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Vienna Yearbook of Population Research 2024Population and climate change
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Verlag der Österreichischen Akademie der Wissenschaften Austrian Academy of Sciences Press
A-1011 Wien, Dr. Ignaz Seipel-Platz 2
Tel. +43-1-515 81/DW 3420, Fax +43-1-515 81/DW 3400 https://verlag.oeaw.ac.at, e-mail: verlag@oeaw.ac.at |
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DATUM, UNTERSCHRIFT / DATE, SIGNATURE
BANK AUSTRIA CREDITANSTALT, WIEN (IBAN AT04 1100 0006 2280 0100, BIC BKAUATWW), DEUTSCHE BANK MÜNCHEN (IBAN DE16 7007 0024 0238 8270 00, BIC DEUTDEDBMUC)
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Vienna Yearbook of Population Research 2024, pp. 1-15, 2024/02/01
Population and climate change
Climate change has been recognized as an important issue in public health, with particular concerns being raised about the effects of heat and cold extremes on health,and about seasonal changes over the year and their associations with increased mortality and hospitalizations. This paper explored the relationship between physiological equivalent temperature (PET) and cardiovascular and respiratory hospital admissions in Novi Sad (Serbia) with the aim of assessing the impact of urban outdoor thermal conditions on health. Analysis was performed using daily data on cardiovascular and respiratory hospital admissions by gender covering the period from January 1, 2016 to December 31, 2017. For the same period, PET was calculated using data from two urban meteorological network stations. The association between PET and hospital admissions was examined using a generalized additive model (GAM) combined with a distributed lag non-linear model (DLNM).The study found a non-linear relationship between PET and cardiovascular and respiratory hospital admissions, with a larger impact during the cold period of the year. The findings also indicated that under conditions of high PET, the cumulative RR increased for cardiovascular admissions (for males) and respiratory admissions (for females). People with pre-existing respiratory diseases were found to be more vulnerable under conditions of extremely low and moderately low PET, with a greater effect at lag 0–14 days. By contrast,for people with cardiovascular diseases, low PET was linked to a decrease in hospital admissions, with the risk being lowest at lag 0 and 0–3 days.
Keywords: Hospital admission; Physiological equivalent temperature; Cardiovascular diseases; Respiratory diseases; Serbia