A multicounty analysis identifying the populations vulnerable to mortality associated with high ambient temperature in California.
The association between ambient temperature and mortality has been established worldwide, including the authors' prior study in California. Here, they examined cause-specific mortality, age, race/ethnicity, gender, and educational level to identify subgroups vulnerable to high ambient temperature. They obtained data on nine California counties from May through September of 1999-2003 from the National Climatic Data Center (countywide weather) and the California Department of Health Services (individual mortality). Using a time-stratified case-crossover approach, they obtained county-specific estimates of mortality, which were combined in meta-analyses. A total of 231,676 nonaccidental deaths were included. Each 10 degrees F (approximately 4.7 degrees C) increase in mean daily apparent temperature corresponded to a 2.6% (95% confidence interval (CI): 1.3, 3.9) increase for cardiovascular mortality, with the most significant risk found for ischemic heart disease. Elevated risks were also found for persons at least 65 years of age (2.2%, 95% CI: 0.04, 4.0), infants 1 year of age or less (4.9%, 95% CI: -1.8, 11.6), and the Black racial/ethnic group (4.9%, 95% CI: 2.0, 7.9). No differences were found by gender or educational level. To prevent the mortality associated with ambient temperature, persons with cardiovascular disease, the elderly, infants, and Blacks among others should be targeted.
Basu
Rupa
R
Air Pollution Epidemiology Section, California Office of Environmental Health Hazard Assessment, Oakland, CA 94612, USA. rbasu@oehha.ca.gov
Ostro
Bart D
BD
D000368:Aged; D000369:Aged, 80 and over; D044383:Black People; D002140:California; D002318:Cardiovascular Diseases / Q000145:classification / Q000401:mortality*; D002423:Cause of Death; D002675:Child, Preschool; D018592:Cross-Over Studies; D003644:Death Certificates; D004198:Disease Susceptibility; D005260:Female; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D038801:International Classification of Diseases; D008297:Male; D001741:Black or African American