Socioenvironmental factors associated with heat and cold-related mortality in Vadu HDSS, western India: a population-based case-crossover study

International Journal of Biometeorology
Vijendra IngoleBen Armstrong

Abstract

Ambient temperatures (heat and cold) are associated with mortality, but limited research is available about groups most vulnerable to these effects in rural populations. We estimated the effects of heat and cold on daily mortality among different sociodemographic groups in the Vadu HDSS area, western India. We studied all deaths in the Vadu HDSS area during 2004-2013. A conditional logistic regression model in a case-crossover design was used. Separate analyses were carried out for summer and winter season. Odds ratios (OR) and 95% confidence intervals (CI) were estimated for total mortality and population subgroups. Temperature above a threshold of 31 °C was associated with total mortality (OR 1.48, CI = 1.05-2.09) per 1 °C increase in daily mean temperature. Odds ratios were higher among females (OR 1.93; CI = 1.07-3.47), those with low education (OR 1.65; CI = 1.00-2.75), those owing larger agricultural land (OR 2.18; CI = 0.99-4.79), and farmers (OR 1.70; CI = 1.02-2.81). In winter, per 1 °C decrease in mean temperature, OR for total mortality was 1.06 (CI = 1.00-1.12) in lag 0-13 days. High risk of cold-related mortality was observed among people occupied in housework (OR = 1.09; CI = 1.00-1.19). Our study suggests that bo...Continue Reading

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Citations

Feb 16, 2020·International Journal of Biometeorology·Elena A Grigorieva
Dec 18, 2019·International Journal of Environmental Research and Public Health·Subhashisa SwainLipika Nanda
Jun 28, 2019·Environmental Research·Amruta Nori-SarmaMichelle L Bell
May 18, 2021·The Science of the Total Environment·Hayon Michelle ChoiMichelle L Bell
Jul 22, 2019·The Science of the Total Environment·Ismael Henrique SilveiraWashington Leite Junger

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