CGPH FACULTY: Kirk R. Smith, Ralph Catalano
DATE OF PUBLICATION: January 2014
REGION: Europe
REFERENCE: Bruckner TA, van den Berg GJ, Smith KR, Catalano RA. Ambient temperature during gestation and cold-related adult mortality in a Swedish cohort, 1915-2002. Soc Sci Med. 2014 Jan 31. pii: S0277-9536(14)00076-8. doi: 10.1016/j.socscimed.2014.01.049
SUMMARY/ABSTRACT: For all climatic regions, mortality due to cold exceeds mortality due to heat. A separate line of research indicates that season of birth predicts lifespan after age 50. This and other literature implies the hypothesis that ambient temperature during gestation may influence cold-related adult mortality. We use data on over 13,500 Swedes from the Uppsala Birth Cohort Study to test whether cold-related mortality in adulthood varies positively with unusually benign ambient temperature during gestation. For a one standard deviation increase in our measure of warm temperatures during gestation, we observe an increased hazard ratio of 1.16 for cold-related IHD death (95% confidence interval: 1.03-1.29). We, however, observe no relation for cold-related stroke mortality. Additional analyses show that birthweight percentile and/or gestational age do not mediate discovered findings. The IHD results indicate that ambient temperature during gestation-independent of birth month-modifies the relation between cold and adult mortality. We encourage longitudinal studies of the adult sequelae of ambient temperature during gestation among populations not sufficiently sheltered from heat or cold waves.
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