Heat-Related Health Risk Assessment and Mitigation for Aging Populations in Public Housing: A Community-Individual Environment-Health Nexus

公共住房中与热相关的健康风险评估和老龄化人口缓解：社区-个人环境-健康关系

• 批准号: 10587936
• 负责人: Dongying Li
• 金额: $ 36.9万
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-13 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10587936
• 关键词: 3-Dimensional; Accounting; Adopted; Adverse effects; Affective; Age; Aging; Air; Buffers; Characteristics; Chicago; Cities; Classification; Climate; Cognitive; Communities; Community Health; Complex; Data; Development; Disadvantaged; Disparity; Dose; Elderly; Emergency response; Emotional; Environment; Environmental Risk Factor; Equity; Event; Exposure to; Face; Foundations; Frequencies; Future; Goals; Green space; Health; Heat Stress Disorders; Housing; Human; Imagery; Impairment; Individual; Inequality; Infrastructure; Investigation; Knowledge; Measures; Mission; Modeling; Neighborhoods; Older Population; Outcome; Pathway interactions; Personal Satisfaction; Physiologic Thermoregulation; Physiological; Physiology; Policies; Population; Proxy; Public Health; Public Housing; Quasi-experiment; Rationalization; Research; Risk; Risk Assessment; Risk Factors; Role; Sampling; Site; Social Environment; Social outcome; Subgroup; Surveys; Temperature; Texas; Typology; United States National Institutes of Health; Vulnerable Populations; aging in place; behavioral outcome; climate adaptation; climate disaster; college; community planning; cost; density; design; experience; extreme heat; extreme weather; innovation; insight; modifiable risk; neglect; novel; prevent; psychologic; public health intervention; remote sensing; resilience; response; risk mitigation; social; social disparities; social vulnerability; socioeconomics; stress reduction; stressor

PROJECT SUMMARY Although older adults in public housing face serious threats to their heat-related health, current assessment and mitigation frameworks neglect physiological conditions and place-based infrastructural and social inequalities. Our long-term goal is to develop quantifiable measures and dose-response relationships between the density and characteristics of urban green infrastructure (GI) and heat-related health outcomes for older adults, which can inform community planning and resilience policies that support aging in place during current and future climate conditions. Our objectives are to: 1) assess heat-related health risks for older adults in public housing neighborhoods; 2) determine the effects of green infrastructure on micrometeorological conditions and heat stress; and 3) evaluate the extent to which neighborhood GI mitigates heat-related health risks via emotional, cognitive, and social pathways. Our central hypothesis is that neighborhood GI characteristics are associated with a reduced risk of heat-related illness for older adults in public housing. To achieve Aim 1, we will perform heat-related health risk assessments using the population vulnerability framework, which integrates exposure, sensitivity, and adaptive capacity. Biometeorological exposure will be evaluated based on a novel human heat stress model that accounts for the physiology of older adults; sensitivity and adaptivity will be assessed using social and infrastructural stressors. To achieve Aim 2, we will develop 3-dimensional measures of GI characteristics using remote sensing data and street-level imagery and video classifications and identify inter- and intra-neighborhood GI attributes that relate to micrometeorological parameters and heat stress in older adults. To achieve Aim 3, we will conduct a 2-wave panel survey with multi-stage sampling of older adults in public housing neighborhoods in Houston and Chicago. By comparing baseline measures collected in the spring wave with those during heat conditions in the summer wave, we will assess the sociopsychological pathways through which neighborhood GI is associated with heat-related health/behavioral outcomes and subjective well-being. The research proposed in this application is innovative because it develops heat-related health risk assessments that integrate a novel age-specific human heat- stress model. It also focuses on GI as a modifiable risk factor and adopts a socioecological perspective to elucidate the extent to which individuals’ interaction with their neighborhood’s green infrastructure can moderate heat-related health risks via emotional, cognitive, and social pathways. The proposed research is significant because it is expected to provide strong scientific justification for heat assessment and mitigation frameworks that clarifies the complex transactions between the community-level socioenvironmental infrastructure and an individual’s health. Ultimately, such knowledge has the potential to offer new public health and environmental planning policies that enhance community resilience and promote climate equity.

项目概要 尽管公共住房中的老年人面临与高温相关的健康的严重威胁，但目前的评估 和缓解框架忽视了生理条件和基于地方的基础设施和社会 我们的长期目标是制定可量化的措施和剂量反应关系。 城市绿色基础设施 (GI) 的密度和特征以及老年人与热相关的健康结果 成年人，这可以为当前支持就地老龄化的社区规划和复原力政策提供信息 我们的目标是： 1) 评估老年人与高温相关的健康风险。 公共住房社区；2) 确定绿色基础设施对微气象的影响 条件和热应激；以及 3) 评估邻近的胃肠道缓解与热相关的健康的程度 我们的中心假设是邻里 GI。 这些特征与公共住房中老年人患热相关疾病的风险降低有关。 实现目标 1，我们将利用人口脆弱性进行与高温相关的健康风险评估 框架，其中整合了暴露、敏感性和适应能力。 根据一种新颖的人类热应激模型进行评估，该模型考虑了老年人的生理机能； 将使用社会和基础设施压力源来评估敏感性和适应性 为了实现目标 2，我们将。 使用遥感数据和街道图像开发 GI 特征的 3 维测量 视频分类并识别与微气象相关的邻域间和邻域内 GI 属性 为了实现目标 3，我们将与老年人进行 2 波小组调查。 通过比较对休斯顿和芝加哥公共住房社区的老年人进行多阶段抽样。 在春季浪潮中收集的基线测量值与夏季浪潮中炎热条件下收集的基线测量值，我们将 评估邻近胃肠道与热相关的社会心理学途径 本申请中提出的研究具有创新性。 因为它开发了与热相关的健康风险评估，其中整合了一种新型的针对特定年龄的人类热 它还将 GI 作为可改变的风险因素，并采用社会生态学的视角来研究。 阐明个人与其社区绿色基础设施的互动可以在多大程度上 通过情绪、认知和社交途径缓解与热相关的健康风险。 意义重大，因为它有望为热评估和缓解提供强有力的科学依据 澄清社区层面社会环境之间复杂交易的框架 最终，这些知识有可能提供新的公共卫生。 以及增强社区复原力和促进气候公平的环境规划政策。