Children's health and vulnerability in outdoor microclimates: a comprehensive review
Abstract
Background Children are routinely identified as a vulnerable population in environmental health risk assessments, experiencing adverse health outcomes due to exposure to a suite of atmospheric constituents.Objective To provide a substantive overview of the research literature pertaining to biometeorological effects on children. Key information areas within urban environmental health research related to atmospheric variables (heat, air pollution, radiation) are assessed and integrated to better understand health outcomes and vulnerabilities in children. Critical avenues for improvement and understanding of children's health related to such biophysical parameters are also identified.Methods This comprehensive review assesses past and current primary studies, organizational reports, educational books, and review articles. Emphasis is placed on the differential ambient exposures to temperature, air pollution, and radiation within urban microclimates commonly used by children (e.g., schoolyards, urban parks), and the resulting health impacts.Discussion Exposure to heat, air pollution, and radiation are often enhanced in urban areas, specifically under the current design of the majority of outdoor child play places. Many heat indices, energy budget models, and health outcome studies fail to adequately parameterize children, yet those that do find enhanced vulnerability to ambient stressors, particularly heat and air pollution. Such environmental exposures relate strongly to behavior, activity, asthma, obesity, and overall child well-being. Current research indicates that a changing climate, growing urban population, and unsustainable design are projected to pose increasing complications.Conclusions Evidence-based research to link children's health, physiology, and behavior to atmospheric extremes is an important future research avenue, underscoring the fact that children are among the population groups disproportionately affected by ambient extremes. However, current methods and population-based models lack child-specific inputs and outputs, as well as designated thresholds for accurate predictions of child health impacts. More substantive evidence is needed for applicable child-specific policies and guidelines.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The urban-rural divide in climate change impact is probably due to differences in the environment, access to health care, and socioeconomic factors.
“This pattern is probably due to the differences in the environment, 146 access to health care, and socioeconomic factors.147”
From Climate change and child health: A scoping review and an expanded conceptual framework (2021) · cites this paper as [146]
Cites
Special report on emissions scenarios
Nakićenović, N., Alcamo, J., Davis, G. R., de Vries, B. J. M., Fenhann, J. V., Gaffin, S., Gregory, K., Grübler, A., Jung, T. Y., Kram, T., et al. (2000) · Cited by 6,089 · see citing works
KLEPEIS, N. E., NELSON, W. C., OTT, W. R., ROBINSON, J. P., TSANG, A. M., SWITZER, P., BEHAR, J. V., HERN, S. C., & ENGELMANN, W. H. (2001) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/sj.jea.7500165 · Cited by 4,803 · see citing works
Thermal comfort: Analysis and applications in environmental engineering
Fanger, P. O. (1972) · Applied Ergonomics · doi:10.1016/s0003-6870(72)80074-7 · Cited by 4,515 · see citing works
Local Climate Zones for Urban Temperature Studies
Stewart, I. D., & Oke, T. R. (2012) · Bulletin of the American Meteorological Society · doi:10.1175/bams-d-11-00019.1 · Cited by 4,512 · see citing works
Bois, D. D. (1916) · Archives of Internal Medicine · doi:10.1001/archinte.1916.00080130010002 · Cited by 4,355 · see citing works
The validity and practicality of sun-reactive skin types I through VI
Fitzpatrick, T. B. (1988) · Archives of Dermatology · doi:10.1001/archderm.1988.01670060015008 · Cited by 4,339 · see citing works
More Intense, More Frequent, and Longer Lasting Heat Waves in the 21st Century
Meehl, G. A., & Tebaldi, C. (2004) · Science · doi:10.1126/science.1098704 · Cited by 4,322 · see citing works
Impact of regional climate change on human health
Patz, J. A., Campbell-Lendrum, D., Holloway, T., & Foley, J. A. (2005) · Nature · doi:10.1038/nature04188 · Cited by 3,103 · see citing works
Holick, M. F. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.6.1678s · Cited by 2,768 · see citing works
Exercise Physiology: Energy, Nutrition, and Human Performance
McArdle, W. D., Katch, F. I., & Katch, V. L. (2006) · Cited by 2,633 · see citing works
Höppe, P. (1999) · International Journal of Biometeorology · doi:10.1007/s004840050118 · Cited by 2,452 · see citing works
Heat Stress and Public Health: A Critical Review
Kovats, S. R., & Hajat, S. (2007) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.29.020907.090843 · Cited by 1,921 · see citing works
Ginsburg, K. R. (2007) · PEDIATRICS · doi:10.1542/peds.2006-2697 · Cited by 1,913 · see citing works
Cool surfaces and shade trees to reduce energy use and improve air quality in urban areas
Akbari, H., Pomerantz, M., & Taha, H. (2001) · Solar Energy · doi:10.1016/s0038-092x(00)00089-x · Cited by 1,864 · see citing works
Clearing the Air: A Review of the Effects of Particulate Matter Air Pollution on Human Health
Anderson, J. O., Thundiyil, J. G., & Stolbach, A. I. (2011) · Journal of Medical Toxicology · doi:10.1007/s13181-011-0203-1 · Cited by 1,781 · see citing works
Surveillance for asthma--United States, 1980-1999.
Mannino, D. M., Homa, D. M., Akinbami, L. J., Moorman, J. E., Gwynn, C., & Redd, S. C. (2002) · PubMed · Cited by 1,699 · see citing works
Modelling radiation fluxes in simple and complex environments: basics of the RayMan model
Matzarakis, A., Rutz, F., & Mayer, H. (2009) · International Journal of Biometeorology · doi:10.1007/s00484-009-0261-0 · Cited by 1,646 · see citing works
Global Climate Change Impacts in the United States
Karl, T., Melillo, J. M., Peterson, T. C., & Hassol, S. J. (2009) · University of North Texas Digital Library (University of North Texas) · Cited by 1,583 · see citing works
The effect of air pollution on lung development from 10 to 18 years of age
Gauderman, W. J., Avol, E., Gilliland, F., Vora, H., Thomas, D., Berhane, K., McConnell, R., Kuenzli, N., Lurmann, F., Rappaport, E., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040610 · Cited by 1,440 · see citing works
Heat-Related Deaths during the July 1995 Heat Wave in Chicago
Semenza, J. C., Rubin, C., Falter, K. H., Selanikio, J., Flanders, W. D., Howe, H. L., & Wilhelm, J. (1996) · New England Journal of Medicine · doi:10.1056/nejm199607113350203 · Cited by 1,381 · see citing works
Relation between elevated ambient temperature and mortality: A review of the epidemiologic evidence
Basu, R. (2002) · Epidemiologic Reviews · doi:10.1093/epirev/mxf007 · Cited by 1,381 · see citing works
The significance of parks to physical activity and public health
Rung, A. L., Mowen, A. J., & Cohen, D. A. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.10.024 · Cited by 1,372 · see citing works
Modelling radiation fluxes in simple and complex environments—application of the RayMan model
Matzarakis, A., Rutz, F., & Mayer, H. (2006) · International Journal of Biometeorology · doi:10.1007/s00484-006-0061-8 · Cited by 1,372 · see citing works
Role of Built Environments in Physical Activity, Obesity, and Cardiovascular Disease
Sallis, J. F., Floyd, M. F., Rodrı́guez, D. A., & Saelens, B. E. (2012) · Circulation · doi:10.1161/circulationaha.110.969022 · Cited by 1,351 · see citing works
Heat wave: a social autopsy of disaster in Chicago
(2003) · Choice Reviews Online · doi:10.5860/choice.40-4319 · Cited by 1,274 · see citing works
Applications of a universal thermal index: physiological equivalent temperature
Matzarakis, A., Mayer, H., & Iziomon, M. G. (1999) · International Journal of Biometeorology · doi:10.1007/s004840050119 · Cited by 1,269 · see citing works
Climate Change and Extreme Heat Events
Luber, G., & McGeehin, M. A. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.08.021 · Cited by 1,249 · see citing works
Anderson, G. B., & Bell, M. L. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1002313 · Cited by 1,191 · see citing works
UTCI—Why another thermal index?
Jendritzky, G., de Dear, R., & Havenith, G. (2012) · International Journal of Biometeorology · doi:10.1007/s00484-011-0513-7 · Cited by 1,162 · see citing works
A review and evaluation of intraurban air pollution exposure models
Jerrett, M., Arain, M. A., Kanaroglou, P., Beckerman, B., Potoglou, D., Sahsuvaroglu, T., Morrison, J. B., & Giovis, C. (2004) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/sj.jea.7500388 · Cited by 1,131 · see citing works
Tebaldi, C., Hayhoe, K., Arblaster, J. M., & Meehl, G. A. (2006) · Climatic Change · doi:10.1007/s10584-006-9051-4 · Cited by 1,119 · see citing works
Changes in biologically active ultraviolet radiation reaching the Earth's surface
Madronich, S., McKenzie, R. L., Björn, L. O., & Caldwell, M. M. (1998) · Journal of Photochemistry and Photobiology B: Biology · doi:10.1016/s1011-1344(98)00182-1 · Cited by 1,086 · see citing works
A standard predictive index of human response to the thermal environment
Gagge, A. P., Fobelets, A. P. R., & Berglund, L. G. (1986) · ASHRAE winter conference papers · Cited by 1,063 · see citing works
UTCI-Fiala multi-node model of human heat transfer and temperature regulation
Fiala, D., Havenith, G., Bröde, P., Kampmann, B., & Jendritzky, G. (2012) · International Journal of Biometeorology · doi:10.1007/s00484-011-0424-7 · Cited by 994 · see citing works
Exercise Physiology: Energy, Nutrition and Human Performance
Deuster, P. A. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/54.1.175b · Cited by 985 · see citing works
Thermal comfort of man in different urban environments
Mayer, H., & H�ppe, P. (1987) · Theoretical and Applied Climatology · doi:10.1007/bf00866252 · Cited by 984 · see citing works
Oke, T. R. (1988) · Progress in Physical Geography Earth and Environment · doi:10.1177/030913338801200401 · Cited by 970 · see citing works
Santamouris, M. (2013) · Renewable and Sustainable Energy Reviews · doi:10.1016/j.rser.2013.05.047 · Cited by 901 · see citing works
Mapping community determinants of heat vulnerability
Reid, C. E., O’Neill, M. S., Gronlund, C. J., Brines, S. J., Brown, D. G., Diez-Roux, A. V., & Schwartz, J. (2009) · Environmental Health Perspectives · doi:10.1289/ehp.0900683 · Cited by 805 · see citing works
An Effective Temperature Scale Based on a Simple Model of Human Physiological Regulatory Response
Gagge, A. P. (1971) · ASHRAE winter conference papers · Cited by 799 · see citing works
Asthma in exercising children exposed to ozone: a cohort study
McConnell, R., Berhane, K., Gilliland, F., London, S. J., Islam, T., Gauderman, W. J., Avol, E., Margolis, H. G., & Peters, J. M. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07597-9 · Cited by 796 · see citing works
The 2006 California Heat Wave: Impacts on Hospitalizations and Emergency Department Visits
Knowlton, K., Rotkin-Ellman, M., King, G., Margolis, H. G., Smıth, D. J., Solomon, G. M., Trent, R. B., & English, P. B. (2008) · Environmental Health Perspectives · doi:10.1289/ehp.11594 · Cited by 762 · see citing works
Different methods for estimating the mean radiant temperature in an outdoor urban setting
Thorsson, S., Lindberg, F., Eliasson, I., & Holmer, B. (2007) · International Journal of Climatology · doi:10.1002/joc.1537 · Cited by 760 · see citing works
Brauer, M. D., Hoek, G., van Vliet, P., Meliefste, K., Fischer, P. H., Wijga, A. H., Koopman, L. P., Neijens, H. J., Gerritsen, J., Kerkhof, M., et al. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200108-007oc · Cited by 658 · see citing works
August 2003 Heat Wave in France: Risk Factors for Death of Elderly People Living at Home
Vandentorren, S., Bretin, P., Zeghnoun, A., MANDEREAU, L., Croisier, A., Cochet, C., Ribéron, J., Siberan, I., Declercq, B., & Ledrans, M. (2006) · European Journal of Public Health · doi:10.1093/eurpub/ckl063 · Cited by 630 · see citing works
Excess hospital admissions during the July 1995 heat wave in Chicago
Semenza, J. (1999) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(99)00025-2 · Cited by 619 · see citing works
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School
McConnell, R., Islam, T. S., Shankardass, K., Jerrett, M., Lurmann, F. W., Gilliland, F. D., Gauderman, J., Avol, E., Künzli, N., Yao, L., et al. (2010) · Environmental Health Perspectives · doi:10.1289/ehp.0901232 · Cited by 575 · see citing works
Methods to Calculate the Heat Index as an Exposure Metric in Environmental Health Research
Anderson, G. B., Bell, M. L., & Peng, R. D. (2013) · Environmental Health Perspectives · doi:10.1289/ehp.1206273 · Cited by 573 · see citing works
Jenerette, G. D., Harlan, S. L., Stefanov, W. L., & Martin, C. A. (2011) · Ecological Applications · doi:10.1890/10-1493.1 · Cited by 545 · see citing works
(2014) · University of Canberra Research Portal · Cited by 538 · see citing works
Landscape as Playscape: The Effects of Natural Environments on Children's Play and Motor Development
Fjørtoft, I. (2004) · Children Youth and Environments · doi:10.1353/cye.2004.0054 · Cited by 523 · see citing works
Childhood Asthma and Exposure to Traffic and Nitrogen Dioxide
Gauderman, W. J., Avol, E. L., Lurmann, F. W., Künzli, N., Gilliland, F. D., Peters, J. M., & McConnell, R. (2005) · Epidemiology · doi:10.1097/01.ede.0000181308.51440.75 · Cited by 518 · see citing works
Harlan, S. L., & Ruddell, D. M. (2011) · Current Opinion in Environmental Sustainability · doi:10.1016/j.cosust.2011.01.001 · Cited by 513 · see citing works
Global climate change and children's health: threats and strategies for prevention
Sheffield, P. E., & Landrigan, P. J. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1002233 · Cited by 502 · see citing works
Instruments and methods in outdoor thermal comfort studies – The need for standardization
Johansson, E., Thorsson, S., Emmanuel, R., & Krüger, E. L. (2014) · Urban Climate · doi:10.1016/j.uclim.2013.12.002 · Cited by 487 · see citing works
The use of climate knowledge in urban planning
Eliasson, I. (2000) · Landscape and Urban Planning · doi:10.1016/s0169-2046(00)00034-7 · Cited by 483 · see citing works
Heat-related mortality during a 1999 heat wave in Chicago
Naughton, M. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00421-x · Cited by 459 · see citing works
Indoor aerosols: from personal exposure to risk assessment
Morawska, L., Afshari, A., Bae, G., Buonanno, G., Chao, C. Y. H., Hänninen, O., HOFMANN, W., Isaxon, C., Jayaratne, E. R., Pasanen, P. O., et al. (2013) · Indoor Air · doi:10.1111/ina.12044 · Cited by 445 · see citing works
Johansson, E., & Emmanuel, R. (2006) · International Journal of Biometeorology · doi:10.1007/s00484-006-0047-6 · Cited by 437 · see citing works
Impact of High Temperatures on Mortality
Hajat, S., Armstrong, B., Baccini, M., Biggeri, A., Bisanti, L., Russo, A. G., Páldy, A., Menne, B., & Kosatsky, T. (2006) · Epidemiology · doi:10.1097/01.ede.0000239688.70829.63 · Cited by 432 · see citing works
Traffic-related Air Pollution near Busy Roads
Kim, J., Smorodinsky, S., Lipsett, M., et al. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200403-281oc · Cited by 431 · see citing works
Anderson, C. A. (2001) · Current Directions in Psychological Science · doi:10.1111/1467-8721.00109 · Cited by 424 · see citing works
Janssen, N., Brunekreef, B., van Vliet, P., Aarts, F., Meliefste, K., Harssema, H., & Fischer, P. H. (2003) · Environmental Health Perspectives · doi:10.1289/ehp.6243 · Cited by 422 · see citing works
The state of childhood asthma, United States, 1980-2005.
Akinbami, L. J. (2006) · PubMed · Cited by 385 · see citing works
Geller, A. C., Colditz, G. A., Oliveria, S. A., Emmons, K. M., Jorgensen, C. M., Aweh, G. N., & Frazier, A. L. (2002) · PEDIATRICS · doi:10.1542/peds.109.6.1009 · Cited by 376 · see citing works
Wolch, J. R., Jerrett, M., Reynolds, K. D., McConnell, R., Chang, R., Dahmann, N., Brady, K., Gilliland, F. D., Su, J. G., & Berhane, K. T. (2010) · Health & Place · doi:10.1016/j.healthplace.2010.10.001 · Cited by 374 · see citing works
Wayne, P. M., Foster, S., Connolly, J., Bazzaz, F. A., & Epstein, P. R. (2002) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)62009-1 · Cited by 374 · see citing works
What measure of temperature is the best predictor of mortality?
Barnett, A. G., Tong, S., & Clements, A. (2010) · Environmental Research · doi:10.1016/j.envres.2010.05.006 · Cited by 370 · see citing works
Weinmayr, G., Romeo, E., Sario, M. D., Weiland, S. K., & Forastiere, F. (2009) · Environmental Health Perspectives · doi:10.1289/ehp.0900844 · Cited by 367 · see citing works
Basu, R., & Ostro, B. D. (2008) · American Journal of Epidemiology · doi:10.1093/aje/kwn170 · Cited by 364 · see citing works
Strouse, J. J., Fears, T. R., Tucker, M. A., & Wayne, A. S. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.899 · Cited by 360 · see citing works
Liu, L., Poon, R. W. M., Chen, L., Frescura, A.-M., Montuschi, P., Ciabattoni, G., Wheeler, A. J., & Dales, R. (2008) · Environmental Health Perspectives · doi:10.1289/ehp11813 · Cited by 355 · see citing works
Air Pollution and Child Respiratory Health
Barnett, A. G., Williams, G. M., Schwartz, J. D., Roiko, A. H., Best, T. L., Petroeschevsky, A. L., & Simpson, R. W. (2005) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200411-1586oc · Cited by 349 · see citing works
Gulyás, Á., Unger, J., & Matzarakis, A. (2006) · Building and Environment · doi:10.1016/j.buildenv.2005.07.001 · Cited by 345 · see citing works
Climate Change, Tropospheric Ozone and Particulate Matter, and Health Impacts
Ebi, K. L., & McGregor, G. R. (2008) · Environmental Health Perspectives · doi:10.1289/ehp.11463 · Cited by 317 · see citing works
Willett, K. M., & Sherwood, S. C. (2010) · International Journal of Climatology · doi:10.1002/joc.2257 · Cited by 303 · see citing works
Evaluation of heart rate as a method for assessing moderate intensity physical activity
Strath, S. J., Swartz, A. M., Bassett, D. R., BRIEN, W. L. O., King, G. A., & Ainsworth, B. E. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009001-00005 · Cited by 302 · see citing works
Temperature extremes and health: impacts of climate variability and change in the United States
O’Neill, M. S., & Ebi, K. L. (2009) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e318173e122 · Cited by 297 · see citing works
Ultraviolet Radiation: A Hazard to Children and Adolescents
Balk, S. J. (2011) · PEDIATRICS · doi:10.1542/peds.2010-3502 · Cited by 296 · see citing works
Climate and behaviour in a Nordic city
Eliasson, I., Knez, I., Westerberg, U., et al. (2007) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2007.01.020 · Cited by 290 · see citing works
Index for evaluating Heat Stress in Terms of resulting Physiological Strains.
Belding, H. S., & Hatch, T. F. (1955) · Heating, piping and air conditioning · Cited by 281 · see citing works
The impact of heat waves on children’s health: a systematic review
Xu, Z., Sheffield, P. E., Su, H., Wang, X., Bi, Y., & Tong, S. (2013) · International Journal of Biometeorology · doi:10.1007/s00484-013-0655-x · Cited by 266 · see citing works
Change, I. P. O. C. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107415379.019 · Cited by 265 · see citing works
Sun exposure and risk of melanoma
Oliveria, S. A. (2005) · Archives of Disease in Childhood · doi:10.1136/adc.2005.086918 · Cited by 263 · see citing works
Benefits and costs of street trees in Lisbon, Portugal
Soares, A. L., Rego, F. C., McPherson, E. G., Simpson, J. R., Peper, P. J., & Xiao, Q. (2011) · Urban forestry & urban greening · doi:10.1016/j.ufug.2010.12.001 · Cited by 258 · see citing works
Bessesen, D. H. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0520 · Cited by 255 · see citing works
Graphical estimation of sky view‐factors in urban environments
Watson, I. D., & Johnson, G. T. (1987) · Journal of Climatology · doi:10.1002/joc.3370070210 · Cited by 255 · see citing works
Remotely sensing the cooling effects of city scale efforts to reduce urban heat island
Mackey, C. W., Lee, X., & Smith, R. B. (2011) · Building and Environment · doi:10.1016/j.buildenv.2011.08.004 · Cited by 241 · see citing works
Deaths attributed to heat, cold, and other weather events in the United States, 2006-2010.
Berko, J., Ingram, D. D., Saha, S., & Parker, J. D. (2014) · PubMed · Cited by 241 · see citing works
Chow, W., Pope, R., Martin, C. A., et al. (2010) · Theoretical and Applied Climatology · doi:10.1007/s00704-010-0293-8 · Cited by 233 · see citing works
Vanos, J., Warland, J., Gillespie, T. J., & Kenny, N. (2010) · International Journal of Biometeorology · doi:10.1007/s00484-010-0301-9 · Cited by 208 · see citing works
Self-citationA Comparison of Interpolation Methods for Sparse Data: Application to Wind and Concentration Fields
Goodin, W. R., McRae, G. J., & Seinfeld, J. H. (1979) · Journal of applied meteorology · doi:10.1175/1520-0450(1979)018 · Cited by 208 · see citing works
Heat stress and strain in exercise and sport
Brotherhood, J. R. (2008) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2007.08.017 · Cited by 208 · see citing works
Asthma disparities in urban environments
Bryant-Stephens, T. C. (2009) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2009.04.030 · Cited by 207 · see citing works
McLaren, C., Null, J., & Quinn, J. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2368 · Cited by 204 · see citing works
Psychological mechanisms in outdoor place and weather assessment: towards a conceptual model
Knez, I., Thorsson, S., Eliasson, I., et al. (2008) · International Journal of Biometeorology · doi:10.1007/s00484-008-0194-z · Cited by 183 · see citing works
Ketterer, C., & Matzarakis, A. (2013) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2013.11.003 · Cited by 183 · see citing works
Effects of Thermal Stress During Rest and Exercise in the Paediatric Population
Falk, B. (1998) · Sports Medicine · doi:10.2165/00007256-199825040-00002 · Cited by 178 · see citing works
Aeroallergens, Allergic Disease, and Climate Change: Impacts and Adaptation
Reid, C. E., & Gamble, J. L. (2009) · EcoHealth · doi:10.1007/s10393-009-0261-x · Cited by 166 · see citing works
Brown, R. D., & Gillespie, T. J. (1986) · International Journal of Biometeorology · doi:10.1007/bf02192058 · Cited by 165 · see citing works
Watkins, R., Palmer, J., & Kolokotroni, M. (2007) · Built Environment · doi:10.2148/benv.33.1.85 · Cited by 148 · see citing works
Beating the Heat: Development and Evaluation of a Canadian Hot Weather Health-Response Plan
Smoyer-Tomic, K. E., & Rainham, D. G. C. (2001) · Environmental Health Perspectives · doi:10.1289/ehp.011091241 · Cited by 147 · see citing works
Declet‐Barreto, J., Brazel, A. J., Martin, C. A., Chow, W., & Harlan, S. L. (2012) · Urban Ecosystems · doi:10.1007/s11252-012-0278-8 · Cited by 146 · see citing works
Kerr, J. B., & Fioletov, V. (2008) · ATMOSPHERE-OCEAN · doi:10.3137/ao.460108 · Cited by 144 · see citing works
Hajat, S., Sheridan, S. C., Allen, M. J., et al. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.169748 · Cited by 140 · see citing works
Lin, M., Stieb, D. M., & Chen, Y. (2005) · PEDIATRICS · doi:10.1542/peds.2004-2012 · Cited by 138 · see citing works
Buonanno, G., Marks, G. B., & Morawska, L. (2013) · Environmental Pollution · doi:10.1016/j.envpol.2013.05.039 · Cited by 137 · see citing works
Relationship between air pollution, lung function and asthma in adolescents
Islam, T. S., Gauderman, W. J., Berhane, K. T., McConnell, R., Avol, E., Peters, J. M., & Gilliland, F. D. (2007) · Thorax · doi:10.1136/thx.2007.078964 · Cited by 133 · see citing works
Vanos, J., Hebbern, C., & Cakmak, S. (2013) · Environmental Pollution · doi:10.1016/j.envpol.2013.11.007 · Cited by 128 · see citing works
Self-citationBuonanno, G., Stabile, L., Morawska, L., & Russi, A. (2013) · Atmospheric Environment · doi:10.1016/j.atmosenv.2013.06.041 · Cited by 127 · see citing works
Norms of apparent temperature in Australia
Steadman, R. G. (1994) · Australian meteorological magazine · doi:10.1071/es94001 · Cited by 125 · see citing works
General and specific mortality among the elderly during the 2003 heat wave in Genoa (Italy)
Conti, S., Masocco, M., Meli, P., Minelli, G., Palummeri, E., Solimini, R., Toccaceli, V., & Vichi, M. (2006) · Environmental Research · doi:10.1016/j.envres.2006.06.003 · Cited by 123 · see citing works
Jerrett, M., McConnell, R., Chang, C.-C., Wolch, J. R., Reynolds, K. D., Lurmann, F., Gilliland, F. D., & Berhane, K. T. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.09.026 · Cited by 122 · see citing works
EVALUATION OF THE PHYSIOLOGICAL BASES OF THERMAL COMFORT MODELS
Doherty, T. J. (1988) · eScholarship (California Digital Library) · Cited by 119 · see citing works
Modeling of Regional Climate Change Effects on Ground-Level Ozone and Childhood Asthma
Sheffield, P. E., Knowlton, K., Carr, J. L., & Kinney, P. L. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.04.017 · Cited by 117 · see citing works
English, P. B., Sinclair, A. H., Ross, Z., Anderson, H. A., Boothe, V., Davis, C. C., Ebi, K. L., Kagey, B. T., Malecki, K. M. C., Shultz, R., et al. (2009) · Environmental Health Perspectives · doi:10.1289/ehp.0900708 · Cited by 117 · see citing works
Individual dose and exposure of Italian children to ultrafine particles
Buonanno, G., Marini, S., Morawska, L., & Fuoco, F. C. (2012) · Science of The Total Environment · doi:10.1016/j.scitotenv.2012.08.074 · Cited by 116 · see citing works
The Air Quality Health Index and Asthma Morbidity: A Population-Based Study
To, T. M., Shen, S. C., Atenafu, E. G., et al. (2012) · Environmental Health Perspectives · doi:10.1289/ehp.1104816 · Cited by 114 · see citing works
School Children’s Personal Exposure to Ultrafine Particles in the Urban Environment
Mazaheri, M., Clifford, S., Jayaratne, R. E., et al. (2013) · Environmental Science & Technology · doi:10.1021/es403721w · Cited by 106 · see citing works
Adaptation to Impacts of Climate Change on Aeroallergens and Allergic Respiratory Diseases
Beggs, P. J. (2010) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph7083006 · Cited by 106 · see citing works
Airborne particle concentrations at schools measured at different spatial scales
Buonanno, G., Fuoco, F. C., Morawska, L., & Stabile, L. (2012) · Atmospheric Environment · doi:10.1016/j.atmosenv.2012.10.048 · Cited by 102 · see citing works
Tai, A. P. K., Mickley, L. J., Heald, C. L., & Wu, S. (2013) · Geophysical Research Letters · doi:10.1002/grl.50650 · Cited by 102 · see citing works
Heat-Related Morbidity in Brisbane, Australia: Spatial Variation and Area-Level Predictors
Hondula, D. M., & Barnett, A. G. (2014) · Environmental Health Perspectives · doi:10.1289/ehp.1307496 · Cited by 99 · see citing works
Generational increase of self-reported first attack of asthma in fifteen industrialized countries
Sunyer, J., Antó, J. M., Tobı́as, A., et al. (1999) · European Respiratory Journal · doi:10.1034/j.1399-3003.1999.14d26.x · Cited by 96 · see citing works
Effect of airborne allergens on emergency visits by children for conjunctivitis and rhinitis
Cakmak, S., Dales, R., Burnett, R. T., et al. (2002) · The Lancet · doi:10.1016/s0140-6736(02)08045-5 · Cited by 91 · see citing works
Bytomski, J., & Squire, D. L. (2003) · Current Sports Medicine Reports · doi:10.1249/00149619-200312000-00007 · Cited by 89 · see citing works
Pedestrian comfort using clothing values and body temperatures
Metje, N., Sterling, M., & Baker, C. (2008) · Journal of Wind Engineering and Industrial Aerodynamics · doi:10.1016/j.jweia.2008.01.003 · Cited by 89 · see citing works
Lippmann, S., Fuhrmann, C. M., Waller, A. E., & Richardson, D. B. (2013) · Environmental Research · doi:10.1016/j.envres.2013.03.009 · Cited by 87 · see citing works
Guard, A. S., & Gallagher, S. S. (2005) · Injury Prevention · doi:10.1136/ip.2003.004044 · Cited by 85 · see citing works
Kenny, N., Warland, J., Brown, R. D., & Gillespie, T. J. (2009) · International Journal of Biometeorology · doi:10.1007/s00484-009-0227-2 · Cited by 83 · see citing works
Vanos, J., Warland, J., Gillespie, T. J., et al. (2010) · International Journal of Biometeorology · doi:10.1007/s00484-010-0393-2 · Cited by 81 · see citing works
Self-citationFast simulation tool for ultraviolet radiation at the earth's surface
Engelsen, O., & Kylling, A. (2005) · Optical Engineering · doi:10.1117/1.1885472 · Cited by 78 · see citing works
Children Are Likely to Suffer Most from Our Fossil Fuel Addiction
Perera, F. P. (2008) · Environmental Health Perspectives · doi:10.1289/ehp.11173 · Cited by 77 · see citing works
Ameliorating the effects of climate change: Modifying microclimates through design
Brown, R. D. (2011) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2011.01.010 · Cited by 75 · see citing works
Webb, A. R., & Engelsen, O. (2008) · Advances in experimental medicine and biology · doi:10.1007/978-0-387-77574-6_6 · Cited by 69 · see citing works
Vanos, J., Warland, J., Gillespie, T. J., Slater, G. A., Brown, R. D., & Kenny, N. (2012) · Journal of Applied Meteorology and Climatology · doi:10.1175/jamc-d-11-0245.1 · Cited by 68 · see citing works
Self-citationEnvironmental factors as a cause for the increase in allergic disease
Nolte, H., Backer, V., & Porsbjerg, C. M. (2001) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)62333-2 · Cited by 68 · see citing works
Heat Stress in Motor Vehicles: A Problem in Infancy
King, K., Negus, K., & Vance, J. C. (1981) · PEDIATRICS · doi:10.1542/peds.68.4.579 · Cited by 66 · see citing works
The implications of climate change for children in lower-income countries
Bartlett, S. (2008) · Children Youth and Environments · doi:10.1353/cye.2008.0044 · Cited by 66 · see citing works
Tsang, A. M., & Klepeis, N. E. (1996) · OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) · Cited by 64 · see citing works
Estimated ultraviolet exposure levels for a sufficient vitamin D status in North America
Fioletov, V., McArthur, L. J. B., Mathews, T. W., & Marrett, L. D. (2010) · Journal of Photochemistry and Photobiology B Biology · doi:10.1016/j.jphotobiol.2010.05.002 · Cited by 64 · see citing works
Wenner, M. (2009) · Scientific American Mind · doi:10.1038/scientificamericanmind0209-22 · Cited by 63 · see citing works
Estimating the radiation absorbed by a human
Kenny, N., Warland, J., Brown, R. D., & Gillespie, T. J. (2008) · International Journal of Biometeorology · doi:10.1007/s00484-008-0145-8 · Cited by 63 · see citing works
Baxter, L. K., Clougherty, J. E., Paciorek, C. J., Wright, R. J., & Levy, J. I. (2007) · Atmospheric Environment · doi:10.1016/j.atmosenv.2007.04.027 · Cited by 55 · see citing works
Is the global rise of asthma an early impact of anthropogenic climate change?
Beggs, P. J., & Bambrick, H. (2006) · Ciência & Saúde Coletiva · doi:10.1590/s1413-81232006000300022 · Cited by 50 · see citing works
Climate change, the indoor environment, and health
(2012) · Choice Reviews Online · doi:10.5860/choice.49-3292 · Cited by 50 · see citing works
Besenyi, G. M., Kaczynski, A. T., Stanis, S. A. W., et al. (2014) · Health & Place · doi:10.1016/j.healthplace.2014.02.005 · Cited by 43 · see citing works
Relation of Peak Expiratory Flow Rates and Symptoms to Ambient Ozone
Krzyżanowski, M., Quackenboss, J. J., & Lebowitz, M. D. (1992) · Archives of Environmental Health An International Journal · doi:10.1080/00039896.1992.10118763 · Cited by 42 · see citing works
The Influence of Neighborhood Roadways on Respiratory Symptoms Among Elementary Schoolchildren
Dales, R., Wheeler, A. J., Mahmud, M., Frescura, A.-M., & Liu, L. (2009) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181a0363c · Cited by 41 · see citing works
Climate Change and Child Health in the United States
Ebi, K. L., & Paulson, J. A. (2010) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2009.12.001 · Cited by 39 · see citing works
THE REGULATION OF BODY TEMPERATURE
Brooks, C. M. (1948) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1948.tb97068.x · Cited by 39 · see citing works
The influence of neighborhood traffic density on the respiratory health of elementary schoolchildren
Cakmak, S., Mahmud, M., Grgicak‐Mannion, A., et al. (2011) · Environment International · doi:10.1016/j.envint.2011.10.006 · Cited by 37 · see citing works
Rhea, S. K., Ising, A., Fleischauer, A. T., et al. (2011) · Journal of Community Health · doi:10.1007/s10900-011-9469-0 · Cited by 37 · see citing works
Physiological and physical factors associated with warm discomfort in sedentary man
Gagge, A. P., & Gonzalez, R. R. (1974) · Environmental Research · doi:10.1016/0013-9351(74)90154-6 · Cited by 34 · see citing works
Land use, the built environment, and physical activity
Powell, K. E. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.10.031 · Cited by 34 · see citing works
Quantifying the Heat-Related Hazard for Children in Motor Vehicles
Grundstein, A., Dowd, J. F., & Meentemeyer, V. G. (2010) · Bulletin of the American Meteorological Society · doi:10.1175/2010bams2912.1 · Cited by 33 · see citing works
The impact of climate change and aeroallergens on children's health
Schmier, J. K., & Ebi, K. L. (2009) · Allergy and Asthma Proceedings · doi:10.2500/aap.2009.30.3229 · Cited by 30 · see citing works
Ciucci, E., Calussi, P., Menesini, E., Mattei, A., Petralli, M., & Orlandini, S. (2010) · International Journal of Biometeorology · doi:10.1007/s00484-010-0340-2 · Cited by 29 · see citing works
Lagacé‐Séguin, D. G., & d’Entremont, M. L. (2005) · Early Child Development and Care · doi:10.1080/0300443042000270777 · Cited by 28 · see citing works
Thermal comfort in outdoor and semi-outdoor environments
de Dear, R., & Spagnolo, J. (2005) · Elsevier ergonomics book series · doi:10.1016/s1572-347x(05)80044-8 · Cited by 25 · see citing works
Dobbinson, S. J., Jamsen, K. M., McLeod, K., White, V. M., Wakefield, M. A., WHITE, V. M., Livingston, P. M., & Simpson, J. A. (2013) · Health & Place · doi:10.1016/j.healthplace.2013.12.007 · Cited by 25 · see citing works
Seasonal variation, weather and behavior in day-care children: a multilevel approach
Ciucci, E., Calussi, P., Menesini, E., Mattei, A., Petralli, M., & Orlandini, S. (2012) · International Journal of Biometeorology · doi:10.1007/s00484-012-0612-0 · Cited by 25 · see citing works
Knowlton, K., Hogrefe, C., Lynn, B. H., Rosenzweig, C. E., Rosenthal, J. E., & Kinney, P. L. (2008) · Springer eBooks · doi:10.1007/978-1-4020-6877-5_9 · Cited by 24 · see citing works
Stefanov, W. L., Prashad, L., Eisinger, C., et al. (2004) · Cited by 21 · see citing works
Onda de calor de Junho de 1981 em Portugal: efeitos na mortalidade
Garcia, A. C., Nogueira, P., & Falcão, J. M. (1999) · Revista Portuguesa de Saúde Pública · Cited by 19 · see citing works
Ray‐Bennett, N. S. (2009) · Cited by 10 · see citing works
Heatwave in France, July 2006: 112 excess deaths so far attributed to the heat
Empereur‐Bissonnet, P., Salines, G., Bérat, B., et al. (2006) · Weekly releases (1997–2007) · doi:10.2807/esw.11.31.03014-en · Cited by 6 · see citing works
McCarthy, M., & Sanderson, M. G. (2011) · World Bank, Washington, DC eBooks · doi:10.1596/9780821384930_ch07 · Cited by 6 · see citing works
Thorne, P. S., Arbes, S. J., & Zeldin, D. C. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.173.10.1177a · Cited by 2 · see citing works
Adachi, S. A., 原, 政., Takahashi, H. G., et al. (2013) · AGUFM · Cited by 2 · see citing works
The Changing Global Environment and Children’s Health
Sheffield, P. E., & Ebi, K. L. (2013) · Oxford University Press eBooks · doi:10.1093/med/9780199929573.003.0021 · Cited by 1 · see citing works
Exploring Ultraviolet B Radiation in the Landscape
Cox, V. S. K. (2013) · The Atrium (University of Guelph) · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wildfires, global climate change, and human health
Xu, R., Yu, P., Abramson, M. J., Johnston, F. H., Samet, J. M., Bell, M. L., Haines, A., Ebi, K. L., Li, S., & Guo, Y. (2020) · New England Journal of Medicine · doi:10.1056/nejmsr2028985 · Cited by 616 · see citing works
Climate change and child health: A scoping review and an expanded conceptual framework
Helldén, D., Andersson, C., Nilsson, M., Ebi, K. L., Friberg, P., & Alfvén, T. (2021) · The Lancet Planetary Health · doi:10.1016/s2542-5196(20)30274-6 · Cited by 332 · see citing works
- Authors
- Vanos, J. K.
- Affiliations
- Texas Tech University (US)
- Corresponding author
- Vanos, Jennifer K.
- ORCID
- Vanos, Jennifer K.
- Venue
- Environment International
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 76
- Pages
- 1-15
- ISSN
- 0160-4120 (ISSN-L)
- OpenAlex
- W2091751736
- Cited by
- 184
- References
- 175
- Citations by year
- 2026: 20 · 2025: 21 · 2024: 20 · 2023: 22 · 2022: 20 · 2021: 12 · 2020: 12 · 2019: 10 · 2018: 12 · 2017: 13 · 2016: 19 · 2015: 3
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Environment International (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Physical Sciences › Environmental Science › Environmental Engineering › Urban Heat Island Mitigation
- Keywords
- child health, urban microclimate, biometeorology, heat exposure, air pollution, ultraviolet radiation, heat index, energy balance model, schoolyard, urban parks, asthma, childhood obesity, climate change, urban heat island, environmental health risk assessment
- MeSH terms
- Air Pollution, Child, Environmental Exposure, Environmental Health, Hot Temperature, Humans, Microclimate, Models, Theoretical, Ultraviolet Rays, Urban Health, Urban Population, Risk Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review