Heat Death Associations with the built environment, social vulnerability and their interactions with rising temperature

David P. Eisenman, Holly Wilhalme, Chi Hong Tseng, Mikhail Chester, Paul English, Stephanie Pincetl, Andrew Fraser, Sitaram Vangala, Satvinder K. Dhaliwal

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

In an extreme heat event, people can go to air-conditioned public facilities if residential air-conditioning is not available. Residences that heat slowly may also mitigate health effects, particularly in neighborhoods with social vulnerability. We explored the contributions of social vulnerability and these infrastructures to heat mortality in Maricopa County and whether these relationships are sensitive to temperature. Using Poisson regression modeling with heat-related mortality as the outcome, we assessed the interaction of increasing temperature with social vulnerability, access to publicly available air conditioned space, home air conditioning and the thermal properties of residences. As temperatures increase, mortality from heat-related illness increases less in census tracts with more publicly accessible cooled spaces. Mortality from all internal causes of death did not have this association. Building thermal protection was not associated with mortality. Social vulnerability was still associated with mortality after adjusting for the infrastructure variables. To reduce heat-related mortality, the use of public cooled spaces might be expanded to target the most vulnerable.

Original languageEnglish (US)
Pages (from-to)89-99
Number of pages11
JournalHealth and Place
Volume41
DOIs
StatePublished - Sep 1 2016

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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    Eisenman, D. P., Wilhalme, H., Tseng, C. H., Chester, M., English, P., Pincetl, S., Fraser, A., Vangala, S., & Dhaliwal, S. K. (2016). Heat Death Associations with the built environment, social vulnerability and their interactions with rising temperature. Health and Place, 41, 89-99. https://doi.org/10.1016/j.healthplace.2016.08.007