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2025 (English)In: International journal of biometeorology, ISSN 0020-7128, E-ISSN 1432-1254, Vol. 69, p. 233-244Article in journal (Refereed) Published
Abstract [en]
Heat-health warning systems and services are important preventive actions for extreme heat, however, global evidence differs on which temperature indicator is more informative for heat-health outcomes. We comprehensively assessed temperature predictors on their summer associations with adverse health impacts in a high-density subtropical city. Maximum, mean, and minimum temperatures were examined on their associations with non-cancer mortality and hospital admissions in Hong Kong during summer seasons 2010–2019 using Generalized Additive Models and Distributed Lag Non-linear Models. In summary, mean and minimum temperatures were identified as strong indicators for mortality, with a relative risk(RR) and 95% confidence interval(CI) of 1.037 (1.006–1.069) and 1.055 (1.019–1.092), respectively, at 95th percentile vs. optimal temperature. Additionally, minimum temperatures captured the effects of hospital admissions, RR1.009 (95%CI: 1.000- 1.018). In stratified analyses, significant associations were found for older adults, female sex, and respiratory-related outcomes. For comparison, there was no association between maximum temperature and health outcomes. With climate change and projected increase of night-time warming, the findings from this comprehensive assessment method are useful to strengthen heat prevention strategies and enhance heat-health warning systems. Other locations could refer to this comprehensive method to evaluate their heat risk, especially in highly urbanized environments and subtropical cities.
Place, publisher, year, edition, pages
Springer Science and Business Media Deutschland GmbH, 2025
National Category
Public Health, Global Health and Social Medicine Climate Science
Research subject
Architecture
Identifiers
urn:nbn:se:ltu:diva-110702 (URN)10.1007/s00484-024-02807-1 (DOI)001346011300001 ()39476018 (PubMedID)2-s2.0-85208037825 (Scopus ID)
Note
Validerad;2025;Nivå 2;2025-04-09 (u2);
Full text license: CC BY
2024-11-122024-11-122025-10-21Bibliographically approved