Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case

Detalhes bibliográficos
Autor(a) principal: Almendra, Ricardo
Data de Publicação: 2019
Outros Autores: Perelman, Julian, Vasconcelos, João, Santana, Paula
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.8/7659
Resumo: RA and PS are part of CEGOT, Research Centre in Geography and Spatial Planning, that is supported by the European Regional Development Funds, through the COMPETE 2020 – Operational Programme BCompetitiveness and Internationalization,^ under Grant POCI-01-0145-FEDER-006891; and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013. RA was funded by FCT doctoral fellowship SFRH/BD/92568/2013 and by the CEGOT group Cities, competitiveness, and well-being (UID/GEO/04084/2013) through COMPETE 2020
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spelling Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese caseExcess winter mortalityExcess winter morbidityGreat RecessionEconomic crisisRA and PS are part of CEGOT, Research Centre in Geography and Spatial Planning, that is supported by the European Regional Development Funds, through the COMPETE 2020 – Operational Programme BCompetitiveness and Internationalization,^ under Grant POCI-01-0145-FEDER-006891; and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013. RA was funded by FCT doctoral fellowship SFRH/BD/92568/2013 and by the CEGOT group Cities, competitiveness, and well-being (UID/GEO/04084/2013) through COMPETE 2020Although winter mortality and morbidity are phenomena common to most European countries, their magnitude varies significantly from country to country. The geographical disparities among regions with similar climates are the result of several social, economic, demographic, and biological conditions that influence an individual’s vulnerability to winter conditions. The impact of poor socioeconomic conditions may be of such magnitude that an economic recession may aggravate the seasonal mortality pattern. This paper aims to measure the seasonal winter mortality, morbidity, and their related costs during the Great Recession (2009–2012) in mainland Portugal and its Regional Health Administrations (RHAs) and to compare it with the periods preceding and following it. Monthly mortality and morbidity data were collected and clustered into three periods: Great Recession (2009–2012), Pre-Recession (2005–2008), and Post-Recession (2013–2016). The impact of seasonal winter mortality and morbidity during the Great Recession in Portugal and its Regional Health Administrations was measured through the assessment of agestandardized excess winter (EW) death and hospital admissions rate and index, expected life expectancy gains without EW deaths, EWrate of potential years of life lost, and EWrate of emergency hospital admission costs. Important increases of winter deaths and hospital admissions were identified, resulting in an important number of potential years of life lost (87 years of life lost per 100,000 inhabitants in 2009–2012), life expectancy loss (1 year in 2009–2012), and National Health Service costs with explicit temporal and spatial variations. These human and economic costs have decreased consistently during the analyzed periods, while no significant increase was found during the Great Recession. Despite its reduction, the winter excess morbidity and mortality highlight that Portugal still faces substantial challenges related to a highly vulnerable population, calling for investments in better social and health protection.SpringerIC-OnlineAlmendra, RicardoPerelman, JulianVasconcelos, JoãoSantana, Paula2022-09-13T13:35:53Z20192022-09-09T12:09:14Z2019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/7659engAlmendra, R., Perelman, J., Vasconcelos, J. et al. Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case. Int J Biometeorol 63, 873–883 (2019). https://doi.org/10.1007/s00484-019-01700-60020-7128cv-prod-43075010.1007/s00484-019-01700-6metadata only accessinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:55:40Zoai:iconline.ipleiria.pt:10400.8/7659Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:50:33.932543Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
title Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
spellingShingle Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
Almendra, Ricardo
Excess winter mortality
Excess winter morbidity
Great Recession
Economic crisis
title_short Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
title_full Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
title_fullStr Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
title_full_unstemmed Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
title_sort Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case
author Almendra, Ricardo
author_facet Almendra, Ricardo
Perelman, Julian
Vasconcelos, João
Santana, Paula
author_role author
author2 Perelman, Julian
Vasconcelos, João
Santana, Paula
author2_role author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Almendra, Ricardo
Perelman, Julian
Vasconcelos, João
Santana, Paula
dc.subject.por.fl_str_mv Excess winter mortality
Excess winter morbidity
Great Recession
Economic crisis
topic Excess winter mortality
Excess winter morbidity
Great Recession
Economic crisis
description RA and PS are part of CEGOT, Research Centre in Geography and Spatial Planning, that is supported by the European Regional Development Funds, through the COMPETE 2020 – Operational Programme BCompetitiveness and Internationalization,^ under Grant POCI-01-0145-FEDER-006891; and by National Funds through the Portuguese Foundation for Science and Technology (FCT) under Grant UID/GEO/04084/2013. RA was funded by FCT doctoral fellowship SFRH/BD/92568/2013 and by the CEGOT group Cities, competitiveness, and well-being (UID/GEO/04084/2013) through COMPETE 2020
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-01-01T00:00:00Z
2022-09-13T13:35:53Z
2022-09-09T12:09:14Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.8/7659
url http://hdl.handle.net/10400.8/7659
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Almendra, R., Perelman, J., Vasconcelos, J. et al. Excess winter mortality and morbidity before, during, and after the Great Recession: the Portuguese case. Int J Biometeorol 63, 873–883 (2019). https://doi.org/10.1007/s00484-019-01700-6
0020-7128
cv-prod-430750
10.1007/s00484-019-01700-6
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rights_invalid_str_mv metadata only access
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dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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