Mortality related to cold temperatures in two capitals of the Baltics : Tallinn and Riga

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dc.contributor.authorÅström, Daniel Oudin
dc.contributor.authorVeber, Triin
dc.contributor.authorMartinsone, Žanna
dc.contributor.authorKalužnaja, Darja
dc.contributor.authorIndermitte, Ene
dc.contributor.authorOudin, Anna
dc.contributor.authorOrru, Hans
dc.contributor.institutionInstitute of Occupational Safety and Environmental Health
dc.date.accessioned2021-08-16T10:05:01Z
dc.date.available2021-08-16T10:05:01Z
dc.date.issued2019-08-02
dc.descriptionFunding Information: Funding: This research was supported Estonian Ministry of Education and Research, grants IUT34-17 and ETF8523. Funding Information: This research was supported Estonian Ministry of Education and Research, grants IUT34-17 and ETF8523. We would like to thank the National Institute for Health Development (especially Gleb Denissov) and the Estonian Environment Agency for providing the data. Conflicts of Interest: The authors declare no conflict of interest. Publisher Copyright: © 2019 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractBackground and objectives: Despite global warming, the climate in Northern Europe is generally cold, and the large number of deaths due to non-optimal temperatures is likely due to cold temperatures. The aim of the current study is to investigate the association between cold temperatures and all-cause mortality, as well as cause-specific mortality, in Tallinn and Riga in North-Eastern Europe. Materials and Methods: We used daily information on deaths from state death registries and minimum temperatures from November to March over the period 1997–2015 in Tallinn and 2009–2015 in Riga. The relationship between the daily minimum temperature and mortality was investigated using the Poisson regression, combined with a distributed lag non-linear model considering lag times of up to 21 days. Results: We found significantly higher all-cause mortality owing to cold temperatures both in Tallinn (Relative Risk (RR) = 1.28, 95% Confidence Interval (CI) 1.01–1.62) and in Riga (RR = 1.41, 95% CI 1.11–1.79). In addition, significantly increased mortality due to cold temperatures was observed in the 75+ age group (RR = 1.64, 95% CI 1.17–2.31) and in cardiovascular mortality (RR = 1.83, 95% CI 1.31–2.55) in Tallinn and in the under 75 age group in Riga (RR = 1.58, 95% CI 1.12–2.22). In this study, we found no statistically significant relationship between mortality due to respiratory or external causes and cold days. The cold-related attributable fraction (AF) was 7.4% (95% CI-3.7–17.5) in Tallinn and 8.3% (95% CI-0.5–16.3) in Riga. This indicates that a relatively large proportion of deaths in cold periods can be related to cold in North-Eastern Europe, where winters are relatively harsh.en
dc.description.statusPeer reviewed
dc.format.extent11
dc.format.extent920714
dc.identifier.citationÅström, D O, Veber, T, Martinsone, Ž, Kalužnaja, D, Indermitte, E, Oudin, A & Orru, H 2019, 'Mortality related to cold temperatures in two capitals of the Baltics : Tallinn and Riga', Medicina (Lithuania), vol. 55, no. 8, 429. https://doi.org/10.3390/medicina55080429
dc.identifier.doi10.3390/medicina55080429
dc.identifier.issn1010-660X
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/6012
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85071168904&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofMedicina (Lithuania)
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAll-cause mortality and cause-specific mortality
dc.subjectBaltics
dc.subjectCold-related attributable fraction
dc.subjectDistributed lag non-linear models
dc.subjectTemperature-related mortality
dc.subjectWinter mortality
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral Medicine
dc.subjectSDG 13 - Climate Action
dc.titleMortality related to cold temperatures in two capitals of the Baltics : Tallinn and Rigaen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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