Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat

Mathilde Pascal; Sarah Goria; Gauthier Forceville; Morgane Stempfelet; Sabine Host; Ian Hough; Johanna Lepeule; Jean Marie Alessandrini; Erwan Cordeau; Amandine Rosso; Vérène Wagner; Aude Lemonsu

doi:10.1016/j.healthplace.2024.103325

Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat

Mathilde Pascal, Sarah Goria, Gauthier Forceville, Morgane Stempfelet, Sabine Host, Ian Hough, Johanna Lepeule, Jean Marie Alessandrini, Erwan Cordeau, Amandine Rosso, Vérène Wagner, Aude Lemonsu

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000–2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15–64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities. Actions to reduce such sex and social inequities should be central in heat adaptation policy.

Original language	English
Article number	103325
Journal	Health and Place
Volume	89
DOIs	https://doi.org/10.1016/j.healthplace.2024.103325
State	Published - 1 Sep 2024
Externally published	Yes

Keywords

Climate
Heat
Mortality
Sex inequities
Social inequities
Temperature
Vegetation

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.healthplace.2024.103325

Cite this

Pascal, M., Goria, S., Forceville, G., Stempfelet, M., Host, S., Hough, I., Lepeule, J., Alessandrini, J. M., Cordeau, E., Rosso, A., Wagner, V., & Lemonsu, A. (2024). Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat. Health and Place, 89, Article 103325. https://doi.org/10.1016/j.healthplace.2024.103325

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title = "Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat",

abstract = "Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000–2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15–64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities. Actions to reduce such sex and social inequities should be central in heat adaptation policy.",

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Pascal, M, Goria, S, Forceville, G, Stempfelet, M, Host, S, Hough, I, Lepeule, J, Alessandrini, JM, Cordeau, E, Rosso, A, Wagner, V & Lemonsu, A 2024, 'Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat', Health and Place, vol. 89, 103325. https://doi.org/10.1016/j.healthplace.2024.103325

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AU - Pascal, Mathilde

AU - Goria, Sarah

AU - Forceville, Gauthier

AU - Stempfelet, Morgane

AU - Host, Sabine

AU - Hough, Ian

AU - Lepeule, Johanna

AU - Alessandrini, Jean Marie

AU - Cordeau, Erwan

AU - Rosso, Amandine

AU - Wagner, Vérène

AU - Lemonsu, Aude

PY - 2024/9/1

Y1 - 2024/9/1

N2 - Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000–2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15–64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities. Actions to reduce such sex and social inequities should be central in heat adaptation policy.

AB - Adaptation to heat is a major challenge for the Paris region (France). Based on fine-scale data for the 1,287 municipalities of the region over 2000–2017, we analyzed (time-serie design) the temperature-mortality relationship by territories (urban, suburban, rural), age (15–64 and ≥ 65) and sex, and explored how it was modified by vegetation and socio-economic indicators. Heat was associated with an increased mortality risk for all territories, age groups, sex, and mortality causes. Women aged 65 and over residing in the most deprived municipalities had a relative risk (RR) of deaths at 29.4 °C (compared to 16.6 °C) of 4.2 [3.8:4.5], while the RR was 3.4 [3.2:3.7] for women living in less deprived municipalities. Actions to reduce such sex and social inequities should be central in heat adaptation policy.

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KW - Heat

KW - Mortality

KW - Sex inequities

KW - Social inequities

KW - Temperature

KW - Vegetation

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ER -

Analyzing effect modifiers of the temperature-mortality relationship in the Paris region to identify social and environmental levers for more effective adaptation to heat

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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