Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health & Place Pub Date : 2024-07-29 DOI:10.1016/j.healthplace.2024.103325

Mathilde Pascal , Sarah Goria , Gauthier Forceville , Morgane Stempfelet , Sabine Host , Ian Hough , Johanna Lepeule , Jean-Marie Alessandrini , Erwan Cordeau , Amandine Rosso , Vérène Wagner , Aude Lemonsu

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Abstract

Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000–2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15–64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities.

Actions to reduce such sex and social inequities should be central in heat adaptation policy.

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分析巴黎地区气温与死亡率关系的影响因素，以确定更有效适应高温的社会和环境杠杆。

适应高温是巴黎大区（法国）面临的一项重大挑战。根据该地区 1,287 个城市 2000-2017 年的精细数据，我们按地区（城市、郊区、农村）、年龄（15-64 岁和≥65 岁）和性别分析了气温与死亡率的关系（时间-周期设计），并探讨了植被和社会经济指标如何改变这种关系。在所有地区、年龄组、性别和死亡原因中，高温都与死亡风险的增加有关。居住在最贫困城市的 65 岁及以上妇女在 29.4 °C（与 16.6 °C相比）时的相对死亡风险为 4.2 [3.8:4.5]，而居住在较不贫困城市的妇女的相对死亡风险为 3.4 [3.2:3.7]。减少这种性别和社会不平等的行动应成为热适应政策的核心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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