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dc.contributor.authorLopez-Bueno, Jose Antonio 
dc.contributor.authorDiaz-Jimenez, Julio 
dc.contributor.authorSánchez-Guevara, C.
dc.contributor.authorSánchez-Martínez, G.
dc.contributor.authorFranco, M.
dc.contributor.authorGullen, Pedro 
dc.contributor.authorNúñez Peiró, M.
dc.contributor.authorValero, I.
dc.contributor.authorLinares-Gil, Cristina
dc.identifier.citationEnviron Res. 2020 Nov;190:109993.es_ES
dc.description.abstractAlthough there is significant scientific evidence on the impact of heat waves, there are few studies that analyze the effects of sociodemographic factors on the impact of heat waves below the municipal level. The objective of this study was to analyze the role of income level, percent of the population over age 65, existence of air conditioning units and hectares (Ha) of green zones in districts in Madrid, in the impact of heat on daily mortality between January 1, 2010 and December 31, 2013. Seventeen districts were analyzed, and Generalized Linear (GLM) Poisson Regression Models were used to calculate relative risks (RR) and attributable risks (RA) for the impact of heat waves on mortality due to natural causes (CIEX:A00-R99). The pattern of risks obtained was analyzed using GLM univariates and multivariates of the binomial family (link logit), introducing the socioeconomic and demographic variables mentioned above. The results indicate that heat wave had an impact in only three of the districts analyzed. In the univariate models, all of the variables were statistically significant, but Ha of green zones lost significance in the multivariate model. Income level, existence of air conditioning units, and percent of the population over age 65 in the district remained as variables that modulate the impact of heat wave on daily mortality in the municipality of Madrid. Income level was the key variable that explained this behavior. The results obtained in this study show that there are factors at levels below the municipal level (district level) that should be considered as focus areas for health policy in order to decrease the impact of heat and promote the process of adaptation to heat in the context of climate change.es_ES
dc.description.sponsorshipIn addition, his research was funded by the Municipal Consumption Institute of the Madrid City Council and the FEMENMAD project – “Feminización de la pobreza energética en Madrid.Exposición a extremos térmicos” – funded by the Madrid City Council under the call “Subvenciones 2018 para la realización de proyectos de investigación en materia de ciudadanía global y cooperación internacional para el Desarrollo”.es_ES
dc.publisherElsevier es_ES
dc.subjectAir conditioninges_ES
dc.subjectGreen zoneses_ES
dc.subjectHeat waveses_ES
dc.subjectIncome leveles_ES
dc.subjectSeniors 65 and overes_ES
dc.titleThe impact of heat waves on daily mortality in districts in Madrid: The effect of sociodemographic factorses_ES
dc.typeresearch articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderInstituto Municipal de Consumo (Madrid) 
dc.contributor.funderAyuntamiento de Madrid (España) 
dc.identifier.journalEnvironmental Researches_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.rights.accessRightsopen accesses_ES

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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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