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A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)

BACKGROUND: As a result of climate change, the frequency of extreme temperature events is expected to increase, and such events are associated with increased morbidity and mortality. Vulnerability patterns, and corresponding adaptation strategies, are most usefully conceptualized at a local level. M...

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Autores principales: Madrigano, Jaime, Ito, Kazuhiko, Johnson, Sarah, Kinney, Patrick L., Matte, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: NLM-Export 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492264/
https://www.ncbi.nlm.nih.gov/pubmed/25782056
http://dx.doi.org/10.1289/ehp.1408178
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author Madrigano, Jaime
Ito, Kazuhiko
Johnson, Sarah
Kinney, Patrick L.
Matte, Thomas
author_facet Madrigano, Jaime
Ito, Kazuhiko
Johnson, Sarah
Kinney, Patrick L.
Matte, Thomas
author_sort Madrigano, Jaime
collection PubMed
description BACKGROUND: As a result of climate change, the frequency of extreme temperature events is expected to increase, and such events are associated with increased morbidity and mortality. Vulnerability patterns, and corresponding adaptation strategies, are most usefully conceptualized at a local level. METHODS: We used a case-only analysis to examine subject and neighborhood characteristics that modified the association between heat waves and mortality. All deaths of New York City residents from 2000 through 2011 were included in this analysis. Meteorological data were obtained from the National Climatic Data Center. Modifying characteristics were obtained from the death record and geographic data sets. RESULTS: A total of 234,042 adult deaths occurred during the warm season of our study period. Compared with other warm-season days, deaths during heat waves were more likely to occur in black (non-Hispanic) individuals than other race/ethnicities [odds ratio (OR) = 1.08; 95% CI: 1.03, 1.12], more likely to occur at home than in institutions and hospital settings (OR = 1.11; 95% CI: 1.06, 1.16), and more likely among those living in census tracts that received greater public assistance (OR = 1.05; 95% CI: 1.01, 1.09). Finally, deaths during heat waves were more likely among residents in areas of the city with higher relative daytime summer surface temperature and less likely among residents living in areas with more green space. CONCLUSION: Mortality during heat waves varies widely within a city. Understanding which individuals and neighborhoods are most vulnerable can help guide local preparedness efforts. CITATION: Madrigano J, Ito K, Johnson S, Kinney PL, Matte T. 2015. A case-only study of vulnerability to heat wave–related mortality in New York City (2000–2011). Environ Health Perspect 123:672–678; http://dx.doi.org/10.1289/ehp.1408178
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spelling pubmed-44922642015-07-09 A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011) Madrigano, Jaime Ito, Kazuhiko Johnson, Sarah Kinney, Patrick L. Matte, Thomas Environ Health Perspect Research BACKGROUND: As a result of climate change, the frequency of extreme temperature events is expected to increase, and such events are associated with increased morbidity and mortality. Vulnerability patterns, and corresponding adaptation strategies, are most usefully conceptualized at a local level. METHODS: We used a case-only analysis to examine subject and neighborhood characteristics that modified the association between heat waves and mortality. All deaths of New York City residents from 2000 through 2011 were included in this analysis. Meteorological data were obtained from the National Climatic Data Center. Modifying characteristics were obtained from the death record and geographic data sets. RESULTS: A total of 234,042 adult deaths occurred during the warm season of our study period. Compared with other warm-season days, deaths during heat waves were more likely to occur in black (non-Hispanic) individuals than other race/ethnicities [odds ratio (OR) = 1.08; 95% CI: 1.03, 1.12], more likely to occur at home than in institutions and hospital settings (OR = 1.11; 95% CI: 1.06, 1.16), and more likely among those living in census tracts that received greater public assistance (OR = 1.05; 95% CI: 1.01, 1.09). Finally, deaths during heat waves were more likely among residents in areas of the city with higher relative daytime summer surface temperature and less likely among residents living in areas with more green space. CONCLUSION: Mortality during heat waves varies widely within a city. Understanding which individuals and neighborhoods are most vulnerable can help guide local preparedness efforts. CITATION: Madrigano J, Ito K, Johnson S, Kinney PL, Matte T. 2015. A case-only study of vulnerability to heat wave–related mortality in New York City (2000–2011). Environ Health Perspect 123:672–678; http://dx.doi.org/10.1289/ehp.1408178 NLM-Export 2015-03-17 2015-07 /pmc/articles/PMC4492264/ /pubmed/25782056 http://dx.doi.org/10.1289/ehp.1408178 Text en http://creativecommons.org/publicdomain/mark/1.0/ Publication of EHP lies in the public domain and is therefore without copyright. All text from EHP may be reprinted freely. Use of materials published in EHP should be acknowledged (for example, “Reproduced with permission from Environmental Health Perspectives”); pertinent reference information should be provided for the article from which the material was reproduced. Articles from EHP, especially the News section, may contain photographs or illustrations copyrighted by other commercial organizations or individuals that may not be used without obtaining prior approval from the holder of the copyright.
spellingShingle Research
Madrigano, Jaime
Ito, Kazuhiko
Johnson, Sarah
Kinney, Patrick L.
Matte, Thomas
A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title_full A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title_fullStr A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title_full_unstemmed A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title_short A Case-Only Study of Vulnerability to Heat Wave–Related Mortality in New York City (2000–2011)
title_sort case-only study of vulnerability to heat wave–related mortality in new york city (2000–2011)
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492264/
https://www.ncbi.nlm.nih.gov/pubmed/25782056
http://dx.doi.org/10.1289/ehp.1408178
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