@article{ref1,
title="Intra-urban vulnerability to heat-related mortality in New York City, 1997-2006",
journal="Health and place",
year="2014",
author="Klein Rosenthal, Joyce and Kinney, Patrick L. and Metzger, Kristina B.",
volume="30C",
number="",
pages="45-60",
abstract="The health impacts of exposure to summertime heat are a significant problem in New York City (NYC) and for many cities and are expected to increase with a warming climate. Most studies on heat-related mortality have examined risk factors at the municipal or regional scale and may have missed the intra-urban variation of vulnerability that might inform prevention strategies. We evaluated whether place-based characteristics (socioeconomic/demographic and health factors, as well as the built and biophysical environment) may be associated with greater risk of heat-related mortality for seniors during heat events in NYC. As a measure of relative vulnerability to heat, we used the natural cause mortality rate ratio among those aged 65 and over (MRR65+), comparing extremely hot days (maximum heat index 100°F+) to all warm season days, across 1997-2006 for NYC's 59 Community Districts and 42 United Hospital Fund neighborhoods. Significant positive associations were found between the MRR65+ and neighborhood-level characteristics: poverty, poor housing conditions, lower rates of access to air-conditioning, impervious land cover, surface temperatures aggregated to the area-level, and seniors' hypertension. Percent Black/African American and household poverty were strong negative predictors of seniors' air conditioning access in multivariate regression analysis.<p /> <p>Language: en</p>",
language="en",
issn="1353-8292",
doi="10.1016/j.healthplace.2014.07.014",
url="http://dx.doi.org/10.1016/j.healthplace.2014.07.014"
}