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Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case

2019Journal article Restricted access
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dc.contributor.authorAlmendra, Ricardo
dc.contributor.authorPerelman, Julian
dc.contributor.authorVasconcelos, João
dc.contributor.authorSantana, Paula
dc.date.accessioned2022-09-13T13:35:53Z
dc.date.available2022-09-13T13:35:53Z
dc.date.issued2019
dc.date.updated2022-09-09T12:09:14Z
dc.descriptionRA and PS are part of CEGOT, Research Centre in Geography and Spatial Planning, that is supported by the European Regional Development Funds, through the COMPETE 2020 – Operational Programme BCompetitiveness and Internationalization,^ under Grant POCI-01-0145-FEDER-006891; and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013. RA was funded by FCT doctoral fellowship SFRH/BD/92568/2013 and by the CEGOT group Cities, competitiveness, and well-being (UID/GEO/04084/2013) through COMPETE 2020
dc.description.abstractAlthough winter mortality and morbidity are phenomena common to most European countries, their magnitude varies significantly from country to country. The geographical disparities among regions with similar climates are the result of several social, economic, demographic, and biological conditions that influence an individual’s vulnerability to winter conditions. The impact of poor socioeconomic conditions may be of such magnitude that an economic recession may aggravate the seasonal mortality pattern. This paper aims to measure the seasonal winter mortality, morbidity, and their related costs during the Great Recession (2009–2012) in mainland Portugal and its Regional Health Administrations (RHAs) and to compare it with the periods preceding and following it. Monthly mortality and morbidity data were collected and clustered into three periods: Great Recession (2009–2012), Pre-Recession (2005–2008), and Post-Recession (2013–2016). The impact of seasonal winter mortality and morbidity during the Great Recession in Portugal and its Regional Health Administrations was measured through the assessment of agestandardized excess winter (EW) death and hospital admissions rate and index, expected life expectancy gains without EW deaths, EWrate of potential years of life lost, and EWrate of emergency hospital admission costs. Important increases of winter deaths and hospital admissions were identified, resulting in an important number of potential years of life lost (87 years of life lost per 100,000 inhabitants in 2009–2012), life expectancy loss (1 year in 2009–2012), and National Health Service costs with explicit temporal and spatial variations. These human and economic costs have decreased consistently during the analyzed periods, while no significant increase was found during the Great Recession. Despite its reduction, the winter excess morbidity and mortality highlight that Portugal still faces substantial challenges related to a highly vulnerable population, calling for investments in better social and health protection.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlmendra, R., Perelman, J., Vasconcelos, J. et al. Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case. Int J Biometeorol 63, 873–883 (2019). https://doi.org/10.1007/s00484-019-01700-6pt_PT
dc.identifier.doi10.1007/s00484-019-01700-6pt_PT
dc.identifier.issn0020-7128
dc.identifier.issn1432-1254
dc.identifier.slugcv-prod-430750
dc.identifier.urihttp://hdl.handle.net/10400.8/7659
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relationA vulnerabilidade ao frio em Portugal: custos sociais e económicos do excesso de mortalidade e morbilidade durante o Inverno
dc.relationCentre of Studies on Geography and Spatial Planning
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s00484-019-01700-6#citeaspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectExcess winter mortalitypt_PT
dc.subjectExcess winter morbiditypt_PT
dc.subjectGreat Recessionpt_PT
dc.subjectEconomic crisispt_PT
dc.titleExcess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese casept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleA vulnerabilidade ao frio em Portugal: custos sociais e económicos do excesso de mortalidade e morbilidade durante o Inverno
oaire.awardTitleCentre of Studies on Geography and Spatial Planning
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/FARH/SFRH%2FBD%2F92568%2F2013/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FGEO%2F04084%2F2013/PT
oaire.citation.endPage883pt_PT
oaire.citation.startPage873pt_PT
oaire.citation.titleInternational Journal of Biometeorologypt_PT
oaire.citation.volume63pt_PT
oaire.fundingStreamFARH
oaire.fundingStream6817 - DCRRNI ID
person.familyNameAlmendra
person.familyNamePerelman
person.familyNameVasconcelos
person.familyNameSantana
person.givenNameRicardo
person.givenNameJulian Alejandro
person.givenNameJoão
person.givenNamePaula
person.identifierI-6653-2019
person.identifierV-9161-2017
person.identifier.ciencia-idAE14-8D9C-2149
person.identifier.ciencia-id4D14-DAB5-EBE8
person.identifier.ciencia-idBA11-D3C0-14C3
person.identifier.ciencia-id6D16-BF67-4EEE
person.identifier.orcid0000-0002-2712-9643
person.identifier.orcid0000-0001-6634-9000
person.identifier.orcid0000-0002-2818-5188
person.identifier.orcid0000-0002-7658-8475
person.identifier.ridO-1104-2013
person.identifier.scopus-author-id37108732400
person.identifier.scopus-author-id7003526784
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.cv.cienciaidBA11-D3C0-14C3 | João Vasconcelos
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
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