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Sohail, H.* ; Zhang, S. ; Kraus, U. ; Mikkonen, S.* ; Breitner-Busch, S. ; Wolf, K. ; Nikolaou, N. ; Peters, A. ; Lanki, T.* ; Schneider, A.E.

Association between air temperature and self-perceived health status in Southern Germany: Results from KORA FIT study.

Int. J. Hyg. Environ. Health 262:114431 (2024)

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Open Access Green: Postprint online available 09/2025

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BACKGROUND: Short-term exposure to low and high air temperatures can cause serious harmful effects on human health. Existing literature has mostly focused on associations of ambient air temperature with mortality and the need for health care in population-level studies. Studies that have considered self-perceived health status as an outcome when examining the effects of air temperature on health are scarce. In this study, we explored the short-term association of daily mean air temperature with various measures of self-perceived health status. METHODS: This cross-sectional analysis is based on the Cooperative Health Research in the Region of Augsburg (KORA) FIT study conducted in 2018/2019 and included participants from the Augsburg region of Southern Germany. Health-related quality of life (HRQOL) was evaluated by using the 5-level EuroQol Five Dimension (EQ-5D-5L) questionnaire, including the EuroQol visual analog scale (EQ-VAS). Self-rated health (SRH) and comparative self-rated health (CSRH) were each assessed using a single question. Daily mean air temperature data was estimated using a spatiotemporal model and assigned to participants' home addresses at a resolution of 1 × 1 km. Regression models with a Distributed Lag Non-linear Modeling (DLNM) approach were used to investigate the associations between daily mean air temperature and self-perceived health measures. RESULTS: We found no association of heat or cold with the HRQOL, SRH or CSRH. Nevertheless, there was a significant protective association of low air temperature with the EQ-5D-5L dimension "usual activities." CONCLUSION: There was no evidence of daily mean air temperature adversely affecting participants' self-perceived health status.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords Ambient Air Temperature ; Eq-5d ; Hrqol ; Self-perceived Health ; Self-rated Health; Quality-of-life; Rated Health; Mortality; Predictor; Heat

ISSN (print) / ISBN 1438-4639

e-ISSN 1618-131X

Journal International Journal of Hygiene and Environmental Health

Quellenangaben Volume: 262, Article Number: 114431

Publisher Elsevier

Publishing Place Amsterdam ; Boston, Mass. ; London ; New York, NY ; Oxford ; Paris ; Philadelphia, Pa. ; San Diego, Calif. ; St. Louis, Mo. ; München

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Epidemiology II (EPI2)

Grants Academy of Finland (AKA)
State of Bavaria
Helmholtz Zentrum Munchen - German Research Center for Environmental Health - German Federal Ministry of Education and Research (BMBF)
Kuopio University Foundation
Academy of Finland