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Cited by 169Climate Change and Health ImpactsUrban Heat Island MitigationAir Quality and Health Impacts

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Modification of the association between high ambient temperature and health by urban microclimate indicators: A systematic review and meta-analysis

Schinasi, Leah H., Benmarhnia, Tarik, De Roos, Anneclaire J.·2018·Environmental Research
DOI 10.1016/j.envres.2017.11.004
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Abstract

Background Landscape characteristics, including vegetation and impervious surfaces, influence urban microclimates and may lead to within-city differences in the adverse health effects of high ambient temperatures. Objective Our objective was to quantitatively summarize the epidemiologic literature that assessed microclimate indicators as effect measure modifiers (EMM) of the association between ambient temperature and mortality or morbidity. Methods We systematically identified papers and abstracted relative risk estimates for hot and cool microclimate indicator strata. We calculated the ratio of the relative risks (RRR) and 95% confidence intervals (95% CI) to assess differences in health effects across strata, and pooled the RRR estimates using random effects meta-analyses. Results Eleven papers were retained. In the pooled analyses, people living in hotter areas within cities (based on land surface temperature or modeled estimates of air temperature) had 6% higher risk of mortality/morbidity compared to those in cooler areas (95% CI: 1.03-1.09). Those living in less vegetated areas had 5% higher risk compared to those living in more vegetated areas (95% CI: 1.00-1.11). Discussion There is epidemiologic evidence that those living in hotter, and less vegetated areas of cities have higher risk of morbidity or mortality from higher ambient temperature. Further research with improved assessment of landscape characteristics and investigation of the joint effects of physiologic adaptation and landscape will advance the current understanding. Conclusion This review provides quantitative evidence that intra-urban differences in landscape characteristics and micro-urban heat islands contribute to within-city variability in the health effects of high ambient temperatures.

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  • Only four studies have focused on protective factors or the coping mechanisms people and communities have used when responding to the detrimental mental health impacts of climate change.

    “While the overwhelming focus on the mental health risks of climate change is understandable and has generated insight and traction for advocating the importance of considering mental health within climate change, only four studies have focused on protective factors or the coping mechanisms people and communities have used when responding to the detrimental mental health impacts of climate change [”

    From Climate Change and Mental Health: A Scoping Review (2021) · cites this paper as [105]

  • Assigning the same exposure to temperature on a given day to all individuals in a country or region is unlikely to accurately represent individuals' exposure given well-documented local variations in microclimates.

    “Indeed, assigning the same exposure to temperature, for example, on a given day to all individuals in a country or region is unlikely to accurately represent individuals’ exposure given well-documented local variations in microclimates [105,106].”

    From Climate Change and Mental Health: A Scoping Review (2021) · cites this paper as [105]

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Metadata

Authors
Schinasi, L. H., Benmarhnia, T., & De Roos, A. J.
Affiliations
  • University of California San Diego (US)
  • Scripps Institution of Oceanography (US)
Corresponding author
Schinasi, Leah H.
ORCID
Venue
Environmental Research
Publisher
Elsevier BV
Published
2018-02
Volume
161
Pages
168-180
ISSN
0013-9351 (ISSN-L)
DOI
10.1016/j.envres.2017.11.004
OpenAlex
W2769665230
Cited by
169
References
3
Citations by year
2026: 12 · 2025: 14 · 2024: 31 · 2023: 19 · 2022: 35 · 2021: 21 · 2020: 25 · 2019: 11 · 2018: 1
FWCI
1.06
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Environmental Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Dornsife School of Public Health Urban Health Collaborative (282671)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Physical Sciences › Environmental Science › Environmental Engineering › Urban Heat Island Mitigation
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Keywords
urban microclimate, urban heat island, high ambient temperature, heat-related mortality, heat-related morbidity, effect modification, land surface temperature, urban vegetation, impervious surfaces, landscape elements
MeSH terms
Cities, Environment Design, Environmental Exposure, Health Status, Hot Temperature, Humans, Microclimate, Temperature, Urban Health

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