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Contribution of climate and air pollution to variation in coronary heart disease mortality rates in England

Scarborough, Peter, Allender, Steven, Rayner, Mike and Goldacre, Michael 2012, Contribution of climate and air pollution to variation in coronary heart disease mortality rates in England, Plos One, vol. 7, no. 3, pp. 1-6.

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Title Contribution of climate and air pollution to variation in coronary heart disease mortality rates in England
Author(s) Scarborough, Peter
Allender, Steven
Rayner, Mike
Goldacre, Michael
Journal name Plos One
Volume number 7
Issue number 3
Start page 1
End page 6
Total pages 6
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2012-03
ISSN 1932-6203
Keyword(s) climate
air pollution
coronary heart disease
Summary There are substantial geographic variations in coronary heart disease (CHD) mortality rates in England that may in part be due to differences in climate and air pollution. An ecological cross-sectional multi-level analysis of male and female CHD mortality rates in all wards in England (1999–2004) was conducted to estimate the relative strength of the association between CHD mortality rates and three aspects of the physical environment - temperature, hours of sunshine and air quality. Models were adjusted for deprivation, an index measuring the healthiness of the lifestyle of populations, and urbanicity. In the fully adjusted model, air quality was not significantly associated with CHD mortality rates, but temperature and sunshine were both significantly negatively associated (p<0.05), suggesting that CHD mortality rates were higher in areas with lower average temperature and hours of sunshine. After adjustment for the unhealthy lifestyle of populations and deprivation, the climate variables explained at least 15% of large scale variation in CHD mortality rates. The results suggest that the climate has a small but significant independent association with CHD mortality rates in England.
Notes This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Language eng
Field of Research 110201 Cardiology (incl Cardiovascular Diseases)
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012 Scarborough et al.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30045905

Document type: Journal Article
Collections: Population Health
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Created: Tue, 19 Jun 2012, 15:27:38 EST by Jane Moschetti