@article{ref1,
title="Evaluating the effects of temperature on mortality in Manila City (Philippines) from 2006-2010 using a distributed lag nonlinear model",
journal="International journal of environmental research and public health",
year="2015",
author="Seposo, Xerxes T. and Dang, Tran Ngoc and Honda, Yasushi",
volume="12",
number="6",
pages="6842-6857",
abstract="The effect of temperature on the risk of mortality has been described in numerous studies of category-specific (e.g., cause-, sex-, age-, and season-specific) mortality in temperate and subtropical countries, with consistent findings of U-, V-, and J-shaped exposure-response functions. In this study, we analyzed the relationship between temperature and mortality in Manila City (Philippines), during 2006-2010 to identify the potential susceptible populations. We collected daily all-cause and cause-specific death counts from the Philippine Statistics Authority-National Statistics Office and the meteorological variables were collected from the Philippine Atmospheric Geophysical and Astronomical Services Administration. Temperature-mortality relationships were modeled using Poisson regression combined with distributed lag nonlinear models, and were used to perform cause-, sex-, age-, and season-specific analyses. The minimum mortality temperature was 30 °C, and increased risks of mortality were observed per 1 °C increase among elderly persons (RR: 1.53, 95% CI: 1.31-1.80), women (RR: 1.47, 95% CI: 1.27-1.69), and for respiratory causes of death (RR: 1.52, 95% CI: 1.23-1.88). Seasonal effect modification was found to greatly affect the risks in the lower temperature range. Thus, the temperature-mortality relationship in Manila City exhibited an increased risk of mortality among elderly persons, women, and for respiratory-causes, with inherent effect modification in the season-specific analysis. The findings of this study may facilitate the development of public health policies to reduce the effects of air temperature on mortality, especially for these high-risk groups.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph120606842",
url="http://dx.doi.org/10.3390/ijerph120606842"
}