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dc.contributor.authorNavas-Martin, Miguel Angel 
dc.contributor.authorLopez-Bueno, Jose Antonio 
dc.contributor.authorDiaz-Jimenez, Julio 
dc.contributor.authorFollos, F
dc.contributor.authorVellón, J. M.
dc.contributor.authorMirón, I.J.
dc.contributor.authorLuna, MY
dc.contributor.authorSánchez-Martínez, G
dc.contributor.authorCulqui, Dante Roger 
dc.contributor.authorLinares-Gil, Cristina
dc.identifier.citationEnviron Res. 2022 Jun;209:112784.es_ES
dc.description.abstractThe European Union is currently immersed in policy development to address the effects of climate change around the world. Key plans and processes for facilitating adaptation to high temperatures and for reducing the adverse effects on health are among the most urgent measures. Therefore, it is necessary to understand those factors that influence adaptation. The aim of this study was to provide knowledge related to the social, climate and economic factors that are related to the evolution of minimum mortality temperatures (MMT) in Spain in the rural and urban contexts, during the 1983-2018 time period. For this purpose, local factors were studied regarding their relationship to levels of adaptation to heat. MMT is an indicator that allows for establishing a relationship to between mortality and temperature, and is a valid indicator to assess the capacity of adaptation to heat of a certain population. MMT is obtained through the maximum daily temperature and daily mortality of the study period. The evolution of MMT values for Spain was established in a previous paper. An ecological, longitudinal and retrospective study was carried out. Generalized linear models (GLM) were performed to identify the variables that appeared to be related to adaptation. The adaptation was calculated as the difference in variation in MMT based on the average increase in maximum daily temperatures. In terms of adaptation to heat, urban populations have adapted more than non-urban populations. Seventy-nine percent (n = 11) of urban provinces have adapted to heat, compared to twenty-one percent (n = 3) of rural provinces that have not adapted. In terms of urban zones, income level and habituation to heat (values over the 95th percentile) were variables shown to be related to adaptation. In contrast, among non-urban provinces, a greater number of housing rehabilitation licenses and a greater number of health professionals were variables associated with higher increases in MMT, and therefore, with adaptation. These results highlight the need to carry out studies that allow for identifying the local factors that are most relevant and influential in population adaptation. More studies carried out at a small scale are needed.es_ES
dc.description.sponsorshipThe authors gratefully acknowledge the grants for projects ENPY107/18; ENPY 376/18, ENPY 470/19 and ENPY 340/20 from the Carlos III Institute of Health, and is supported by the Biodiversity Foundation of the Ministry for Ecological Transition and Demographic Challenge. Likewise, to the UNED for the financing for the publication in Open Access.es_ES
dc.publisherElsevier es_ES
dc.subjectLocal factorses_ES
dc.subjectMinimum mortality temperaturees_ES
dc.subjectPrevention planses_ES
dc.titleEffects of local factors on adaptation to heat in Spain (1983-2018)es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III es_ES
dc.contributor.funderMinisterio para la Transición Ecológica y el Reto Demográfico (España)es_ES
dc.contributor.funderNational University of Distance Education (España)es_ES
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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