Journal of Epidemiology and Community Health最新文献

{"title":"Overall and race-specific associations between state-level minimum wage policy and food insecurity in the United States.","authors":"Sophia L Freije, Maeve Wallace, M Pia Chaparro","doi":"10.1136/jech-2024-222350","DOIUrl":"10.1136/jech-2024-222350","url":null,"abstract":"<p><strong>Background: </strong>In the USA, states can set higher minimum wages than the federal government. We investigated the association between state minimum wages and racial/ethnic inequities in food insecurity.</p><p><strong>Methods: </strong>Household-level food insecurity and sociodemographic data were obtained from the cross-sectional Current Population Survey 2015-2019 (n=189 665 households) and merged by state and year with minimum wage and cost-of-living data obtained from the US Department of Labor and US Bureau of Economic Analysis, respectively. We fitted Poisson regression models with robust standard errors with 12-month or 30-day household food insecurity as the outcome, and minimum wage or inflation-adjusted minimum wage (ie, real wage) as the predictor, adjusting for cost of living, sociodemographic covariates and state fixed-effects. We tested interactions between minimum wage and race/ethnicity and ran race/ethnicity-stratified models.</p><p><strong>Results: </strong>In adjusted models, the real wage was not associated with 12-month or 30-day food insecurity. Minimum wage was associated with 5% lower prevalence rate of 12-month food insecurity (PR 0.95, 95% CI=0.93 to 0.98) and 7% lower prevalence rate of 30-day food insecurity (PR 0.93, 95% CI 0.91 to 0.96) for all households. The interaction p values for race/ethnicity with real wage and minimum wage were p<0.001. In stratified models, results were statistically significant for minimum wage and 12-month food insecurity among non-Hispanic (NH) white households (PR 0.93, 95% CI 0.89 to 0.96) and Hispanic households (PR 0.95, 95% CI 0.92 to 0.98), and minimum wage and 30-day food insecurity among NH white (PR 0.92, 95% CI 0.88 to 0.96), NH black (PR 0.94, 95% CI 0.89 to 0.99) and Hispanic (PR 0.90, 95% CI 0.85 to 0.95) households.</p><p><strong>Conclusions: </strong>Higher state-level minimum wages, but not real wages, were associated with lower food insecurity prevalence overall and for racial/ethnic subgroups.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":"153-158"},"PeriodicalIF":4.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local area crime and alcohol consumption: longitudinal evidence from Australia.","authors":"Rejoice E A Churchill, Isaac Koomson, Sefa Awaworyi Churchill","doi":"10.1136/jech-2024-222470","DOIUrl":"10.1136/jech-2024-222470","url":null,"abstract":"<p><strong>Background: </strong>Alcohol misuse is a major public health issue. Understanding factors that contribute to alcohol misuse or risky drinking behaviour is important for policy. This study examined if crime rates in the neighbourhood (postcode) where a person lives influences their likelihood of engaging in risky drinking behaviour. We further explored social capital and mental health as channels through which neighbourhood crime influences risky drinking behaviour.</p><p><strong>Methods: </strong>Using 18 waves of household longitudinal data from the Household, Income and Labour Dynamics in Australia Survey for the period 2002 to 2019 merged with official police statistics on neighbourhood crime rates, we adopted fixed-effect regression models that allow us to address concerns relating to endogenous sorting of participants as well as omitted variable bias.</p><p><strong>Results: </strong>We find that an increase in neighbourhood crime is associated with an increase in the likelihood of risky drinking (OR=1.107, 95% CI 1.073 to 1.120), alcohol expenditure (<i>b</i>=0.063, 95% CI 0.041 to 0.076), alcohol consumption frequency (<i>b</i>=0.071, 95% CI 0.055 to 0.083) and quantity (<i>b</i>=0.046, 95% CI 0.032 to 0.052). We present exploratory evidence that social capital and mental health mediate the relationship between neighbourhood crime and alcohol use. Specifically, our results suggest that by eroding the level of trust and decreasing mental health, neighbourhood crime tends to increase the probability that people engage in risky alcohol behaviour.</p><p><strong>Conclusion: </strong>Our findings suggest that targeting crime and in particular the channels through which crime influences risky alcohol behaviour (ie, trust and mental health) can be instrumental in addressing alcohol misuse.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":"159-164"},"PeriodicalIF":4.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a multicomponent school-based intervention with parental involvement on socioeconomic inequalities in smoking initiation: equity impact analysis of the TOPAS study.","authors":"Dorien Beeres, Maria Rosaria Galanti, Maria Nilsson, Anni-Maria Pulkki-Brännström","doi":"10.1136/jech-2024-222463","DOIUrl":"10.1136/jech-2024-222463","url":null,"abstract":"<p><strong>Background: </strong>As prevalence of tobacco use falls, socioeconomic inequalities in tobacco use are increasing in many high-income countries. Evidence is lacking on the effect of preventive interventions on socioeconomic inequalities in smoking initiation among adolescents. We evaluated whether a multicomponent school-based prevention programme with parental involvement has differential effects on smoking initiation across socioeconomic groups and affects the magnitude of socioeconomic inequalities in smoking initiation.</p><p><strong>Methods: </strong>A secondary analysis of data from a 3-year cluster randomised controlled trial, the TOPAS study, conducted in Sweden from 2018 to 2021. Schools were randomised either to the full programme (Tobacco-Free Duo, T-DUO) or minimal intervention (EDU). The analysis was conducted according to intention to treat for the primary outcome, the probability of remaining a non-user of cigarettes at the end of compulsory school (ages 15-16). Parents' educational attainment was the socioeconomic variable. Differential effects were analysed by comparing adolescents exposed to T-DUO with those exposed to EDU within each socioeconomic group. The effect of the intervention on the magnitude of inequalities was analysed by comparing several measures of absolute and relative inequalities between T-DUO and EDU.</p><p><strong>Results: </strong>At the end of follow-up, the full programme had a similar, at most moderate effect on smoking initiation in all socioeconomic groups (relative risk 1.13 (95% CI 1.02 to 1.25) in the middle group). The programme did not significantly affect the magnitude of inequalities (Slope Index of Inequality difference 1.49 (95% CI -15.34 to 18.32)).</p><p><strong>Discussion: </strong>Socioeconomic inequalities in smoking initiation remain substantial. Our results indicate the absence of an effect of the programme T-DUO on these inequalities.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":"227-232"},"PeriodicalIF":4.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic factors and the risk of eye diseases in an elderly Danish population.","authors":"Marie Ørskov, Lasse Jørgensen Cehofski, Torben Bjerregaard Larsen, Toke Bek, Flemming Skjøth, Henrik Vorum","doi":"10.1136/jech-2024-223341","DOIUrl":"https://doi.org/10.1136/jech-2024-223341","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to study the association between socioeconomic factors and risk of prevalent eye diseases, including glaucoma, cataract and retinal vein occlusion (RVO) in an elderly Danish population.</p><p><strong>Design: </strong>This study was a nationwide cohort study.</p><p><strong>Setting and participants: </strong>The included subjects were extracted from Danish nationwide health registers, and the association between socioeconomic factors and prevalent eye diseases was assessed by estimating the incidence rate and the cumulative incidence. The differences between the investigated groups were quantified using the Cox proportional hazard model.</p><p><strong>Results: </strong>Based on a 10-year follow-up period, the highest levels of education and household income were associated with higher rates and risks of glaucoma compared with the lowest and middle levels. This results in absolute risks ranging from 3.2% (3.1%-3.3%) in both the lowest educational and income group to 4.0% (3.9-4.1%) and 3.8% (3.8-3.9%) in the highest educational and income group, respectively. For cataract, the middle and lowest educational and income levels were associated with increased rates and risks, which were statistically significant compared with the highest levels. The risk of cataract ranged from 6.5% (6.4%-6.7%) to 8.1% (8.0%-8.2%) and 6.0% (5.9%-6.1%) to 8.7% (8.5%-8.8%) in the highest to the lowest educational and income group, respectively. For RVO, the event rate was low, showing no statistically significant differences. The risk of RVO remained constant in all investigated socioeconomic groups, with a risk of 0.3% (0.3%-0.3%).</p><p><strong>Conclusion: </strong>Our findings indicate that socioeconomic factors, such as education and household income, are associated with the diagnosis glaucoma and cataract. Incorporating socioeconomic considerations into public health initiatives may enhance the management of eye diseases and improve information and awareness about these conditions.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic disease prevalence and preventive care among Ontario social housing residents compared with the general population: a population-based cohort study.","authors":"Gina Agarwal, Homa Keshavarz, Ricardo Angeles, Melissa Pirrie, Francine Marzanek, Francis Nguyen, Jasdeep Brar, J Michael Paterson","doi":"10.1136/jech-2024-222762","DOIUrl":"https://doi.org/10.1136/jech-2024-222762","url":null,"abstract":"<p><strong>Background: </strong>Older adults living in social housing report poor health and access to healthcare services. This study aimed to estimate the prevalence of chronic diseases, influenza vaccination and cancer screenings among social housing residents versus non-residents in Ontario, Canada.</p><p><strong>Methods: </strong>We conducted a population-based cohort study for all health-insured Ontarians alive and aged 40 or older as of 1 January 2020. Social housing residents were identified using postal codes. Validated health administrative data case definitions were used to identify individuals with diabetes, hypertension, chronic obstructive pulmonary disease, asthma, congestive heart failure and cardiovascular disease. Influenza vaccination and mammography, Pap and colorectal cancer screenings were identified among screen-eligible residents using health administrative data.</p><p><strong>Results: </strong>The prevalence of all chronic diseases was higher among social housing residents across all age groups: 40-59, 60-79 and 80+ years. Influenza vaccination rates in 2018-2019 were lower among social housing residents aged 60-79 and 80+ years. Mammography rates for women aged 50-69 years in 2018-2019 were 10-11% lower among social housing residents across all age groups compared with non-residents. Pap screening rates for women aged 40-69 in 2018-2019 were 6-8% lower among social housing residents. The percentage of colorectal screening in both women and men aged 52-74 was lower (9-10% in men and 6-7% in women) in social housing compared with the general population in 2019-2020.</p><p><strong>Conclusion: </strong>There is a higher prevalence of chronic diseases and lower cancer screening rates among the growing population of older adults in social housing in Ontario, Canada.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic postsurgical pain increases postoperative depression risk.","authors":"Mingyang Sun, Xiaolin Wang, Zhongyuan Lu, Yitian Yang, Shuang Lv, Mengrong Miao, Wan-Ming Chen, Szu-Yuan Wu, Jiaqiang Zhang","doi":"10.1136/jech-2024-222761","DOIUrl":"https://doi.org/10.1136/jech-2024-222761","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective cohort study aimed to investigate the association between chronic postsurgical pain (CPSP) and the risk of postoperative depression in patients undergoing major surgery.</p><p><strong>Methods: </strong>Data from Taiwan's National Health Insurance Research Database were analysed for patients aged over 20 years who underwent major surgery between 2004 and 2018. CPSP was defined as the use of prescribed analgesics for over 3 months postsurgery, with a prescription exceeding 90 cumulative defined daily doses. Propensity score matching (PSM) was employed to match patients with and without CPSP. Cox regression analysis and competing risk analysis were conducted to evaluate the risk of postoperative depression in the CPSP group compared with the no CPSP group.</p><p><strong>Results: </strong>Before PSM, 141 466 patients were included, with 37 303 (26.37%) experiencing CPSP. After PSM, 74 606 patients were matched in both groups. The incidence of depression was significantly higher in the CPSP group compared with the no CPSP group (p<0.0001). Cox regression analysis revealed a significantly elevated risk of depression in the CPSP group (adjusted HR: 1.41; 95% CI 1.35 to 1.48; p<0.0001), which persisted across various adjustment models and competing risk analysis. The cumulative depression risk increased over the follow-up period.</p><p><strong>Conclusions: </strong>This study demonstrates a strong association between CPSP and postoperative depression risk. Addressing CPSP may offer a promising approach to reducing the incidence of postoperative depression and its socioeconomic and familial burdens. Further research is needed to elucidate underlying mechanisms and optimise preventive interventions.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of family childhood adversity on risk of violence and involvement with police in adolescence: findings from the UK Millennium Cohort Study.","authors":"Nicholas Kofi Adjei, Kenisha Russell Jonsson, Jones Opoku-Ware, Sanni Yaya, Yanhua Chen, Davara Bennett, Ruth McGovern, Luke Munford, Michelle Black, David Taylor-Robinson","doi":"10.1136/jech-2024-223168","DOIUrl":"https://doi.org/10.1136/jech-2024-223168","url":null,"abstract":"<p><strong>Background: </strong>Childhood adversities, such as exposure to parental mental illness, domestic violence and abuse, substance use, and family poverty, have been linked to involvement in violence in early adulthood. However, evidence on the cumulative impact of multiple adversities throughout childhood on violence and crime in adolescence remains scarce. This study investigates the associations between trajectories of family adversity and poverty during childhood, and the risk of involvement in violence and contact with police in adolescence.</p><p><strong>Methods: </strong>We used longitudinal data from the UK Millennium Cohort Study on 9316 children. Exposure trajectories of family adversities and poverty were characterised (from ages 0-14 years) using group-based multi-trajectory models. The outcomes were weapon involvement, for example, carrying a knife, and police contact measured at age 17 years. Odds ratios and 95% confidence intervals (OR, 95% CI) and population attributable fractions were estimated using logistic regression models, adjusting for confounding factors.</p><p><strong>Results: </strong>The prevalence of weapon involvement and contact with police at age 17 years were 6.1% and 20.0%, respectively. Compared with children who experienced low poverty and family adversity throughout childhood, those exposed to persistent poverty and poor parental mental health were at notably increased risk of carrying weapons (adjusted OR (aOR) 2.2, 95% CI 1.3 to 3.6) and reporting contact with police (aOR 2.1, 95% CI 1.6 to 2.8). We estimate that about 32% of weapon involvement and 23% of contact with police at age 17 were attributable to persistent poverty and family adversity.</p><p><strong>Conclusion: </strong>Exposure to poverty and poor parental mental health throughout childhood doubles the risk of weapon involvement and police contact in early adulthood. These findings emphasise the importance of lifecourse and anti-poverty approaches to reducing involvement in crime in the UK.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term effects of urban renewal on health and health inequalities: the Neighbourhoods Law in Barcelona, Spain.","authors":"Roshanak Mehdipanah, Katherine Pérez, Laia Palència, Gregory Bushman, Justin Heinze, Carme Borrell","doi":"10.1136/jech-2023-221453","DOIUrl":"https://doi.org/10.1136/jech-2023-221453","url":null,"abstract":"<p><strong>Introduction: </strong>Few studies exist examining the long-term effects of urban renewal programmes on health. The purpose of this study is to examine the long-term effects of an urban renewal programme on the health and health inequality outcomes of residents living in the neighbourhoods intervened in Barcelona city by the Neighbourhoods Law (NL), while comparing them to a comparison group of non-intervention neighbourhoods with similar socioeconomic status.</p><p><strong>Methods: </strong>The Barcelona Health Survey was used for studying changes in self-rated health, mental health, hypertension and meeting walking requirements set by the WHO in pre (2006) and post (2016) years of neighbourhoods intervened by the NL and a group of comparison neighbourhoods with similar socioeconomic characteristics. We used logistic regression models to examine pre-post differences in health outcomes within intervention or comparison neighbourhoods. A difference-in-difference regression was used to assess the overtime impact of the NL intervention on the health outcomes compared with the comparison groups. All models were adjusted by the highest education level attained and age.</p><p><strong>Results: </strong>In the intervention neighbourhoods, self-rated health improved for manual workers, hypertension dropped in men and more women met the walking requirements compared with similar groups in the comparison neighbourhoods. Across all groups, mental health worsened.</p><p><strong>Conclusions: </strong>Our study is among the first to examine the long-term effects of urban renewal programmes. Although there exist complexities in studying these long-term effects, they are critical to ensure urban renewal programmes continue to improve health and reduce inequality among residents.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twenty-first century alienation and health: a research agenda.","authors":"Fran Baum, Julia Anaf, Toby Freeman, Connie Musolino, Miriam van den Berg, Sharon Friel, Ashley Schram","doi":"10.1136/jech-2024-223112","DOIUrl":"https://doi.org/10.1136/jech-2024-223112","url":null,"abstract":"<p><p>Alienation has been used as a crucial concept to describe the negative psychosocial impacts that stem from the ways production and consumption are organised in Marxist and non-Marxist traditions. The psychosocial impacts it generates are mediated through stress pathways to increase non-communicable physical and mental illnesses. There has been little empirical research on the impact of alienation on health and ways in which the impact might be reduced. This paper sets out an Alienation, Health and Well-being research agenda. We propose two hypotheses: (1) that processes of production and consumption in 21st century capitalism leads to alienation which underpins a significant degree of mental illness and non-communicable disease; and (2) reductions in prevalence of mental illness and non-communicable disease requires public policies which regulate market behaviour in favour of measures which reduce the alienating impacts of processes of production and consumption.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heat-related impacts on all-cause emergency hospitalisation differ by area deprivation and urbanicity: a time-stratified case-crossover study in Japan.","authors":"Hisaaki Nishimura, Nobutoshi Nawa, Tomoki Nakaya, Kiyohide Fushimi, Takeo Fujiwara","doi":"10.1136/jech-2024-222868","DOIUrl":"https://doi.org/10.1136/jech-2024-222868","url":null,"abstract":"<p><strong>Background: </strong>Climate-related health impacts have been a global public health concern. Identifying vulnerable populations is critical in implementing adaptation strategies. This study aimed to examine how heat-related impacts on all-cause emergency hospitalisations differ by area deprivation and urbanicity.</p><p><strong>Methods: </strong>All-cause emergency hospitalisations were identified in the Japanese nationwide administrative database during the warm season between 2011 and 2019. A time-stratified case-crossover study was conducted to examine short-term associations between daily mean temperature and hospitalisation. Days of heat exposure were defined as days when the daily mean temperature exceeded the minimum morbidity temperature (ie, temperature with the lowest relative risk between the 25th and the 75th percentiles of the daily mean temperature distribution). Analyses were stratified by area deprivation index and urbanicity. Heat-related excess hospitalisations were quantified using the population attributable fraction (PAF), derived as a fraction of heat-attributable emergency hospitalisations to the total number of emergency hospitalisations for all study subjects or within specific subgroups.</p><p><strong>Results: </strong>We identified 5 914 084 hospitalisations. Among all study subjects, PAF for heat-related excess hospitalisations was 1.69% (95% CI 1.54% to 1.87%). PAF for heat-related excess hospitalisations was more pronounced in people living in the most deprived areas (1.87%, 95% CI 1.68% to 2.06%) than those in the least deprived (1.19%, 95% CI 0.98% to 1.41%) and in urban populations (2.03%, 95% CI 1.78% to 2.30%) than rural ones (1.42% (95%CI 1.24% to 1.60%)). When further stratified by deprivation and urbanicity simultaneously, PAF for heat-related excess hospitalisations was most significant among urban populations living in the most deprived areas (2.62%, 95% CI 2.26% to 3.03%).</p><p><strong>Conclusion: </strong>These findings revealed that individuals living in the most deprived areas in urban settings were particularly vulnerable to heat exposure. Adaptation strategies tailored to socioeconomic and geographical inequalities can potentially reduce future heat-related health impacts.</p>","PeriodicalId":54839,"journal":{"name":"Journal of Epidemiology and Community Health","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}