Background
Understanding context specific heat-health risks in urban areas is important, especially given anticipated severe increases in summer temperatures due to climate change effects. We investigate social inequalities in the association between daily temperatures and mortality in summer in the city of Turin for the period 1982–2018 among different social and demographic groups such as sex, age, educational level, marital status and household occupants.
Methods
Mortality data are represented by individual all-cause mortality counts for the summer months between 1982 and 2018. Socioeconomic level and daily mean temperature were assigned to each deceased. A time series Poisson regression with distributed lag non-linear models was fitted to capture the complex nonlinear dependency between daily mortality and temperature in summer. The mortality risk due to heat is represented by the Relative Risk (RR) at the 99th percentile of daily summer temperatures for each population subgroup.
Results
All-cause mortality risk is higher among women (1.88; 95% CI = 1.77, 2.00) and the elderly (2.13; 95% CI = 1.94, 2.33). With regard to education, the highest significant effects for men is observed among higher education levels (1.66; 95% CI = 1.38, 1.99), while risks for women is higher for the lower educational level (1.93; 95% CI = 1.79, 2.08). Results on marital status highlighted a stronger association for widower in men (1.66; 95% CI = 1.38, 2.00) and for separated and divorced in women (2.11; 95% CI = 1.51, 2.94). The risk ratio of household occupants reveals a stronger association for men who lived alone (1.61; 95% CI = 1.39, 1.86), while for women results are almost equivalent between alone and not alone groups.
Conclusions
The associations between heat and mortality is unequal across different aspects of social vulnerability, and, inter alia, factors influencing the population vulnerability to temperatures can be related to demographic, social, and economic aspects. A number of issues are identified and recommendations for the prioritisation of further research are provided. A better knowledge of these effect modifiers is needed to identify the axes of social inequality across the most vulnerable population sub-groups.
The increase of frequency and severity of extreme weather events due to climate change gives evidence of severe challenges faced by infrastructure systems. Among them, the aviation sector is particularly at risk from the potential consequences of climate change. Airports are classified as critical infrastructures because they provide fundamental functions to sustain societies and economic activities. More specifically, Mediterranean airports face risks associated with sea level rise, higher occurrence of extreme temperature and precipitation events. These aspects require the implementation of appropriate risk assessments and definition of targeted adaptation strategies, which are still limited in the Mediterranean region. The aim of the present paper is to provide theoretical frameworks in order to assess risks of climate change on Mediterranean airports, related to extreme temperature, extreme precipitation and sea level rise. Starting from a review of the literature, we first identify the sources of climate risk that may induce potential impacts on airports, here divided in air side and land side components. In order to do so, we select a series of indicators used as proxies for identifying hazard, exposure and vulnerability. The application of these theoretical frameworks allows defining the level of risk associated to each hazard, with the goal to support the identification of specific adaptation measures for the Mediterranean airports.
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