Pediatric Health and Extreme Weather - Health Effects of Ambient Temperature (PHEW-HEAT)

儿科健康和极端天气 - 环境温度对健康的影响 (PHEW-HEAT)

• 批准号: 10194497
• 负责人: Jane Ellen Clougherty
• 金额: $ 60.74万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10194497
• 关键词: 17 year old; 4 year old; Acute; Address; Age; Area; Awareness; Body Size; Body Temperature; Categories; Cessation of life; Child; Child Health; Childhood; Chronic; Cities; Clinical; Communities; Crowding; Data; Data Set; Diagnosis; Diagnostic; Education and Outreach; Emergency department visit; Environmental Health; Etiology; Grain; Growth and Development function; Health; Health Status; Heat Stress Disorders; Heat Waves; Hospitalization; Infrastructure; Injury; Intervention; Investigation; Light; Medical; Methods; Modeling; Municipalities; New York; New York City; Outcome; Physiological; Pollution; Population; Poverty; Predisposition; Prevention; Public Health; Race; Research; Resource Allocation; Risk; Risk Factors; Risk Reduction; Rural; Rural Community; Sampling; Schools; Seasons; Series; Skin; Social Identification; Socioeconomic Status; Spatial Distribution; Subgroup; Surface; System; Temperature; Time; Update; Urban Community; Variant; Virus Diseases; Weather; Work; aged; climate data; comorbidity; density; design; exhaustion; experience; extreme heat; extreme weather; global health; health data; improved; indexing; meteorological data; modifiable risk; mortality; pediatric emergency; prevention service; programs; rapid growth; residence; respiratory; sex; social; social stressor; social structure; social vulnerability; spatiotemporal; stressor; suburb; suburban communities; violent crime

Project Summary/Abstract While a growing but still small number of studies corroborate that heat is associated with pediatric health impacts, this area of heat and child health remains critically understudied, thereby limiting public health prevention and clinical approaches focused on heat health risk reduction for children. Drawing on our preliminary work, we hypothesize that children vulnerability to the health effects of heat varies by age in ways that have important public health messaging consequences and that the greatest health impact to children from heat is among non-heat specific diagnoses and that outcomes such as injury and other diagnoses represent an important gap in existing research that is potentially missing the bulk of heat-associated health burden for children. We propose an investigation that uses an administrative dataset that is large enough to permit examination by smaller age categories and diagnostic subgroups to identify medically-fragile children and specific outcomes that will shed light on underlying etiology of the observed heat-health associations. Further, we employ a unique previously-compiled dataset of city-wide susceptibility indicators to understand community- level vulnerability to heat by chronic stressors. Aim 1: Develop and compare fine-grained, spatially and temporally-resolved calculations of heat across New York City (NYC). Aim 2: Determine which pediatric subpopulations in NYC are most susceptible to high ambient temperatures. Aim 3: Expand the pediatric health and heat analysis to the state level to understand the spectrum of risk across a gradient of urbanicity. Aim 4: Apply the child-health and heat association study findings to inform public health heat alert programs, state-specific heat vulnerability indices, and clinician awareness in NYS. Results of this research will be disseminated as part of the training and outreach series proposed in aim 4. Further, this research will help build infrastructure for assessing heat-risk reduction interventions.

项目概要/摘要 虽然越来越多但数量仍然很少的研究证实高温与儿科健康有关 影响，这一高温和儿童健康领域的研究仍然严重不足，从而限制了公共卫生 预防和临床方法的重点是减少儿童的高温健康风险。借鉴我们的 在初步工作中，我们假设儿童对高温对健康的影响的脆弱性因年龄而异 具有重要的公共卫生信息后果，并且对儿童的健康影响最大 热是非热特异性诊断之一，受伤和其他诊断等结果代表了 现有研究中的一个重要差距可能遗漏了大部分与高温相关的健康负担 孩子们。我们建议进行一项调查，使用足够大的管理数据集来允许 按较小年龄组和诊断亚组进行检查，以识别身体状况脆弱的儿童和 具体结果将揭示所观察到的热与健康关联的潜在病因学。更远， 我们采用之前编制的独特的全市易感性指标数据集来了解社区- 慢性压力源对热的脆弱性。 目标 1：开发并比较细粒度、空间和时间分辨的热量计算 纽约市（NYC）。 目标 2：确定纽约市哪些儿科亚群最容易受到高环境影响 温度。 目标 3：将儿科健康和热分析扩展到州一级，以了解风险范围 跨越城市化的梯度。 目标 4：应用儿童健康与高温协会的研究结果，为公共卫生高温警报提供信息 纽约州的计划、州特定热脆弱性指数和临床医生意识。 这项研究的结果将作为目标 4 中提出的培训和推广系列的一部分进行传播。 此外，这项研究将有助于建立评估减少高温风险干预措施的基础设施。