Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability

Understanding effects of extreme heat across diverse settings is critical as social determinants play an important role in modifying heat-related risks. We apply a multi-scale analysis to understand spatial variation in the effects of heat across Mexico and explore factors that are explaining hetero...

Full description

Saved in:
Bibliographic Details
Main Authors: Lara Schwarz, Chen Chen, Javier Emmanuel Castillo Quiñones, L.C. Aguilar-Dodier, Kristen Hansen, Jaime Reyes Sanchez, David J.X. González, Gordon McCord, Tarik Benmarhnia
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Environment International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412024008183
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589991161626624
author Lara Schwarz
Chen Chen
Javier Emmanuel Castillo Quiñones
L.C. Aguilar-Dodier
Kristen Hansen
Jaime Reyes Sanchez
David J.X. González
Gordon McCord
Tarik Benmarhnia
author_facet Lara Schwarz
Chen Chen
Javier Emmanuel Castillo Quiñones
L.C. Aguilar-Dodier
Kristen Hansen
Jaime Reyes Sanchez
David J.X. González
Gordon McCord
Tarik Benmarhnia
author_sort Lara Schwarz
collection DOAJ
description Understanding effects of extreme heat across diverse settings is critical as social determinants play an important role in modifying heat-related risks. We apply a multi-scale analysis to understand spatial variation in the effects of heat across Mexico and explore factors that are explaining heterogeneity. Daily all-cause mortality was collected from the Mexican Secretary of Health and municipality-specific extreme heat events were estimated using population-weighted temperatures from 1998 to 2019 using Daymet and WorldPop datasets. We analyzed the association between single-day extreme heat events defined at the 99th percentile of the same-day maximum temperature and mortality, and seven heat threshold metrics based on relative and absolute scales were considered as sensitivity analyses. A time-stratified case-crossover was applied to evaluate heat impacts across 32 states in Mexico. A within-community matched design with Bayesian Hierarchical model explored effects across 2456 municipalities. A random-effects meta-regression was applied to understand which municipality-level socio-demographic characteristics such as education, age and housing predicted observed spatial heterogeneity. Extreme heat increased the odds of mortality overall, and this was consistent across extreme heat thresholds. At the state level, extreme heat events showed highest impact on mortality in Tabasco [OR: 1.23, 95% CI: 1.17, 1.30]. The municipality-level spatial analysis showed substantial differences across regions with highest effects observed along the eastern, southwestern and Sonora coasts. Municipalities with older populations, higher marginalization, lower education, and poorer housing conditions were more vulnerable to heat effects. Understanding the differential risks of extreme heat events at varying scales is important to prioritize at-risk populations in action plans and policies to reduce their burden.
format Article
id doaj-art-919a5ce06a964d588cda8273744f1a65
institution Kabale University
issn 0160-4120
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Environment International
spelling doaj-art-919a5ce06a964d588cda8273744f1a652025-01-24T04:44:09ZengElsevierEnvironment International0160-41202025-01-01195109231Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerabilityLara Schwarz0Chen Chen1Javier Emmanuel Castillo Quiñones2L.C. Aguilar-Dodier3Kristen Hansen4Jaime Reyes Sanchez5David J.X. González6Gordon McCord7Tarik Benmarhnia8School of Public Health, San Diego State University, San Diego, CA, USA; Herbert Wertheim School of Public Health and Longevity Science, University of California San Diego, La Jolla, CA, USA; Division of Environmental Health Sciences, School of Public Health, University of California Berkeley, Berkeley, CA, USA; Corresponding author at: 2121 Berkeley Way West 5104-1, University of California, Berkeley, Berkeley, California 94704, USA.Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USAFacultad de Ciencias Químicas e Ingeniería, Universidad Autónoma de Baja California, Tijuana, MéxicoFacultad de Ciencias Químicas e Ingeniería, Universidad Autónoma de Baja California, Tijuana, MéxicoAxle Research and Technology, Rockville, MD, USADepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, CA, USADivision of Environmental Health Sciences, School of Public Health, University of California Berkeley, Berkeley, CA, USASchool of Global Policy and Strategy, University of California, San Diego, La Jolla, CA, USAScripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USA; Irset Institut de Recherche en Santé, Environnement et Travail, UMR-S 1085, Inserm, University of Rennes, EHESP, Rennes, FranceUnderstanding effects of extreme heat across diverse settings is critical as social determinants play an important role in modifying heat-related risks. We apply a multi-scale analysis to understand spatial variation in the effects of heat across Mexico and explore factors that are explaining heterogeneity. Daily all-cause mortality was collected from the Mexican Secretary of Health and municipality-specific extreme heat events were estimated using population-weighted temperatures from 1998 to 2019 using Daymet and WorldPop datasets. We analyzed the association between single-day extreme heat events defined at the 99th percentile of the same-day maximum temperature and mortality, and seven heat threshold metrics based on relative and absolute scales were considered as sensitivity analyses. A time-stratified case-crossover was applied to evaluate heat impacts across 32 states in Mexico. A within-community matched design with Bayesian Hierarchical model explored effects across 2456 municipalities. A random-effects meta-regression was applied to understand which municipality-level socio-demographic characteristics such as education, age and housing predicted observed spatial heterogeneity. Extreme heat increased the odds of mortality overall, and this was consistent across extreme heat thresholds. At the state level, extreme heat events showed highest impact on mortality in Tabasco [OR: 1.23, 95% CI: 1.17, 1.30]. The municipality-level spatial analysis showed substantial differences across regions with highest effects observed along the eastern, southwestern and Sonora coasts. Municipalities with older populations, higher marginalization, lower education, and poorer housing conditions were more vulnerable to heat effects. Understanding the differential risks of extreme heat events at varying scales is important to prioritize at-risk populations in action plans and policies to reduce their burden.http://www.sciencedirect.com/science/article/pii/S0160412024008183Extreme heatSocial vulnerabilityMexicoSpatial analysis
spellingShingle Lara Schwarz
Chen Chen
Javier Emmanuel Castillo Quiñones
L.C. Aguilar-Dodier
Kristen Hansen
Jaime Reyes Sanchez
David J.X. González
Gordon McCord
Tarik Benmarhnia
Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
Environment International
Extreme heat
Social vulnerability
Mexico
Spatial analysis
title Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
title_full Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
title_fullStr Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
title_full_unstemmed Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
title_short Heat-related mortality in Mexico: A multi-scale spatial analysis of extreme heat effects and municipality-level vulnerability
title_sort heat related mortality in mexico a multi scale spatial analysis of extreme heat effects and municipality level vulnerability
topic Extreme heat
Social vulnerability
Mexico
Spatial analysis
url http://www.sciencedirect.com/science/article/pii/S0160412024008183
work_keys_str_mv AT laraschwarz heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT chenchen heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT javieremmanuelcastilloquinones heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT lcaguilardodier heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT kristenhansen heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT jaimereyessanchez heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT davidjxgonzalez heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT gordonmccord heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability
AT tarikbenmarhnia heatrelatedmortalityinmexicoamultiscalespatialanalysisofextremeheateffectsandmunicipalitylevelvulnerability