ArticleEnvironmental health perspectives2020
A Case-Crossover Analysis of Indoor Heat Exposure on Mortality and Hospitalizations among the Elderly in Houston, Texas.
Article in Environmental health perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Urban heat island impacts on heat-related cardiovascular morbidity: A time series analysis of older adults in US metropolitan areas.Environment international · 2023Pooled it
- Nationwide analysis of cases of emergency transport due to heatstroke in Japan from 2010 to 2024.Scientific reports · 2026Article
- Indoor Environmental Determinants of Depression: A New Approach to Understanding Mental Health.Medicina (Kaunas, Lithuania) · 2026Article
- Cause specific mortality risks associated with tropical cyclones in multiple countries and territories: two stage, time series study.BMJ (Clinical research ed.) · 2025Article
- Perceived indoor thermal environment and depressive symptoms among older adults in the Japan Gerontological Evaluation Study.Scientific reports · 2025Article
- Residential indoor temperatures and health: A scoping review of observational studies.The Science of the total environment · 2025Article
- Home Ambient Temperature and Self-Reported Attention in Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Observational
- Impact of Heat on Respiratory Hospitalizations among Older Adults in 120 Large U.S. Urban Areas.Annals of the American Thoracic Society · 2025Article
- Impact of heat on emergency hospital admission in Texas: geographic and racial/ethnic disparities.Journal of exposure science & environmental epidemiology · 2024Review
- Sociodemographic Determinants of Extreme Heat and Ozone Risk Among Older Adults in 3 Sun Belt Cities.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Review
- Heat-mortality relationship in North Carolina: Comparison using different exposure methods.Journal of exposure science & environmental epidemiology · 2023Article
- Association of Temperature Thresholds with Heat Illness- and Cardiorespiratory-Related Emergency Visits during Summer Months in Alaska.Environmental health perspectives · 2023Article
- Geographic and demographic variation in worry about extreme heat and COVID-19 risk in summer 2020.Applied geography (Sevenoaks, England) · 2023Article
- Adverse heat-health outcomes and critical environmental limits (Pennsylvania State University Human Environmental Age Thresholds project).American journal of human biology : the official journal of the Human Biology Council · 2023Review
- A Multistate Study on Housing Factors Influential to Heat-Related Illness in the United States.International journal of environmental research and public health · 2022Article
- Indoor Temperatures in the 2018 Heat Wave in Quebec, Canada: Exploratory Study Using Ecobee Smart Thermostats.JMIR formative research · 2022Article
- Indoor thermal comfort in a rural dwelling in southwest China.Frontiers in public health · 2022Article
- Article
Corrections and comments
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Authors and funding
14 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the substantial role indoor exposure has played in heat wave-related mortality, few epidemiological studies have examined the health effects of exposure to indoor heat. As a result, knowledge gaps regarding indoor heat-health thresholds, vulnerability, and adaptive capacity persist.
objectiveWe evaluated the role of indoor heat exposure on mortality and morbidity among the elderly (
methodsMortality and emergency hospital admission data were obtained through the Texas Department of State Health Services. Summer indoor heat exposure was modeled at the U.S. Census block group (CBG) level using building energy models, outdoor weather data, and building characteristic data. Indoor heat-health associations were examined using time-stratified case-crossover models, controlling for temporal trends and meteorology, and matching on CBG of residence, year, month, and weekday of the adverse health event. Separate models were fitted for three indoor exposure metrics, for individual lag days 0-6, and for 3-d moving averages (lag 0-2). Effect measure modification was explored via stratification on individual- and area-level vulnerability factors.
resultsWe estimated positive associations between short-term changes in indoor heat exposure and cause-specific mortality and morbidity [e.g., circulatory deaths, DISCUSSION: Findings suggest excess mortality among certain elderly populations in Houston who are likely exposed to high indoor heat. We developed a novel methodology to estimate indoor heat exposure that can be adapted to other U.S. LOCATIONS: In locations with high air conditioning prevalence, simplified modeling approaches may adequately account for indoor heat exposure in vulnerable neighborhoods. Accounting for indoor heat exposure may improve the estimation of the total impact of heat on health. https://doi.org/10.1289/EHP6340.
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