August 2003 heat wave in France:: Risk factors for death of elderly people living at home
August 2003 heat wave in France:: Risk factors for death of elderly people living at home
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DOI：
10.1093/eurpub/ckl063
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发表时间：
2006-12-01
影响因子：
4.4
通讯作者：
Ledrans, M.
中科院分区：
文献类型：
--
作者：
Vandentorren, S.;Bretin, P.;Ledrans, M.
2003年8月在法国的热浪造成了成千上万的额外死亡，特别是老年人。确定了社区居住老年人死亡的个人和环境危险因素。我们进行了一项病例对照调查，并将病例定义为年龄在65岁及以上的人，他们住在家里，从8月8日到8月13日死于事故，自杀或手术并发症以外的原因。对照组与病例组在年龄、性别和居住地区上相匹配。调查人员使用问卷收集数据。卫星图片提供了房屋周围热岛特征的概况。缺乏流动性是一个主要的风险因素，沿着还有一些先前存在的医疗条件。与死亡相关的住房特征是缺乏隔热和睡在顶层，就在屋顶下。建筑物周围的温度是一个主要的风险因素。行为，如衣着轻薄和使用冷却技术和设备是保护因素。这些研究结果表明，患有预先存在的医疗条件的人可能在热浪期间容易受到伤害，并且需要有关如何调整日常生活以适应热浪的信息。从长远来看，必须调整建筑物隔热和城市规划，以提供保护，免受可能的热浪。
The August 2003 heat wave in France resulted in many thousands of excess deaths particularly of elderly people. Individual and environmental risk factors for death among the community-dwelling elderly were identified. We conducted a case-control survey and defined cases as people aged 65 years and older who lived at home and died from August 8 through August 13 from causes other than accident, suicide, or surgical complications. Controls were matched with cases for age, sex, and residential area. Interviewers used questionnaires to collect data. Satellite pictures provided profiles of the heat island characteristics around the homes. Lack of mobility was a major risk factor along with some pre-existing medical conditions. Housing characteristics associated with death were lack of thermal insulation and sleeping on the top floor, right under the roof. The temperature around the building was a major risk factor. Behaviour such as dressing lightly and use of cooling techniques and devices were protective factors. These findings suggest people with pre-existing medical conditions were likely to be vulnerable during heat waves and need information on how to adjust daily routines to heat waves. In the long term, building insulation and urban planning must be adapted to provide protection from possible heat waves.