文章基本信息

标题：Heat, Disparities, and Health Outcomes in San Diego County's Diverse Climate Zones
本地全文：下载
作者：Kristen Guirguis ; Rupa Basu ; Wael K. Al‐Delaimy 等
期刊名称：GeoHealth
印刷版ISSN：2471-1403
电子版ISSN：2471-1403
出版年度：2018
卷号：2
期号：7
页码：212-223
DOI：10.1029/2017GH000127
语种：English
出版社：John Wiley & Sons, Ltd
摘要：Abstract Climate variability and change are issues of growing public health importance. Numerous studies have documented risks of extreme heat on human health in different locations around the world. Strategies to prevent heat‐related morbidity and reduce disparities are possible but require improved knowledge of health outcomes during hot days at a small‐scale level as important within‐city variability in local weather conditions, socio‐demographic composition, and access to air conditioning (AC) may exist. We analyzed hospitalization data for three unique climate regions of San Diego County alongside temperature data spanning 14 years to quantify the health impact of ambient air temperature at varying exceedance threshold levels. Within San Diego, coastal residents were more sensitive to heat than inland residents. At the coast, we detected a health impact at lower temperatures compared to inland locations for multiple disease categories including heat illness, dehydration, acute renal failure, and respiratory disease. Within the milder coastal region where access to AC is not prevalent, heat‐related morbidity was higher in the subset of zip codes where AC saturation is lowest. We detected a 14.6% increase (95% confidence interval [4.5%, 24.6%]) in hospitalizations during hot weather in comparison to colder days in coastal locations where AC is less common, while no significant impact was observed in areas with higher AC saturation. Disparities in AC ownership were associated with income, race/ethnicity, and homeownership. Given that heat waves are expected to increase with climate change, understanding health impacts of heat and the role of acclimation is critical for improving outcomes in the future. Key Points Analysis of hospitalization data for three climate zones in San Diego County shows disparities in health outcomes during hot weather Coastal residents are more sensitive to heat than inland residents with significant impacts found for multiple disease categories Heat sensitivity is reduced through air conditioning access, which is not prevalent at the coast due to generally mild weather
关键词：temperatureheat extremeshealth outcomesdisparitiesair conditioningclimate zones