TY  - JOUR
PY  - 2015//
TI  - Evaluating the effects of temperature on mortality in Manila City (Philippines) from 2006-2010 using a distributed lag nonlinear model
JO  - International journal of environmental research and public health
A1  - Seposo, Xerxes T.
A1  - Dang, Tran Ngoc
A1  - Honda, Yasushi
SP  - 6842
EP  - 6857
VL  - 12
IS  - 6
N2  - 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>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph120606842
ID  - ref1
ER  -