2026-05-22T00:57:30Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/165242024-09-28T00:52:51Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613

00925njm 22002777a 4500 dc Navas-Martin, Miguel Angel author Lopez-Bueno, Jose Antonio author Ascaso-Sánchez, María Soledad author Follos, Fernando author Vellón, José Manuel author Mirón, Isidro Juan author Luna, María Yolanda author Sánchez-Martínez, Gerardo author Diaz-Jimenez, Julio author Linares-Gil, Cristina author 2023-02-25 Climate change is currently regarded as the greatest global threat to human health, and its health-related consequences take different forms according to age, sex, socioeconomic level, and type of territory. The aim of this study is to ascertain the differences in vulnerability and the heat-adaptation process through the minimum mortality temperature (MMT) among the Spanish population aged ≥65 years by territorial classification. A retrospective, longitudinal, ecological time-series study, using provincial data on daily mortality and maximum daily temperature across the period 1983-2018, was performed, differentiating between urban and nonurban populations. The MMTs in the study period were higher for the ≥65-year age group in urban provinces, with a mean value of 29.6 °C (95%CI 29.2-30.0) versus 28.1 °C (95%CI 27.7-28.5) in nonurban provinces. This difference was statistically significant (p < 0.05). In terms of adaptation levels, higher average values were obtained for nonurban areas, with values of 0.12 (95%CI -0.13-0.37), than for urban areas, with values of 0.09 (95%CI -0.27-0.45), though this difference was not statistically significant (p < 0.05). These findings may contribute to better planning by making it possible to implement more specific public health prevention plans. Lastly, they highlight the need to conduct studies on heat-adaptation processes, taking into account various differential factors, such as age and territory. Int J Environ Res Public Health. 2023 Feb 25;20(5):4168. 10.3390/ijerph20054168 1660-4601 International journal of environmental research and public health 36901177 http://hdl.handle.net/20.500.12105/16524 Adaptation MMT Age Elderly Rural Nonurban Urban Mortality Health Territory Differences in Adaptation to Heat among Persons Aged 65 Years and Over in Spain (1983-2018)