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Neighborhood Effects on Heat Deaths

Social and Environmental Predictors of Vulnerability in Maricopa County, Arizona

Bibliographic Data

ID23330331
AuthorsL Harlan (0000-0001-9945-2792, Arizona State University), Sharon L Harlan (Arizona State University), Juan Declet‐Barreto (0000-0001-7101-394X, Arizona State University), Juan H Declet-Barreto (Arizona State University), William L Stefanov (0000-0002-9181-7619, Science Applications Research and Development, Jacobs/Engineering Science and Contract Group, NASA Johnson Space Center, Houston, Texas, USA), Diana B Petitti (Arizona State University)
Year2013
Volume121
Issue2
Pages197-204
Publication date2013-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEnvironmental Health Perspectives (JOURNAL)
Journal identifiersISSN: 0091-6765 • E-ISSN: 1552-9924
PublisherAmerican Chemical Society (ACS) (PUBLISHER)
DOI10.1289/ehp.1104625
PMID23164621
PMCIDPMC3569676
OpenAlexW2144395796
LanguageEN
Citations received141
References cited38

Background: Most heat-related deaths occur in cities, and future trends in global climate change and urbanization may amplify this trend. Understanding how neighborhoods affect heat mortality fills an important gap between studies of individual susceptibility to heat and broadly comparative studies of temperature–mortality relationships in cities. Objectives: We estimated neighborhood effects of population characteristics and built and natural environments on deaths due to heat exposure in Maricopa County, Arizona (2000–2008). Methods: We used 2000 U.S. Census data and remotely sensed vegetation and land surface temperature to construct indicators of neighborhood vulnerability and a geographic information system to map vulnerability and residential addresses of persons who died from heat exposure in 2,081 census block groups. Binary logistic regression and spatial analysis were used to associate deaths with neighborhoods. Results: Neighborhood scores on three factors—socioeconomic vulnerability, elderly/isolation, and unvegetated area—varied widely throughout the study area. The preferred model (based on fit and parsimony) for predicting the odds of one or more deaths from heat exposure within a census block group included the first two factors and surface temperature in residential neighborhoods, holding population size constant. Spatial analysis identified clusters of neighborhoods with the highest heat vulnerability scores. A large proportion of deaths occurred among people, including homeless persons, who lived in the inner cores of the largest cities and along an industrial corridor. Conclusions: Place-based indicators of vulnerability complement analyses of person-level heat risk factors. Surface temperature might be used in Maricopa County to identify the most heat-vulnerable neighborhoods, but more attention to the socioecological complexities of climate adaptation is needed.

Census · Environmental health · Geography · Meteorology · Population · Socioeconomic status · Socioeconomics · Sociology · Urban heat island · Urbanization · Vulnerability (computing) · Climate Change and Health Impacts · Climate Change, Adaptation, Migration · Demography · Ecology · Medicine · Urban Heat Island Mitigation

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Unique citing works141
Citations per year11,75
Citation span2014 - 2026 (13)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 130

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