Short‐term effects of heat and cold on respiratory drug use. A time‐series epidemiological study in A Coruña, Spain

Royé, Dominic; Figueiras, Adolfo; Taracido, Margarita

doi:10.1002/pds.4427

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…These types of study only record the most severe cases and, thus, only cover a limited proportion of patients with cardiovascular problems. These variables may not be sufficiently sensitive to moderate environmental changes [12,13]. Calls to emergency medical services due to cardiovascular causes may better reflect the influence of ambient temperature on the incidence of cardiovascular morbidity as they are capable of registering small decompensations not requiring hospital care.…”

Section: Of 10mentioning

confidence: 99%

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Romaní

Royé

Santos³

et al. 2020

IJERPH

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Introduction and objectives. The increase in mortality and hospital admissions associated with high and low temperatures is well established. However, less is known about the influence of extreme ambient temperature conditions on cardiovascular ambulance dispatches. This study seeks to evaluate the effects of minimum and maximum daily temperatures on cardiovascular morbidity in the cities of Vigo and A Coruña in North-West Spain, using emergency medical calls during the period 2005–2017. Methods. For the purposes of analysis, we employed a quasi-Poisson time series regression model, within a distributed non-linear lag model by exposure variable and city. The relative risks of cold- and heat-related calls were estimated for each city and temperature model. Results. A total of 70,537 calls were evaluated, most of which were associated with low maximum and minimum temperatures on cold days in both cities. At maximum temperatures, significant cold-related effects were observed at lags of 3–6 days in Vigo and 5–11 days in A Coruña. At minimum temperatures, cold-related effects registered a similar pattern in both cities, with significant relative risks at lags of 4 to 12 days in A Coruña. Heat-related effects did not display a clearly significant pattern. Conclusions. An increase in cardiovascular morbidity is observed with moderately low temperatures without extremes being required to establish an effect. Public health prevention plans and warning systems should consider including moderate temperature range in the prevention of cardiovascular morbidity.

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Section: Of 10mentioning

confidence: 99%

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Romaní

Royé

Santos³

et al. 2020

IJERPH

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“…precipitation) (Olcina 2017). Moreover, the rise of TN and its relationship with the rising frequency of heat waves have direct implications on human health (Royé et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Tropical nights on the Spanish Mediterranean coast, 1950-2014

Cantos¹,

Serrano‐Notivoli²,

Miró³

et al. 2019

Clim. Res.

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The increase in the number of tropical night events constitutes some of the main evidence of the global warming process throughout the Mediterranean region. There has been a significant increase in the number of these events since the second half of the 20th century. From the meteorological observations in the period 1950-2014 in the regions of Valencia and Murcia, in the central sector of the Spanish Mediterranean coast, this work analyses the evolution of the number of tropical nights, the length of the episodes, and their frequency. We also discuss the relationship of the number of tropical nights with the increase of the Mediterranean Sea surface temperatures in the sectors of the Algerian and Balearic Seas, as This is a previous version of the article published in

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Self-medication among general population in the European Union: prevalence and associated factors

Yeamans,

Gil-de-Miguel,

Hernández-Barrera

et al. 2024

Eur J Epidemiol

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Self-medication (SM) forms an important part of public health strategy. Nonetheless, little research has been performed to understand the current state of self-medication in the European Union (EU). Utilizing data from the third wave of the European Health Interview Surveys, this study finds an estimated SM prevalence of 34.3% in the EU (95%CI = 34.1-34.5%; n = 255,758). SM prevalence, as well as SM prevalence inequality between men and women, varies substantially between EU member countries. Via multivariable analysis, we also identify a number of variables associated with SM, most notably the substantial impact of health systems on SM behavior (Adjusted Odds Ratio [AOR] = 4.00; 95% Confidence Interval [95%CI] = 3.81–4.21). Several demographics are also associated with greater SM prevalence, including those aged 25–44 (versus ages 75+: AOR = 1.21; 95%CI = 1.12–1.31), women (AOR = 1.74; 95%CI = 1.68–1.81), immigrants born in other EU states (AOR = 1.16; 95%CI = 1.04–1.30), those with higher education (AOR = 1.83; 95%CI = 1.60–2.09), and urban dwellers (AOR = 1.14; 95%CI = 1.04–1.30). Additionally, long-standing health problems (AOR = 1.39; 95%CI = 1.33–1.45), visits to doctors (both general practitioners and specialists) (AOR = 1.21, 95%CIs = 1.15–1.26, 1.17–1.26), and unmet needs for health care due to waiting lists (AOR = 1.38; 95%CI = 1.23–1.55) or inability to afford medical examinations/treatment (AOR = 1.27; 95%CI = 1.12–1.42) serve as conditioners for SM. We also find that smoking (AOR = 1.05; 95%CI = 1.01–1.10), vaping (AOR = 1.19; 95%CI = 1.06–1.32), drinking alcohol (AOR = 1.23; 95%CI = 1.19–1.28), and higher levels of physical activity (AOR = 1.27; 95%CI = 1.22–1.32) are factors associated with SM. Analysis of these variables reveals that though women self-medicate more than men, the patterns that govern their consumption are similar.

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Short‐term effects of heat and cold on respiratory drug use. A time‐series epidemiological study in A Coruña, Spain

Cited by 5 publications

References 30 publications

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Tropical nights on the Spanish Mediterranean coast, 1950-2014

Self-medication among general population in the European Union: prevalence and associated factors

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