The health of Arctic populations: Does cold matter?

The objective of the study was to examine whether cold climate is associated with poorer health in diverse Arctic populations. With climate change increasingly affecting the Arctic, the association between climate and population health status is of public health significance. The mean January and July temperatures were determined for 27 Arctic regions based on weather station data for the period 1961-1990 and their association with a variety of health outcomes assessed by correlation and multiple linear regression analyses. Mean January temperature was inversely associated with infant and perinatal mortality rate, age-standardized mortality rate from respiratory diseases, and age-specific fertility rate for teens and directly associated with life expectancy at birth in both males and females, independent of a variety of socioeconomic, demographic, and health care factors. Mean July temperature was also associated with infant mortality and mortality from respiratory diseases, and with total fertility rate. For every 10 degrees C increase in mean January temperature, the life expectancy at birth among males increased by about 6 years and infant mortality rate decreased by about 4 deaths/1,000 livebirths. Cold climate is significantly associated with higher mortality and fertility in Arctic populations and should be recognized in public health planning.