2024
Effect modification of air pollution on the association between heat and mortality in five European countries
Zhang S, Breitner S, Stafoggia M, Donato F, Samoli E, Zafeiratou S, Katsouyanni K, Rao S, Diz-Lois Palomares A, Gasparrini A, Masselot P, Nikolaou N, Aunan K, Peters A, Schneider A. Effect modification of air pollution on the association between heat and mortality in five European countries. Environmental Research 2024, 263: 120023. PMID: 39293751, DOI: 10.1016/j.envres.2024.120023.Peer-Reviewed Original ResearchHigh PM levelsEffect modificationAir pollutionHeat-related mortalityEffect modification of air pollutantsPM levelsRural dataHighest O<sub>3</sub> level waDaily non-accidental deathsPotential effect modificationMixed-effects meta-regressionRandom-effects meta-analysisAttica region of GreecePoisson regression modelsHeat-mortality associationsAir pollutant concentrationsAir pollution levelsImprove air qualityTime-series studyHeat-related mortality riskHeat-related health impactsNon-accidental deathsSmall area dataTemperature-mortality relationshipPollutant concentrationsHeat and cause-specific cardiopulmonary mortality in Germany: a case-crossover study using small-area assessment
Zhang S, Breitner S, de' Donato F, Stafoggia M, Nikolaou N, Aunan K, Peters A, Schneider A. Heat and cause-specific cardiopulmonary mortality in Germany: a case-crossover study using small-area assessment. The Lancet Regional Health - Europe 2024, 46: 101049. PMID: 39290807, PMCID: PMC11406445, DOI: 10.1016/j.lanepe.2024.101049.Peer-Reviewed Original ResearchCase-crossover studyRelative riskImprove public health practiceConditional quasi-Poisson regressionAssociated with increased mortality riskPublic health practiceRandom-effects meta-analysisQuasi-Poisson regressionHeat-related health impactsDistrict-level characteristicsSmall area dataHealth practicesRespiratory mortalityAssociated with increased mortalityPotential individual-Cardiopulmonary mortalityMortality riskRespiratory deathsSub-causesVulnerability factorsMeta-regressionHealth impactsRural areasMeta-analysisSubgroup analysis
2023
Assessing heat effects on respiratory mortality and location characteristics as modifiers of heat effects at a small area scale in Central-Northern Europe
Zafeiratou S, Samoli E, Analitis A, Gasparrini A, Stafoggia M, Donato F, Rao S, Zhang S, Breitner S, Masselot P, Aunan K, Schneider A, Katsouyanni K, team O. Assessing heat effects on respiratory mortality and location characteristics as modifiers of heat effects at a small area scale in Central-Northern Europe. Environmental Epidemiology 2023, 7: e269. PMID: 37840857, PMCID: PMC10569755, DOI: 10.1097/ee9.0000000000000269.Peer-Reviewed Original ResearchArea-level factorsRespiratory mortalityEffect modificationArea-level characteristicsMultilevel random effects modelsRandom-effects meta-analysisTemperature-mortality associationsSex-specific modelsTime-series studyRandom-effects modelPoisson regressionSmall-area scaleCity-wide dataNational levelVulnerable subgroupsMortality countsMeta-analysisNon-urban areasMortalityDevelopment of targeted policiesWalesEnglandCentral‐northern EuropeNorwayAssociationAssessment of short-term heat effects on cardiovascular mortality and vulnerability factors using small area data in Europe
Zhang S, Breitner S, Rai M, Nikolaou N, Stafoggia M, De' Donato F, Samoli E, Zafeiratou S, Katsouyanni K, Rao S, Palomares A, Gasparrini A, Masselot P, Aunan K, Peters A, Schneider A. Assessment of short-term heat effects on cardiovascular mortality and vulnerability factors using small area data in Europe. Environment International 2023, 179: 108154. PMID: 37603993, DOI: 10.1016/j.envint.2023.108154.Peer-Reviewed Original ResearchConceptsCardiovascular disease mortalityCardiovascular disease deathsRelative riskCardiovascular diseaseRandom-effects meta-analysisSmall area levelPooled relative riskShort-term associationsQuasi-Poisson regressionArea-specific estimatesLevels of fine particulate matterSmall area dataRural settingsIdentifying individual-Vulnerability factorsMeta-regressionCardiovascular mortalityRural areasDegree of urbanizationMeta-analysisFine particulate matterSubgroup analysisEuropean countriesIndividual-Potential vulnerability factors