Awareness, Risk Perception, and Protective Behaviors for Extreme Heat and Climate Change in New York City

Preventing heat-related illness and death requires an understanding of who is at risk and why, and options for intervention. We sought to understand the drivers of socioeconomic disparities in heat-related vulnerability in New York City (NYC), the perceived risk of heat exposure and climate change,...

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Veröffentlicht in:International journal of environmental research and public health 2018-07, Vol.15 (7), p.1433
Hauptverfasser: Madrigano, Jaime, Lane, Kathryn, Petrovic, Nada, Ahmed, Munerah, Blum, Micheline, Matte, Thomas
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container_issue 7
container_start_page 1433
container_title International journal of environmental research and public health
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creator Madrigano, Jaime
Lane, Kathryn
Petrovic, Nada
Ahmed, Munerah
Blum, Micheline
Matte, Thomas
description Preventing heat-related illness and death requires an understanding of who is at risk and why, and options for intervention. We sought to understand the drivers of socioeconomic disparities in heat-related vulnerability in New York City (NYC), the perceived risk of heat exposure and climate change, and barriers to protective behaviors. A random digit dial telephone survey of 801 NYC adults aged 18 and older was conducted from 22 September⁻1 October, 2015. Thirteen percent of the population did not possess an air conditioner (AC), and another 15% used AC never/infrequently. In adjusted models, odds of not possessing AC were greater for non-Hispanic blacks compared with other races/ethnicities, odds ratio (OR) = 2.0 (95% CI: 1.1, 3.5), and for those with low annual household income, OR = 3.1 (95% CI: 1.8, 5.5). Only 12% reported going to a public place with AC if they could not keep cool at home. While low-income individuals were less likely to be aware of heat warnings, they were more likely to be concerned that heat could make them ill and that climate change would affect their health than participants with a higher household income, OR = 1.6 (95% CI: 1.0, 2.3). In NYC, lack of access to AC partially explains disparities in heat-related health outcomes. Our results point to opportunities for knowledge building and engagement on heat-health awareness and climate change adaptation that can be applied in NYC and other metropolitan areas to improve and target public health prevention efforts.
doi_str_mv 10.3390/ijerph15071433
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subjects Adolescent
Adult
Adults
Aged
Air conditioning
Behavior
Cellular telephones
Cities
Climate Change
Disaster recovery
Environmental risk
Ethnicity
Extreme heat
Extreme Heat - adverse effects
Family income
Female
Health Knowledge, Attitudes, Practice
Health surveillance
Health Surveys
Heat
Heat Stress Disorders - prevention & control
Heat Stress Disorders - psychology
Hispanic people
Humans
Hygiene
Low income groups
Male
Metropolitan areas
Middle Aged
Morbidity
Mortality
New York City
Personal health
Public health
Race
Racial differences
Racism
Risk
Risk Factors
Risk perception
Risk taking
Social capital
Socioeconomic factors
Young Adult
title Awareness, Risk Perception, and Protective Behaviors for Extreme Heat and Climate Change in New York City
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