ArticleEnvironmental health perspectives2016
Multiple Trigger Points for Quantifying Heat-Health Impacts: New Evidence from a Hot Climate.
Article in Environmental health perspectives, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 111 citations in OpenAlex.
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- Advancing extreme heat risk assessments to better capture individually-experienced temperatures: A new approach to describe individual and subgroup vulnerabilities.Environmental health perspectives · 2025Article
- Suitable temperature indicator for adverse health impacts in sub-tropical cities: a case study in Hong Kong from 2010-2019.International journal of biometeorology · 2025Article
- Heat-Related Mortality in the Extreme Summer of 2022—an Analysis Based on Daily Data.Deutsches Arzteblatt international · 2024Observational
- Concurrent Heat and Air Pollution Exposures among People Experiencing Homelessness.Environmental health perspectives · 2024Article
- Risk, Attributable Fraction and Attributable Number of Cause-Specific Heat-Related Emergency Hospital Admissions in Switzerland.International journal of public health · 2024Article
- How Blackouts during Heat Waves Amplify Mortality and Morbidity Risk.Environmental science & technology · 2023Article
- Analysis of the impact of urban summer high temperatures and outdoor activity duration on residents' emotional health: Taking hostility as an example.Frontiers in public health · 2022Article
- Effects of different heat exposure patterns (accumulated and transient) and schizophrenia hospitalizations: a time-series analysis on hourly temperature basis.Environmental science and pollution research international · 2021Article
- Selecting Thresholds of Heat-Warning Systems with Substantial Enhancement of Essential Population Health Outcomes for Facilitating Implementation.International journal of environmental research and public health · 2021Article
- Article
- Using logic regression to characterize extreme heat exposures and their health associations: a time-series study of emergency department visits in Atlanta.BMC medical research methodology · 2021Article
- Menopausal Symptoms in Underserved and Homeless Women Living in Extreme Temperatures in the Southwest.Women's health reports (New Rochelle, N.Y.) · 2021Article
- The effects of changing meteorological parameters on fatal aortic catastrophes.BMC cardiovascular disorders · 2020Article
- Impact of the warm summer 2015 on emergency hospital admissions in Switzerland.Environmental health : a global access science source · 2019Article
- Estimating policy-relevant health effects of ambient heat exposures using spatially contiguous reanalysis data.Environmental health : a global access science source · 2019Article
- The predictability of heat-related mortality in Prague, Czech Republic, during summer 2015-a comparison of selected thermal indices.International journal of biometeorology · 2019Article
- Assessment of extreme heat and hospitalizations to inform early warning systems.Proceedings of the National Academy of Sciences of the United States of America · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExtreme heat is a public health challenge. The scarcity of directly comparable studies on the association of heat with morbidity and mortality and the inconsistent identification of threshold temperatures for severe impacts hampers the development of comprehensive strategies aimed at reducing adverse heat-health events.
objectivesThis quantitative study was designed to link temperature with mortality and morbidity events in Maricopa County, Arizona, USA, with a focus on the summer season.
methodsUsing Poisson regression models that controlled for temporal confounders, we assessed daily temperature-health associations for a suite of mortality and morbidity events, diagnoses, and temperature metrics. Minimum risk temperatures, increasing risk temperatures, and excess risk temperatures were statistically identified to represent different "trigger points" at which heat-health intervention measures might be activated.
resultsWe found significant and consistent associations of high environmental temperature with all-cause mortality, cardiovascular mortality, heat-related mortality, and mortality resulting from conditions that are consequences of heat and dehydration. Hospitalizations and emergency department visits due to heat-related conditions and conditions associated with consequences of heat and dehydration were also strongly associated with high temperatures, and there were several times more of those events than there were deaths. For each temperature metric, we observed large contrasts in trigger points (up to 22 °C) across multiple health events and diagnoses.
conclusionConsideration of multiple health events and diagnoses together with a comprehensive approach to identifying threshold temperatures revealed large differences in trigger points for possible interventions related to heat. Providing an array of heat trigger points applicable for different end-users may improve the public health response to a problem that is projected to worsen in the coming decades.
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