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Cited by 294Climate Change and Health ImpactsUrban Heat Island MitigationThermoregulation and physiological responses

Intra-urban vulnerability to heat-related mortality in New York City, 1997–2006

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Klein Rosenthal, Joyce, Kinney, Patrick L., Metzger, Kristina B.·2014·Health & Place
DOI 10.1016/j.healthplace.2014.07.014PMC PMC4348023
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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.

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Authors
Klein Rosenthal, J., Kinney, P. L., & Metzger, K. B.
Affiliations
  • Columbia University (US)
  • New York City Department of Health and Mental Hygiene (US)
ORCID
Venue
Health & Place
Publisher
Elsevier BV
Published
2014-11
Volume
30
Pages
45-60
ISSN
1353-8292 (ISSN-L)
DOI
10.1016/j.healthplace.2014.07.014
PMC
PMC4348023
OpenAlex
W2058693570
Cited by
294
References
70
Citations by year
2026: 21 · 2025: 19 · 2024: 31 · 2023: 27 · 2022: 34 · 2021: 37 · 2020: 29 · 2019: 23 · 2018: 18 · 2017: 22 · 2016: 18 · 2015: 14 · 2014: 1
FWCI
12.06
Type
journal article
Language
en
Open access
Licence
Locations
  • Health & Place (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion, cc-by-nc-sa)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • New York City Department of Health and Mental Hygiene
  • Harvard University
  • Centers for Disease Control and Prevention (CD300430, U36CD300430)
  • National Institute of Environmental Health Sciences (P30ES009089)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Physical Sciences › Environmental Science › Environmental Engineering › Urban Heat Island Mitigation
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
Keywords
heat-related mortality, older adults, New York City, poverty, housing conditions, impervious cover, surface temperature, hypertension, racial disparities, built environment, health impacts of climate change
MeSH terms
Aged, Female, Heat Exhaustion, Humans, Male, Mortality, New York City, Models, Statistical, Databases, Factual, Vulnerable Populations, Health Status Disparities

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