during heat waves in urban areas of Rome (Italy) where a program to reduce social isolation was implemented, to others where it was not implemented. We measured the mortality of the summer periods from 2015 to 2019 compared with 2014 (a year without heat waves). Winter mortality, cadastral income, and the proportion of people over 90 were included in the multivariate Poisson regression. Results: The EMR in the intervention and controls was 2.70% and 3.81%, respectively. The rate ratio was 0.70 (c.i. 0.54–0.92, <i>p</i>-value 0.01). The incidence rate ratio (IRR) of the interventions, with respect to the controls, was 0.76 (c.i. 0.59–0.98). After adjusting for other variables, the IRR was 0.44 (c.i. 0.32–0.60). Conclusions: Reducing social isolation could limit the impact of heat waves on the mortality of the elderly population.Stefano OrlandoClaudia MosconiCarolina De SantoLeonardo Emberti GialloretiMaria Chiara InzerilliOlga MadaroSandro MancinelliFausto CiccacciMaria Cristina MarazziLeonardo PalombiGiuseppe LiottaMDPI AGarticleextreme weatherheat wavesenvironment and public healthagedolder adultssocial behaviorMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11587, p 11587 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	extreme weather heat waves environment and public health aged older adults social behavior Medicine R
spellingShingle	extreme weather heat waves environment and public health aged older adults social behavior Medicine R Stefano Orlando Claudia Mosconi Carolina De Santo Leonardo Emberti Gialloreti Maria Chiara Inzerilli Olga Madaro Sandro Mancinelli Fausto Ciccacci Maria Cristina Marazzi Leonardo Palombi Giuseppe Liotta The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
description	Background: Heat waves are correlated with increased mortality in the aged population. Social isolation is known as a vulnerability factor. This study aims at evaluating the correlation between an intervention to reduce social isolation and the increase in mortality in the population over 80 during heat waves. Methods: This study adopted a retrospective ecologic design. We compared the excess mortality rate (EMR) in the over-80 population during heat waves in urban areas of Rome (Italy) where a program to reduce social isolation was implemented, to others where it was not implemented. We measured the mortality of the summer periods from 2015 to 2019 compared with 2014 (a year without heat waves). Winter mortality, cadastral income, and the proportion of people over 90 were included in the multivariate Poisson regression. Results: The EMR in the intervention and controls was 2.70% and 3.81%, respectively. The rate ratio was 0.70 (c.i. 0.54–0.92, <i>p</i>-value 0.01). The incidence rate ratio (IRR) of the interventions, with respect to the controls, was 0.76 (c.i. 0.59–0.98). After adjusting for other variables, the IRR was 0.44 (c.i. 0.32–0.60). Conclusions: Reducing social isolation could limit the impact of heat waves on the mortality of the elderly population.
format	article
author	Stefano Orlando Claudia Mosconi Carolina De Santo Leonardo Emberti Gialloreti Maria Chiara Inzerilli Olga Madaro Sandro Mancinelli Fausto Ciccacci Maria Cristina Marazzi Leonardo Palombi Giuseppe Liotta
author_facet	Stefano Orlando Claudia Mosconi Carolina De Santo Leonardo Emberti Gialloreti Maria Chiara Inzerilli Olga Madaro Sandro Mancinelli Fausto Ciccacci Maria Cristina Marazzi Leonardo Palombi Giuseppe Liotta
author_sort	Stefano Orlando
title	The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
title_short	The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
title_full	The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
title_fullStr	The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
title_full_unstemmed	The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study
title_sort	effectiveness of intervening on social isolation to reduce mortality during heat waves in aged population: a retrospective ecological study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a767b15a9ae7418b879a518676ab3234
work_keys_str_mv	AT stefanoorlando theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT claudiamosconi theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT carolinadesanto theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT leonardoembertigialloreti theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT mariachiarainzerilli theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT olgamadaro theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT sandromancinelli theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT faustociccacci theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT mariacristinamarazzi theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT leonardopalombi theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT giuseppeliotta theeffectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT stefanoorlando effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT claudiamosconi effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT carolinadesanto effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT leonardoembertigialloreti effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT mariachiarainzerilli effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT olgamadaro effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT sandromancinelli effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT faustociccacci effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT mariacristinamarazzi effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT leonardopalombi effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy AT giuseppeliotta effectivenessofinterveningonsocialisolationtoreducemortalityduringheatwavesinagedpopulationaretrospectiveecologicalstudy
_version_	1718432256843841536

The Effectiveness of Intervening on Social Isolation to Reduce Mortality during Heat Waves in Aged Population: A Retrospective Ecological Study

Ejemplares similares