Evidence map›Paper›PMID 30862729›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Public perceptions of the health risks of extreme heat across US states, counties, and neighborhoods.

Peter D Howe, Jennifer R Marlon, Xinran Wang, Anthony Leiserowitz

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 177 citations in OpenAlex.

  1. Pooled it
  2. Communicating and Constructing Risk: Government and Public Interactions in Responding to Heat Risks.Risk analysis : an official publication of the Society for Risk Analysis · 2026
    Article
  3. Article
  4. Heat Risk Perception and Vulnerability in Puerto Rico: Insights for Climate Adaptation in the Caribbean.International journal of environmental research and public health · 2025
    Article
  5. Heat Wave Beliefs and Behaviors in Southern Spain.International journal of environmental research and public health · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Identifying air quality monitoring deserts in the United States.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Peter D HoweDepartment of Environment and Society, Utah State University, Logan, UT 84322; peter.howe@usu.edu.
Jennifer R MarlonSchool of Forestry and Environmental Studies, Yale University, New Haven, CT 06511.
Xinran WangSchool of Forestry and Environmental Studies, Yale University, New Haven, CT 06511.
Anthony LeiserowitzSchool of Forestry and Environmental Studies, Yale University, New Haven, CT 06511.
Yale University · USUtah State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extreme heat is the leading weather-related cause of death in the United States. Many individuals, however, fail to perceive this risk, which will be exacerbated by global warming. Given that awareness of one's physical and social vulnerability is a critical precursor to preparedness for extreme weather events, understanding Americans' perceptions of heat risk and their geographic variability is essential for promoting adaptive behaviors during heat waves. Using a large original survey dataset of 9,217 respondents, we create and validate a model of Americans' perceived risk to their health from extreme heat in all 50 US states, 3,142 counties, and 72,429 populated census tracts. States in warm climates (e.g., Texas, Nevada, and Hawaii) have some of the highest heat-risk perceptions, yet states in cooler climates often face greater health risks from heat. Likewise, places with older populations who have increased vulnerability to health effects of heat tend to have lower risk perceptions, putting them at even greater risk since lack of awareness is a barrier to adaptive responses. Poorer neighborhoods and those with larger minority populations generally have higher risk perceptions than wealthier neighborhoods with more white residents, consistent with vulnerability differences across these populations. Comprehensive models of extreme weather risks, exposure, and effects should take individual perceptions, which motivate behavior, into account. Understanding risk perceptions at fine spatial scales can also support targeting of communication and education initiatives to where heat adaptation efforts are most needed.

Indexed as

Attitude to HealthClimate ChangeExtreme HeatPerceptionFemaleHumansMaleRisk AssessmentUnited Statesclimate changeextreme heatrisk perceptionsmall-area estimationsurvey research

Identifiers

PMID30862729
PMCPMC6452713
OpenAlexW2922024143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.