Research Supplement to Promote Diversity for R01 Pediatric Health in Extreme Weather - Health Effects and Ambient Temperature (PHEW - HEAT)

促进极端天气下儿科健康多样性的研究补充 - 健康影响和环境温度（PHEW - HEAT）

• 批准号: 10251613
• 负责人: Jane Ellen Clougherty
• 金额: $ 2.79万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-15 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10251613
• 关键词: 17 year old; Accidental Injury; Area; Child; Child Health; Childhood; Cities; Clinical; Code; Communities; Data Set; Diagnosis; Diagnostic; Education and Outreach; Educational Status; Emergency department visit; Environmental Health; Ethnic Origin; Etiology; Health; Health Status; Heat Stress Disorders; Incidence; Injury; Intentional injury; Investigation; Light; Municipalities; Outcome; Parents; Population; Predisposition; Prevention; Public Health; Race; Research; Resources; Risk Factors; Risk Reduction; Series; Socioeconomic Status; Subcategory; Subgroup; Surface; System; Temperature; Update; Variant; Violence; Violent injury; Visit; Work; aged; career; demographics; design; extreme weather; health data; heat injury; modifiable risk; parent grant; programs; reproductive; resilience; sex; skills; social; social stressor; success; violent crime

Project Summary/ Abstract While a growing 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 1) child vulnerability to the health effects of heat varies by demographics and community-level exposures in ways that have important public health consequences; that 2) the greatest health impact to children from heat is among non-heat specific diagnoses; and that 3) outcomes such as injury and violence 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 builds on a parent R01 using an administrative dataset that is large enough to permit examination of subgroups to identify vulnerable subpopulations and employing a unique previously- compiled dataset of city-wide susceptibility indicators. We propose to examine community-level exposures that will shed light on underlying etiology of the observed heat-injury/violence associations. Specifically, this supplemental diversity promotion proposal aims to 1) Examine heat and violence associations among the NYC pediatric population and 2) refine our understanding of the influence of the demographics and community-level exposures on heat-violence associations for children. Results of this research will be disseminated as part of the training and outreach series proposed in the parent grant aim 4.

项目概要/摘要 虽然越来越多的研究证实高温与儿科健康影响有关，但这一领域 高温和儿童健康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。根据我们的初步工作，我们假设 1) 儿童对高温对健康影响的脆弱性因人口统计数据和社区层面的暴露程度而异 对公共卫生产生重要影响的方式； 2) 炎热对儿童健康影响最大的是 非热特异性诊断； 3) 伤害和暴力等结果代表了重要的 现有研究中的空白可能忽略了儿童与高温相关的大部分健康负担。我们 提出一项基于父 R01 的调查，使用足够大的管理数据集 允许对亚组进行检查，以确定弱势亚群体，并采用以前独特的方法 编制全市敏感性指标数据集。我们建议检查社区层面的暴露情况 将揭示观察到的热损伤/暴力关联的潜在病因学。具体来说，这 补充多样性促进提案旨在 1) 检查纽约市之间的热度和暴力关联 儿科人群；2) 加深我们对人口统计和社区层面影响的理解 接触儿童热暴力协会。这项研究的结果将作为该研究的一部分进行传播 家长补助金目标 4 中提出的培训和外展系列。