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Short-term association between hot nights and mortality: a multicountry analysis in 178 locations considering hourly ambient temperature

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68378289%3A_____%2F25%3A00638498" target="_blank" >RIV/68378289:_____/25:00638498 - isvavai.cz</a>

  • Alternative codes found

    RIV/60460709:41330/25:105979

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/pii/S0160412025004702?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0160412025004702?via%3Dihub</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.envint.2025.109719" target="_blank" >10.1016/j.envint.2025.109719</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Short-term association between hot nights and mortality: a multicountry analysis in 178 locations considering hourly ambient temperature

  • Original language description

    Background: The rise in hot nights over recent decades and projections of further increases due to climate change underscores the critical need to understand their impact. This knowledge is essential for shaping public health strategies and guiding adaptation efforts. Despite their significance, research on the implications of hot nights remains limited. Objective: This study estimated the association between hot-night excess (the sum of excess heat during the nighttime above a threshold) and duration (the percent of nighttime with a positive excess) based on hourly ambient temperatures and daily mortality in the warm season over multiple locations worldwide. Methods: We fitted time series regression models to mortality in 178 locations across 44 countries using a distributed lag non-linear model over lags of 0–3 days, controlling for daily maximum temperature and daily mean absolute humidity. Next, we used a multivariate meta-regression model to pool results and estimated attributable burdens. Results: We found a positive, increasing mortality risk with hot-night excess and duration. Assuming 0 as a reference, the pooled relative risks of death associated with extreme excess and duration, defined as the 90th percentile in each index, were both similar at 1.026 (95 % CI, 1.017, 1.036) and 1.026 (95 % CI, 1.013, 1.040). The overall estimated attributable fractions were also observed to be closely similar at 0.60 % (95 % CI, 0.09, 1.10 %) and 0.62 % (95 % CI, 0.00, 1.23 %), respectively. Discussion: This study provides new evidence that hot nights have a specific contribution to heat-related mortality risk. Modeling thermal characteristics’ sub-hourly impact on mortality during the night could improve decision-making for long-term adaptions and preventive public health strategies.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    10510 - Climatic research

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Environment International

  • ISSN

    0160-4120

  • e-ISSN

    1873-6750

  • Volume of the periodical

    203

  • Issue of the periodical within the volume

    Sept.

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    11

  • Pages from-to

    109719

  • UT code for WoS article

    001563970900001

  • EID of the result in the Scopus database

    2-s2.0-105014258436