Publication:
Municipality assessment of temperature-related mortality risks in Norway.

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dc.contributor.authorFernández, Liliana Vázquez
dc.contributor.authorDiz-Lois Palomares, Alfonso
dc.contributor.authorVicedo-Cabrera, Ana Maria
dc.contributor.authorGasparrini, Antonio
dc.contributor.authorFreiesleben de Blasio, Birgitte
dc.contributor.authorDi Ruscio, Francesco
dc.contributor.authorMasselot, Pierre
dc.contributor.authorWisløff, Torbjørn
dc.contributor.authorRao, Shilpa
dc.date.accessioned2025-01-09T07:56:58Z
dc.date.available2025-01-09T07:56:58Z
dc.date.issued2025-02-01
dc.description.abstractBackground & Aim Understanding local vulnerability to heat and cold is crucial for public health planning, yet few studies have provided a nationwide analysis of temperature-related mortality across diverse communities. This study analyses the association between ambient air temperature and non-accidental mortality across mainland Norway, using a constrained hierarchical clustering algorithm to group municipalities with similar geographic, environmental, socioeconomic, and demographic patterns. Methods This study analysed the association between ambient air temperature and non-accidental mortality across 356 Norwegian municipalities, using daily data from 1996 to 2018. We applied a case time series design with distributed lag non-linear models. A downscaling procedure assessed the effect of 21 vulnerability factors on temperature-related mortality risks, using Principal Components Analysis to explore heterogeneity across clusters. Findings Cold temperatures contributed to an estimated 3,879 deaths per year (95% CI 3,718-4,130), while heat was associated with 44 deaths annually (95%CI: 29-58). The highest heat-related mortality risk occurred in the South-East, and the highest cold-related risk in the Central-East. Greater heat-related mortality correlated with medium- to sparsely-populated areas, while higher education levels were linked to reduced vulnerability to both heat and cold. Interpretation By providing the first comprehensive assessment of temperature-related excess mortality and associated risk factors in Norway, our findings underscore the need for targeted, equitable health policies that integrate environmental and socioeconomic factors. These insights are essential to guide climate adaptation strategies, prioritising vulnerable rural communities and socioeconomically disadvantaged groups to mitigate future climate-related health impacts.
dc.description.numberOfPages9
dc.description.sponsorshipOeschger Centre for Climate Change Research (OCCR)
dc.description.sponsorshipInstitut für Sozial- und Präventivmedizin (ISPM) - Climate Change & Health
dc.identifier.doi10.48620/84504
dc.identifier.pmid39672493
dc.identifier.publisherDOI10.1016/j.envres.2024.120614
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/194485
dc.language.isoen
dc.publisherElsevier
dc.relation.fundingHorizon2020
dc.relation.fundingMedical Research Council UK
dc.relation.fundingSwiss National Science Foundation
dc.relation.grantno820655
dc.relation.grantnoMR/V034162/1
dc.relation.grantnoTMSGI3_211626
dc.relation.ispartofEnvironmental Research
dc.relation.issn1096-0953
dc.relation.issn0013-9351
dc.subjectmortality
dc.subjectpublic health
dc.subjectrural vs urban
dc.subjecttemperature
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.subject.ddc300 - Social sciences, sociology & anthropology::360 - Social problems & social services
dc.titleMunicipality assessment of temperature-related mortality risks in Norway.
dc.typearticle
dspace.entity.typePublication
oaire.citation.startPage120614
oaire.citation.volume266
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oairecerif.author.affiliationInstitut für Sozial- und Präventivmedizin (ISPM) - Climate Change & Health
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oairecerif.author.affiliation2Institute of Social and Preventive Medicine
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unibe.additional.sponsorshipOeschger Centre for Climate Change Research (OCCR)
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unibe.description.ispublishedpub
unibe.journal.abbrevTitleEnviron Res
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