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Seasonal mortality patterns and regional contrasts in Portugal

2016Journal article Open access
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dc.contributor.authorAlmendra, Ricardo
dc.contributor.authorSantana, Paula
dc.contributor.authorFreire, Elisabete
dc.contributor.authorVasconcelos, João
dc.date.accessioned2022-11-29T13:40:21Z
dc.date.available2022-11-29T13:40:21Z
dc.date.issued2016
dc.description.abstractThe main aim of this study is to identify the geographical seasonal mortality patterns in Portugal and, for the first time, to assess the relationship between seasonal and overall mortality. Monthly data from the Portuguese mortality database (2000-2009) by major cause of death were analysed and standardized to 30 days with adjustments for leap years. The chi-square goodness-of-fit test was used to compare the observed monthly deaths with deaths that could be expected if mortality were randomly distributed throughout the year. The seasonal burden was measured using the excess winter deaths (EWD) rate and the seasonal impact of winter on mortality was assessed through the EWD Index. The regions were clustered according to the overall mortality rate and the seasonal impact: 1–low seasonality and high values of overall mortality; 2–high seasonality and high values of overall mortality; 3–low values of seasonality and low overall mortality; 4–high seasonality and low overall mortality. Significant seasonal mortality increases were found in all causes of death. There were 86,000 EWDs, mostly through circulatory and respiratory diseases. 73% of the population lives in regions with high winter vulnerability to respiratory mortality and 60% in regions with high winter vulnerability to circulatory mortality. This study reinforces the idea that vulnerability to cold weather may play an important role in the public health in Portugal. This knowledge may be used to construct a set of regulations or policies designed to implement better health planning procedures and more effective warning systems.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlmendra, R., Santana, P., Freire, E. and Vasconcelos, J., 2016: Seasonal mortality patterns and regional contrasts in Portugal. In: Szymańska, D. and Chodkowska-Miszczuk, J. editors, Bulletin of Geography. Socio-economic Series, No. 32, Toruń: Nicolaus Copernicus University, pp. 7–18. DOI: http://dx.doi.org/10.1515/bog-2016-0011pt_PT
dc.identifier.doi10.1515/bog-2016-0011pt_PT
dc.identifier.issn1732-4254
dc.identifier.urihttp://hdl.handle.net/10400.8/7892
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherNicolaus Copernicus Universitypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/pt_PT
dc.subjectWinter mortalitypt_PT
dc.subjectSeasonal mortalitypt_PT
dc.subjectRespiratory diseasespt_PT
dc.subjectCirculatory diseasespt_PT
dc.subjectPortugalpt_PT
dc.titleSeasonal mortality patterns and regional contrasts in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage18pt_PT
oaire.citation.issue32pt_PT
oaire.citation.startPage7pt_PT
oaire.citation.titleBulletin of Geography. Socio–economic Seriespt_PT
person.familyNameAlmendra
person.familyNameSantana
person.familyNameFreire
person.familyNameVasconcelos
person.givenNameRicardo
person.givenNamePaula
person.givenNameMaria Elisabete
person.givenNameJoão
person.identifierI-6653-2019
person.identifierV-9161-2017
person.identifier.ciencia-idAE14-8D9C-2149
person.identifier.ciencia-id6D16-BF67-4EEE
person.identifier.ciencia-idBA11-D3C0-14C3
person.identifier.orcid0000-0002-2712-9643
person.identifier.orcid0000-0002-7658-8475
person.identifier.orcid0000-0003-3990-1407
person.identifier.orcid0000-0002-2818-5188
person.identifier.ridO-1104-2013
person.identifier.scopus-author-id7003526784
person.identifier.scopus-author-id37108732400
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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