IF 4.3 2区医学

Geohealth Pub Date : 2025-05-31 DOI: 10.1029/2025GH001380

J. Barkoski, A. Liu, E. Van Fleet, S. Ramsey, A. Miller

{"title":"Conceptual GeoHealth Framework for Disaster Response Research: Case Study for Wildland Urban Interface (WUI) Fires and Data Integration","authors":"J. Barkoski, A. Liu, E. Van Fleet, S. Ramsey, A. Miller","doi":"10.1029/2025GH001380","DOIUrl":"https://doi.org/10.1029/2025GH001380","url":null,"abstract":"With climate change contributing to an increase in frequency and severity of extreme weather events like wildfires, droughts, and hurricanes, there is a growing need for coordinated research efforts to understand the impact of these events on human health. Specialized research frameworks can help interdisciplinary teams organize and visualize complex exposure-health pathways, identify knowledge gaps, and enhance coordination and communication across diverse groups of stakeholders. This article describes the development and application of a conceptual framework for wildfire-related exposures and human health outcomes. This framework serves as a tool for integrating data resources and mapping known and hypothesized connections, between complex wildfire exposures and human health outcomes, across the lifecycle of a wildland urban interface (WUI) fire. We also demonstrate the utility and flexibility of this framework for disaster research settings through two example applications. The first demonstrates an application for studying WUI fires and respiratory health outcomes, and the second example shows how the framework can be expanded to visualize exposure and health modeling with potential biomarkers of exposure and effect. Our GeoHealth Framework for WUI Fires illustrates complex linkages between wildfire related exposures and health outcomes and highlights areas for future study. Given the destruction and complexity of WUI fires, this framework provides an important resource that can assist with evaluating these complex exposure-health relationships, guiding and coordinating data collection, and informing communities and decision-makers to improve response, recovery, and future preparedness for such events in the United States and globally.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 6","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2025GH001380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypereutrophication, Hydrogen Sulfide, and Environmental Injustices: Mechanisms and Knowledge Gaps at the Salton Sea 富营养化、硫化氢和环境不公正：索尔顿海的机制和知识空白

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-31 DOI: 10.1029/2024GH001327

Diego Centeno, Alejandra G. Lopez, Aydee Palomino, Juliana Taboada, Ryan Sinclair, Quinn Montgomery, Consuelo Marquez, Migdalia N. Sanchez, Isabella B. Arzeno-Soltero, Mara A. Freilich

{"title":"Hypereutrophication, Hydrogen Sulfide, and Environmental Injustices: Mechanisms and Knowledge Gaps at the Salton Sea","authors":"Diego Centeno, Alejandra G. Lopez, Aydee Palomino, Juliana Taboada, Ryan Sinclair, Quinn Montgomery, Consuelo Marquez, Migdalia N. Sanchez, Isabella B. Arzeno-Soltero, Mara A. Freilich","doi":"10.1029/2024GH001327","DOIUrl":"https://doi.org/10.1029/2024GH001327","url":null,"abstract":"The Salton Sea, California's largest lake, is undergoing significant environmental degradation, which has adverse health effects on nearby rural communities, primarily Latinx and Torres Martinez Desert Cahuilla Indian. Over the past two decades, the lake's water levels have steadily dropped. Water conditions in the Sea, characterized by low oxygen and high nutrient levels, favor the production of hydrogen sulfide (H2S). This study investigates the connection between the Sea's changing conditions, particularly the worsening water quality, and H2S emissions using air quality and water quality data collected since 2013 and 2004, respectively. H2S concentrations often exceed California's air quality standards, particularly in areas near the Sea during summer months. Wind patterns substantially impact detection of H2S. When wind is blowing from the Sea toward communities with sensors, located to the northwest of the Sea, H2S is detected significantly more often. Current monitoring efforts underestimate the frequency and distribution of H2S that exceeds air quality standards. An air sensor deployed in shallow water over the Salton Sea by a community science program detected substantially higher concentrations of H2S, particularly when wind was blowing over exposed sediment and shallow water, suggesting that these are a significant and overlooked H2S source at the Salton Sea. These findings highlight the need for improved air quality monitoring and more effective environmental management policies to protect public health in the region. The study emphasizes the importance of community-led solutions and provides insights relevant to other regions experiencing similar environmental crises.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 6","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacts of Breaching Planetary Boundaries on Human Health: Current and Future Threats 突破地球边界对人类健康的影响：当前和未来的威胁

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-31 DOI: 10.1029/2024GH001107

Ricky Anak Kemarau, Zaini Sakawi, Oliver Valentine Eboy, Wan Shafrina Wan Mohd Jaafar, Zulfaqar Sa'adi, Stanley Anak Suab

{"title":"Impacts of Breaching Planetary Boundaries on Human Health: Current and Future Threats","authors":"Ricky Anak Kemarau, Zaini Sakawi, Oliver Valentine Eboy, Wan Shafrina Wan Mohd Jaafar, Zulfaqar Sa'adi, Stanley Anak Suab","doi":"10.1029/2024GH001107","DOIUrl":"https://doi.org/10.1029/2024GH001107","url":null,"abstract":"This review examines the impact of breaching planetary boundaries on human health and potential future threats, emphasizing the need for effective mitigation and adaptation strategies. Through a rigorous literature review of 142 high-quality articles, we explore the health implications of breaching planetary boundaries such as climate change, land system change, biodiversity loss, biogeochemical flows, aerosol loading, stratospheric ozone depletion, freshwater use, novel entities, and ocean acidification. Our findings indicate a direct association between breached planetary boundaries and a range of health risks, including respiratory and cardiovascular diseases, increased infectious disease vulnerability, and nutritional impacts due to compromised food sources. The analysis highlights the disproportionate effects on vulnerable populations and underscores the significance of localized and global strategies in mitigating these health threats. Effective measures, including urban planning for green spaces and pollution control, have been identified as crucial. The review calls for an integrated, interdisciplinary approach to safeguard human health against the backdrop of environmental degradation, stressing the urgency of global collaboration in policy development and implementation.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 6","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-29 DOI: 10.1029/2024GH001135

Nivedita Sairam, Anna Buch, Marie-Luise Zenker, Lisa Dillenardt, Michaela Coenen, Annegret H. Thieken, Caroline Jung-Sievers

{"title":"Health-Related Quality of Life and Everyday Functioning in the Flood-Affected Population in Germany - A Case Study of the 2021 Floods in West Germany","authors":"Nivedita Sairam, Anna Buch, Marie-Luise Zenker, Lisa Dillenardt, Michaela Coenen, Annegret H. Thieken, Caroline Jung-Sievers","doi":"10.1029/2024GH001135","DOIUrl":"https://doi.org/10.1029/2024GH001135","url":null,"abstract":"Floods lead to adverse impacts not only in financial terms but also on the health of the exposed population. We report on health-related Quality of Life (QoL) and functioning in the population affected by the 2021 flooding in Germany using an empirical survey data set. Health-related QoL and functioning are represented by two scores–(a) The EuroQoL 5D Visual Analog Scale (EQ-5D VAS) and (b) The 12-Item World Health Organization Disability Assessment Schedule (WHODAS 2.0), respectively. By applying an incremental linear regression model and Machine Learning models, we infer that health-related QoL and functioning are strongly negatively related to the psychological burden from those being affected by the flooding. This includes how often they think about the traumatic event. Home owners were found to have worse QoL and functioning than tenants. Household income and the status of repair/reconstruction of flood damages—in specific, insurance benefits, private donation and satisfactory claims compensation are associated with high health-related QoL and functioning. These findings highlight the importance of strengthening the health-related QoL of flood affected populations and emphasizes the strong association between recovery and health-related QoL and functioning of flood-affected populations.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 6","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Ambient Temperature and Relative Humidity With Respiratory Syncytial Virus Infections Among Hospitalized Children in Suzhou, Eastern China: A Time-Series Analysis 苏州地区住院儿童环境温度和相对湿度与呼吸道合胞体病毒感染的关系：时间序列分析

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-21 DOI: 10.1029/2025GH001353

Yingfeng Lu, Shaolong Ren, Xuejun Shao, Jianmei Tian, Feifei Hu, Fang Yao, Tao Zhang, Genming Zhao

{"title":"Association of Ambient Temperature and Relative Humidity With Respiratory Syncytial Virus Infections Among Hospitalized Children in Suzhou, Eastern China: A Time-Series Analysis","authors":"Yingfeng Lu, Shaolong Ren, Xuejun Shao, Jianmei Tian, Feifei Hu, Fang Yao, Tao Zhang, Genming Zhao","doi":"10.1029/2025GH001353","DOIUrl":"https://doi.org/10.1029/2025GH001353","url":null,"abstract":"Respiratory syncytial virus (RSV) is the leading cause of clinical pneumonia in children. We aimed to investigate the associations between ambient temperature, relative humidity, and pediatric RSV infections, and to assess the disease burden attributable to cold or humid conditions. Daily data on RSV hospitalizations among children aged ≤5 years, mean temperature, and relative humidity in Suzhou, China, from January 2016 to December 2019 were collected. A distributed lag nonlinear model with quasi-Poisson regression was employed to assess the exposure-lag-response associations. Attributable risks were calculated to quantify the disease burden due to climatic factors. We found an inverted U-shaped relationship between temperature and RSV infections, with the cumulative risk of RSV peaking at 7.5°C (RR = 4.30, 95% CI: 3.08–6.02). The exposure-response curves for relative humidity exhibited a generally positive trend, peaking at 100.0% (RR = 3.14, 95% CI: 1.84–5.34). Using median values as references, the highest risk effects of extremely low (RR = 1.14, 95% CI: 1.04–1.25) and low (RR = 1.22, 95% CI: 1.12–1.32) temperatures, as well as high (RR = 1.09, 95% CI: 1.04–1.13) and extremely high (RR = 1.16, 95% CI: 1.07–1.27) relative humidity, occurred on the day of exposure and persisted for extended periods. The attributable fraction of RSV infections associated with cold or humid conditions was 55.23% (95% CI: 50.01%–64.03%) and 12.02% (95% CI: 9.36%–20.24%), respectively. The risk effect of high relative humidity was stronger in children aged 1–5 years. Our findings suggest nonlinear, lagged associations between climatic factors and pediatric RSV infections, which may inform future healthcare planning and RSV immunization strategies.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 5","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2025GH001353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Non-Linear Effects of Urban Green Space on Promoting Physical Activity of Old Adults at Different Obesity Status in Semi-Arid Area: A Case Study of Lanzhou, China 半干旱区城市绿地对不同肥胖状态老年人身体活动的非线性促进效应——以兰州市为例

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-21 DOI: 10.1029/2024GH001273

Hualong Qiu, Haoran Tang, Yiyang Yang

{"title":"The Non-Linear Effects of Urban Green Space on Promoting Physical Activity of Old Adults at Different Obesity Status in Semi-Arid Area: A Case Study of Lanzhou, China","authors":"Hualong Qiu, Haoran Tang, Yiyang Yang","doi":"10.1029/2024GH001273","DOIUrl":"https://doi.org/10.1029/2024GH001273","url":null,"abstract":"A substantial body of research has linked the built environment to obesity risk in older adults, with physical activity reducing obesity risk. Most studies have focused on temperate and subtropical regions; however, results can vary due to different climate characteristics. This study examines Lanzhou, a representative of arid Northwestern China, to explore the nonlinear relationship between the built environment and physical activity among older adults, focusing on the role of green spaces. By using the XGBoost method, we analyze how green spaces and the 5D built environment affect physical activity levels among the obese and standard-weight elderly populations in Lanzhou. Results indicate that green spaces significantly influence physical activity in both groups, with their effect surpassing other environmental and sociodemographic factors. Obese elderly individuals are more influenced by green space quality and accessibility, while standard-weight individuals are more affected by the overall quantity and coverage of green spaces. Obese individuals also rely more on street greening compared with their standard-weight counterparts. In addition, a diverse urban environment and appropriate public transportation distances are crucial for promoting physical activity among the elderly. Low temperatures inhibit physical activity more in obese elderly individuals. Our findings provide insights for policymakers, planners, and designers on optimizing green infrastructure to reduce obesity risks among the elderly in arid regions, ultimately enhancing the urban environment's effectiveness in promoting healthy aging.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 5","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PM2.5-Associated Premature Mortality Attributable to Hot-And-Polluted Episodes and the Inequality Between the Global North and the Global South 高温和污染事件导致的pm2.5相关过早死亡以及全球南北之间的不平等

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-13 DOI: 10.1029/2024GH001290

Tao Huang, Yue Li, Jinhui Li, Joseph J. Y. Sung, Steve H. L. Yim

{"title":"PM2.5-Associated Premature Mortality Attributable to Hot-And-Polluted Episodes and the Inequality Between the Global North and the Global South","authors":"Tao Huang, Yue Li, Jinhui Li, Joseph J. Y. Sung, Steve H. L. Yim","doi":"10.1029/2024GH001290","DOIUrl":"https://doi.org/10.1029/2024GH001290","url":null,"abstract":"Exposure to air pollution and excessive heat during hot-and-polluted episodes (HPEs) may synergistically cause higher health risks globally. Nevertheless, long-term global spatiotemporal characteristics of HPEs and their health impacts remain unclear. Herein, we conducted statistical analyses using reanalysis data of fine particulate matter (PM2.5) and climate together with our derived concentration-response function for HPEs to assess global HPE variations from 1990 to 2019, and to estimate the PM2.5-associated premature mortality during HPEs. Our results reveal that HPE frequency increased significantly globally. HPE PM2.5 intensity in the Global North continuously increased, overpassing the Global South after 2010, indicating a recurred risk of air pollution under climate change in the Global North after several years of emission control endeavors. Globally, we estimated approximately 694,440 (95% CI: 687,996–715,311) total mortalities associated with acute PM2.5 exposure during HPEs from 1990 to 2019, with the Global South accounting for around 80% of these deaths. Among the most vulnerable 15 countries, India had by far the highest mortality burden, and the United States, Russia, Japan, and Germany were particularly highlighted as having higher burdens within the Global North. Our findings highlight the importance of considering environmental inequality between the Global North and the Global South, and co-benefits of air pollution-climate change mitigation during policymaking processes.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 5","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overexposed and Understudied: Environmental Risks Among Older Adults Experiencing Homelessness in Phoenix, Arizona 过度暴露和研究不足：亚利桑那州凤凰城老年人无家可归的环境风险

IF 4.3 2区医学

Geohealth Pub Date : 2025-05-12 DOI: 10.1029/2025GH001372

Zachary Van Tol, Ariane Middel, Jennifer K. Vanos, Kristin M. Ferguson

{"title":"Overexposed and Understudied: Environmental Risks Among Older Adults Experiencing Homelessness in Phoenix, Arizona","authors":"Zachary Van Tol, Ariane Middel, Jennifer K. Vanos, Kristin M. Ferguson","doi":"10.1029/2025GH001372","DOIUrl":"https://doi.org/10.1029/2025GH001372","url":null,"abstract":"Individuals experiencing homelessness are highly vulnerable to urban environmental hazards, such as heat and air pollution, due to a lack of stable housing and limited access to indoor or cooled spaces. These risks are heightened for older adults and individuals with preexisting health conditions. With intensifying summer heat in the American Southwest and the persistence of urban homelessness, this study explores how older adults experiencing homelessness in Phoenix, Arizona perceive and interact with heat and air pollution as well as the adequacy of available coping resources and information. A survey was co-produced with community members with lived experience. A sub-group of community members assisted in proctoring the surveys among adults 55 and older at a downtown service agency. Survey results informed the location of data collection using MaRTy—a mobile biometeorological cart—and remotely sensed fine particulate matter (PM2.5). Findings reveal that heat and air pollution significantly influence travel decisions and contribute to health issues for many respondents. Midday and evening thermal radiation levels regularly exceeded safe thresholds, while PM2.5 concentrations often surpassed annual air quality guidelines, though they posed less acute health risks. Most participants reported awareness of health risks and employed strategies to reduce exposure. However, many expressed that city-level, public resources are insufficient to prevent heat- and air pollution-related health issues. Findings underscore the need for targeted interventions—such as better access to transportation and essential healthcare and extended hours of operation for service providers—to enhance resource accessibility and mitigate environmental health risks for vulnerable populations.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 5","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2025GH001372","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect Modification of Temperature Variability on the Association Between Ambient Heat and Hospitalization: A Nationwide Study in Brazil Between 2000 and 2015 温度变化对环境热与住院之间关系的影响：2000 - 2015年巴西全国研究

IF 4.3 2区医学

Geohealth Pub Date : 2025-04-26 DOI: 10.1029/2024GH001284

Mengwei Zhuang, Yanwen Cao, Shanshan Li, Micheline S. Z. S. Coelho, Paulo H. N. Saldiva, Yuming Guo, Qi Zhao

{"title":"Effect Modification of Temperature Variability on the Association Between Ambient Heat and Hospitalization: A Nationwide Study in Brazil Between 2000 and 2015","authors":"Mengwei Zhuang, Yanwen Cao, Shanshan Li, Micheline S. Z. S. Coelho, Paulo H. N. Saldiva, Yuming Guo, Qi Zhao","doi":"10.1029/2024GH001284","DOIUrl":"https://doi.org/10.1029/2024GH001284","url":null,"abstract":"Little evidence is available about how temperature variability (TV) may modify the association between ambient heat and health conditions, especially in less developed countries, for example, Brazil. This study explored the change in heat-hospitalization association from days with low to high temperature variabilities (TVs) in Brazil. We collected data on daily hospitalization and weather from 1,814 Brazilian cities during the 2000–2015 hot seasons. For each city, the heat-hospitalization association was estimated using the quasi-Poisson regression with constrained lag model on days with low and high TVs, respectively. City-specific effect estimates were then pooled using random-effect meta-analysis. Stratified analyses were performed by region, sex, age-group and cause category. Our results showed that at the national level the risk of hospitalization increased by 4.4% [95% confidence interval (CI): 4.0%–4.7%] and 2.7% (95%CI: 2.4%–3.0%) per 5°C increase in daily mean temperature on days with low and high TVs, respectively. The effect modification of TV on heat-hospitalization association was significant in the northeast, southeast and south, and for most population groups except for the children aged 0–4 years and the elderly aged ≥80 years. Significant effect modification of TV was observed in injury and poisoning, respiratory and cardiovascular diseases. Our findings suggest that in Brazil, the heat-health association is substantially modified by exposure to TV. The high heat susceptibility on the day with low TV warrants particular concern in order reducing the risk of disease burden.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 4","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2024GH001284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heat Waves and Early Birth: Exploring Vulnerability by Individual- and Area-Level Factors 热浪与早产：通过个体和区域层面的因素探索脆弱性

IF 4.3 2区医学

Geohealth Pub Date : 2025-04-23 DOI: 10.1029/2025GH001348

A. Fitch, M. Huang, M. J. Strickland, A. J. Newman, C. Kalb, J. L. Warren, S. Kelley, X. Zheng, H. H. Chang, L. A. Darrow

{"title":"Heat Waves and Early Birth: Exploring Vulnerability by Individual- and Area-Level Factors","authors":"A. Fitch, M. Huang, M. J. Strickland, A. J. Newman, C. Kalb, J. L. Warren, S. Kelley, X. Zheng, H. H. Chang, L. A. Darrow","doi":"10.1029/2025GH001348","DOIUrl":"https://doi.org/10.1029/2025GH001348","url":null,"abstract":"Extreme heat has been linked to many health outcomes, including preterm and early term birth. We examine associations between acute heat wave exposure and risk of preterm (PTB) (28–36 weeks) or early term (ETB) (37–38 weeks) birth, stratified by individual-level and area-level factors. Daily ambient mean temperature was linked to maternal residence in state vital records for preterm and early term births in California, Florida, Georgia, Kansas, Nevada, New Jersey, North Carolina, and Oregon between 1990 and 2017. Heat waves were identified during the four-day exposure window preceding birth using the 97.5th percentile mean temperature for zip code tabulation areas (ZCTA). We used a time-stratified case-crossover design, restricted to the warm season (May through September) and stratified by maternal age, maternal education, ZCTA-level impervious land cover or social deprivation index. We pooled estimated odds ratios across states using inverse-variance weighting. The PTB and ETB analyses included up to 945,836 and 2,966,661 cases, respectively. Heat-related ETB risk was consistently highest among women <25 years of age, women with ≤high school education, and women living in areas of higher social deprivation and impervious land cover. PTB associations were also elevated in these subgroups, but positive associations were also observed among older, more educated mothers, and in areas with less social deprivation. Across all subgroups and outcomes, the change in odds associated with heat waves ranged from no increase to a 7.9% increase. Heat-related early term birth risk is enhanced among subgroups associated with socioeconomic disadvantage, but patterns of vulnerability were less consistent for preterm birth.","PeriodicalId":48618,"journal":{"name":"Geohealth","volume":"9 4","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1029/2025GH001348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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