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: 9982364
• 负责人: Jane Ellen Clougherty
• 金额: $ 54.83万
• 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/9982364
• 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; Meteorology; 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; Variant; Virus Diseases; Weather; Work; aged; climate data; comorbidity; density; design; exhaustion; experience; extreme heat; extreme weather; global health; health data; improved; indexing; 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.

项目摘要/摘要 虽然越来越多但仍然少量的研究证实了热量与小儿健康有关 影响，热和儿童健康领域仍然严重研究，从而限制了公共卫生 预防和临床方法的重点是儿童的热健康风险降低。利用我们的 初步工作，我们假设儿童脆弱的热量对热量的影响会因年龄而有所不同 具有重要的公共卫生信息后果，并对儿童产生最大的健康影响 热量是非热诊断之一，诸如伤害和其他诊断之类的结果代表 现有研究的重要差距可能缺少大部分热相关的健康负担 孩子们。我们提出了一项调查，该调查使用了一个足够大的行政数据集 较小的年龄类别和诊断子组的检查，以识别医学上的儿童和 特定的结果将阐明观察到的热健康关联的潜在病因。更远， 我们采用了一个独特的先前编译的城市易感指标数据集来了解社区 - 慢性应激源对热量的水平脆弱性。 AIM 1：开发和比较跨空间和时间分辨的细粒度，整个热量计算 纽约市（纽约）。 AIM 2：确定纽约市哪种儿科亚群最容易受到高环境的影响 温度。 目标3：将小儿健康和热分析扩展到州一级以了解风险的范围 跨越城市化的梯度。 目标4：应用儿童健康和热协会研究结果来告知公共卫生热警报 纽约州的计划，特定州的热脆弱性指数和临床医生意识。 这项研究的结果将作为AIM 4提出的培训和外展系列的一部分传播。 此外，这项研究将有助于建立用于评估降低热风险干预措施的基础设施。