globalchange  > 气候减缓与适应
DOI: 10.1007/s10584-016-1638-9
Scopus记录号: 2-s2.0-84960088759
论文题名:
Vulnerability to renal, heat and respiratory hospitalizations during extreme heat among U.S. elderly
作者: Gronlund C.J.; Zanobetti A.; Wellenius G.A.; Schwartz J.D.; O’Neill M.S.
刊名: Climatic Change
ISSN: 0165-0009
EISSN: 1573-1480
出版年: 2016
卷: 136, 期:2018-03-04
起始页码: 631
结束页码: 645
语种: 英语
Scopus关键词: Air conditioning ; Climate change ; Health insurance ; Hospitals ; Housing ; Population statistics ; Random processes ; Satellite imagery ; Case-crossover designs ; Educational attainments ; Interaction term ; Level characteristic ; Maximum temperature ; Random effects ; Specific effects ; Vulnerability factors ; Codes (symbols) ; aging population ; census ; climate change ; educational attainment ; hospital sector ; meta-analysis ; public health ; respiratory disease ; satellite imagery ; spatiotemporal analysis ; vulnerability ; United States
英文摘要: Extreme heat (EH) is a growing concern with climate change, and protecting human health requires knowledge of vulnerability factors. We evaluated whether associations between EH (maximum temperature > 97th percentile) and hospitalization for renal, heat and respiratory diseases among people > 65 years differed by individual and area-level characteristics. We used Medicare billing records, airport weather data, U.S. Census data and satellite land cover imagery in 109 US cities, May-September, 1992-2006, in a time-stratified case-crossover design. Interaction terms between EH and individual (> 78 years, black race, sex) and home ZIP-code (percentages of non-green space, high school education, housing built before 1940) characteristics were incorporated in a single model. Next, we pooled city-specific effect estimates or regressed them on quartiles of air conditioning prevalence (ACP) in a multivariate random effects meta-analysis. EH and combined renal/heat/respiratory hospitalization associations were stronger among blacks, the very old, in ZIP codes with lower educational attainment or older housing and in cities with lower ACP. For example, for EH versus non-heat days, we found a 15% (95% CI 11%-19%) increase in renal/heat/respiratory hospitalizations among individuals in ZIP codes with higher percent of older homes in contrast to a 9% (95% CI 6%-12%) increase in hospitalizations in ZIP codes with lower percent older homes. Vulnerability to EH-associated hospitalization may be influenced by age, educational attainment, housing age and ACP. © 2016, Springer Science+Business Media Dordrecht.
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资源类型: 期刊论文
标识符: http://119.78.100.158/handle/2HF3EXSE/84287
Appears in Collections:气候减缓与适应
气候变化事实与影响

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作者单位: Department of Epidemiology, University of Michigan School of Public Health, 2663 SPH Tower, 1415 Washington Heights, Ann Arbor, MI, United States; Department of Environmental Health, Harvard School of Public Health, Boston, MA, United States; Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States; Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, United States

Recommended Citation:
Gronlund C.J.,Zanobetti A.,Wellenius G.A.,et al. Vulnerability to renal, heat and respiratory hospitalizations during extreme heat among U.S. elderly[J]. Climatic Change,2016-01-01,136(2018-03-04)
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