Evidence map›Paper›PMID 32159015›Full record

ArticleGeoHealth2018

Heat, Disparities, and Health Outcomes in San Diego County's Diverse Climate Zones.

Kristen Guirguis, Rupa Basu, Wael K Al-Delaimy, Tarik Benmarhnia, Rachel E S Clemesha, Isabel Corcos, Janin Guzman-Morales, Brittany Hailey, Ivory Small, Alexander Tardy and 3 more

Open access · goldAbstract read
In one paragraph

Article in GeoHealth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 16% 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

27 citing papers in PubMed, 58 citations in OpenAlex.

  1. Extreme heat and hospitalization with Parkinson's disease among older adults.Journal of exposure science & environmental epidemiology · 2026
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  14. "International journal of environmental research and public health · 2024
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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

13 authors at 5 institutions in 1 country.

Kristen GuirguisScripps Institution of Oceanography University of California, San Diego La Jolla CA USA.ORCID 0000-0002-5274-0225
Rupa BasuOffice of Environmental Health Hazard Assessment California Environmental Protection Agency Oakland CA USA.
Wael K Al-DelaimySchool of Medicine University of California, San Diego La Jolla CA USA.
Tarik BenmarhniaScripps Institution of Oceanography University of California, San Diego La Jolla CA USA.ORCID 0000-0002-4018-3089
Rachel E S ClemeshaScripps Institution of Oceanography University of California, San Diego La Jolla CA USA.ORCID 0000-0002-3881-2384
Isabel CorcosSan Diego Health and Human Services Agency San Diego CA USA.ORCID 0000-0002-4757-3119
Janin Guzman-MoralesScripps Institution of Oceanography University of California, San Diego La Jolla CA USA.ORCID 0000-0001-6040-454X
Brittany HaileyCity of Dallas Office of Environmental Quality Dallas TX USA.
Ivory SmallNOAA/National Weather Service San Diego CA USA.
Alexander TardyNOAA/National Weather Service San Diego CA USA.
Devesh VashishthaSchool of Medicine University of California, San Diego La Jolla CA USA.ORCID 0000-0001-6904-7913
Joshua G ZivinSchool of Global Policy University of California, San Diego La Jolla CA USA.ORCID 0000-0002-0820-4900
Alexander GershunovScripps Institution of Oceanography University of California, San Diego La Jolla CA USA.ORCID 0000-0002-6598-6638
Scripps Institution of Oceanography · USUniversity of California San Diego · USNOAA National Weather Service · USCalifornia Environmental Protection Agency · USHealth and Human Services Agency · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate variability and change are issues of growing public health importance. Numerous studies have documented risks of extreme heat on human health in different locations around the world. Strategies to prevent heat-related morbidity and reduce disparities are possible but require improved knowledge of health outcomes during hot days at a small-scale level as important within-city variability in local weather conditions, socio-demographic composition, and access to air conditioning (AC) may exist. We analyzed hospitalization data for three unique climate regions of San Diego County alongside temperature data spanning 14 years to quantify the health impact of ambient air temperature at varying exceedance threshold levels. Within San Diego, coastal residents were more sensitive to heat than inland residents. At the coast, we detected a health impact at lower temperatures compared to inland locations for multiple disease categories including heat illness, dehydration, acute renal failure, and respiratory disease. Within the milder coastal region where access to AC is not prevalent, heat-related morbidity was higher in the subset of zip codes where AC saturation is lowest. We detected a 14.6% increase (95% confidence interval [4.5%, 24.6%]) in hospitalizations during hot weather in comparison to colder days in coastal locations where AC is less common, while no significant impact was observed in areas with higher AC saturation. Disparities in AC ownership were associated with income, race/ethnicity, and homeownership. Given that heat waves are expected to increase with climate change, understanding health impacts of heat and the role of acclimation is critical for improving outcomes in the future.

Indexed as

air conditioningclimate zonesdisparitieshealth outcomesheat extremestemperature

Identifiers

PMID32159015
PMCPMC7007153
OpenAlexW2804142242

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.