Department of Biomedicine and Prevention, University of Rome "Tor Vergata"-Via Montpellier 1, 00173 Roma, Italy.
Community of Sant'Egidio, "Long Live the Elderly" Program-Via San Gallicano 25, 00153 Roma, Italy.
Int J Environ Res Public Health. 2018 Apr 11;15(4):715. doi: 10.3390/ijerph15040715.
This study focuses on the impact of a program aimed at reducing heat-related mortality among older adults residing in central Rome by counteracting social isolation. The mortality of citizens over the age of 75 living in three Urban Areas (UAs) located in central Rome is compared with that of the residents of four adjacent UAs during the summer of 2015. The data, broken down by UA, were provided by the Statistical Office of the Municipality of Rome, which gathers them on a routine basis. During the summer of 2015, 167 deaths were recorded in those UAs in which the Long Live the Elderly (LLE) program was active and 169 in those in which it was not, implying cumulative mortality rates of 25‰ (SD ± 1.4; Cl 95%: 23-29) and 29‰ (SD ± 6.7; Cl 95%: 17-43), respectively. Relative to the summer of 2014, the increase of deaths during the summer of 2015 was greater in UAs in which the LLE program had not been implemented (+97.3% vs. +48.8%). In conclusion, the paper shows the impact of a community-based active monitoring program, focused on strengthening individual relationship networks and the social capital of the community, on mortality in those over 75 during heat waves.
本研究关注的是一项旨在通过对抗社会隔离来降低罗马市中心老年人因热相关死亡的项目的影响。与 2015 年夏季四个相邻城市区的居民相比，比较了居住在罗马市中心三个城市区（UAs）的 75 岁以上公民的死亡率。按城市区细分的数据由罗马市统计局提供，该机构定期收集这些数据。在 2015 年夏季，在 Long Live the Elderly（LLE）项目活跃的城市区中记录了 167 例死亡，而在该项目不活跃的城市区中记录了 169 例死亡，表明累积死亡率分别为 25‰（SD ± 1.4；Cl 95%：23-29）和 29‰（SD ± 6.7；Cl 95%：17-43）。与 2014 年夏季相比，在未实施 LLE 项目的城市区，2015 年夏季的死亡人数增加更多（增加 97.3%，而增加 48.8%）。总之，本文展示了一个以加强个人关系网络和社区社会资本为重点的基于社区的主动监测项目对热浪期间 75 岁以上人群死亡率的影响。
