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Table 2 Recent Studies of High Ambient Temperature and Mortality Examining Air Pollutants as Potential Confounders and/or Effect Modifiers

From: High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008

Reference

Study location

Method

Exposure

Causes of death

Result

Basu 2008 [6]

9 California counties, May to September 1999-2003

Time-series and case-crossover

Same day mean apparent temperature; daily mean O3, also PM2.5, PM10, NO2, CO, SO2, lag 0 for PM, lag01 for gases

All-cause mortality

Confounders: none found

Effect modifiers: none found

Bell 2008 [15]

Sao Paulo, Brazil, Santiago, Chile and Mexico City, Mexico, 1998-2002

Case-crossover

Same day apparent temperature compared with days at 75th percentile, same day lag O3, same-day lag PM10 except Santiago lag 1 PM10

All-cause daily mortality

Confounders: O3, PM10

Effect modifiers: not studied

McMichael 2008 [45]

Delhi, Monterrey, Mexico City, Chiang Mai, Bangkok, Salvador, Sao Paulo, Santiago, Cape Town, Ljubljana, Bucharest, Sofia, 2 to 5-year series (1991-1999)

Time-series

Daily maximum threshold (16°C-31°C) temperature, relative humidity, precipitation data, PM10, BS, or TSP

All-cause mortality

Confounders: none found

Effect modifiers: not studied

Ren 2008 [22]

US 95 NMMAPS counties, June to September 1987-2000

Time-series

Daily maximum temperature (same-day, lag 1), maximum hourly O3

CVD mortality

Confounders: not studied

Effect modifier: O3

Vaneckova 2008a [46]

Sydney, Australia, October to March 1993-2001

Time-series

Temporal Synoptic Index (TSI) on the highest 10% mortality days, O3, PM10

All-cause, circulatory, cerebrovascular

Confounders: O3 on warm, humid days and PM10 on hot, dry days

Effect modifiers: not studied

Vaneckova 2008b [19]

Sydney, Australia, October to March 1993-2004

Time-series

Daily maximum temperature, maximum O3

Underlying and associated causes of death

Confounders: O3, PM10

Effect modifiers: not studied

Zanobetti and Schwartz 2008 [7]

9 U.S. counties, May to September 1999-2002

Time series and case-crossover

Daily apparent temperature (minimum, mean, maximum); daily mean O3, PM2.5

All-cause mortality

Confounders: none found

Effect modifiers: none found

Kolb 2007 [32]

Montreal, Canada 1984-1993

Case-crossover

Mean daily and maximum temperature, barometric pressure, relative humidity, adjusted for O3 and both NO2 and O3

Daily all-cause mortality

Confounders: none found

Effect modifiers: not studied

Medina-Ramon 2007 [21]

50 US cities in cold (November to March) and warm (May to September) seasons

Case-crossover

Binary variable as extreme temperature and continuous; O3

All-cause and CVD mortality

Confounder: O3

Effect modifiers: not studied

Filleul 2006 [23]

9 French cities, all year and heat wave August 2003

Time-series

Minimum and maximum temperature, 8-hour maximum O3

Daily all-cause mortality

Confounders: not studied

Effect modifier: O3 for some cities

Ren 2006 [51]

Brisbane, Australia (all year January 1996 to December 2001)

Time-series

Minimum temperature, daily PM10 as modifier

Cardiorespiratory mortality

Confounders: not studied

Effect modifier: PM10

Stafoggia 2006 [16]

Bologna, Milan, Rome, Turin, 1997-2003

Case-crossover

30°C mean apparent temperature (lag01) relative to 20°C, O3

All-cause mortality

Confounders: none found

Effect modifiers: not studied

Basu 2005 [5]

20 US metropolitan areas, seasonal analysis 1992

Time series (and case-crossover

Mean daily temperature per 10°F adjusted for dew point temperature; daily O3

Individual and daily cardiorespiratory mortality

Confounders: PM10 in summer

Effect modifiers: not studied

O'Neill 2005 [18]

Mexico City (1996-98) and Monterrey

(1996-99)

Time series;

% change

Heat (35-36°C for Monterrey), mean temperature (25°C Monterrey, 15°C Mexico City), daily O3

Daily all-cause mortality

Confounders: O3 and PM10 on hot days

Effect modifiers: not studied

Rainham and Smoyer-Tomic 2003 [17]

Toronto, May 1 to September 30, 1980-1996

Time-series; relative risk (RR)

Humidex, O3, also CO, NO2, SO2

Daily all-cause mortality

Confounders: none found

Effect modifiers: not studied

Pattenden 2003 [49]

Sofia, Bulgaria (1996-1999) and London, England (1993-1996)

Time-series;

% change

Daily weather (2-day mean) and PM (black smoke for London and total suspended particulates for Sofia)

Daily all-cause mortality

Confounders: none found

Effect modifiers: not studied