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 |
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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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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph15071433</identifier><identifier>PMID: 29986484</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>International journal of environmental research and public health, 2018-07, Vol.15 (7), p.1433</ispartof><rights>2018. 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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. 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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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29986484</pmid><doi>10.3390/ijerph15071433</doi><oa>free_for_read</oa></addata></record> |
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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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