Evidence map›Paper›PMID 34732187›Full record

ArticleBMC public health2021

Heat illness data strengthens vulnerability maps.

Jihoon Jung, Christopher K Uejio, Kristina W Kintziger, Chris Duclos, Keshia Reid, Melissa Jordan, June T Spector

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Global Warming and the Elderly: A Socio-Ecological Framework.International journal of environmental research and public health · 2026
    Review
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  9. Analysis of Exertion-Related Injuries and Fatalities in Laborers in the United States.International journal of environmental research and public health · 2023
    Article
  10. Article
  11. Toward informatics-enabled preparedness for natural hazards to minimize health impacts of climate change.Journal of the American Medical Informatics Association : JAMIA · 2022
    Review
  12. Evaluating the Sensitivity of Heat Wave Definitions among North Carolina Physiographic Regions.International journal of environmental research and public health · 2022
    Article
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

7 authors at 4 institutions in 1 country.

Jihoon JungDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA. climategeo@gmail.com.
Christopher K UejioDepartment of Geography, Florida State University, Tallahassee, FL, USA.
Kristina W KintzigerDepartment of Public Health, University of Tennessee, Knoxville, TN, USA.
Chris DuclosPublic Health Research Unit, Division of Community Health Promotion, Florida Department of Health, Tallahassee, FL, USA.
Keshia ReidPublic Health Research Unit, Division of Community Health Promotion, Florida Department of Health, Tallahassee, FL, USA.
Melissa JordanPublic Health Research Unit, Division of Community Health Promotion, Florida Department of Health, Tallahassee, FL, USA.
June T SpectorDepartment of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA.
Florida Department of Health · USUniversity of Washington · USFlorida State University · USUniversity of Tennessee at Knoxville · US

Funding

BUILDING RESILIENCE AGAINST CLIMATE EFFECTS IN NY STATEUE1EH001121 · EH · HEALTH RESEARCH INC, NEW YORK STATE DOH · PI GRABER, NATHAN M · 2013 to 2015
$565k
NCEH CDC HHS UE1 EH001121
6 · The paper itself

Abstract

backgroundPrevious extreme heat and human health studies have investigated associations either over time (e.g. case-crossover or time series analysis) or across geographic areas (e.g. spatial models), which may limit the study scope and regional variation. Our study combines a case-crossover design and spatial analysis to identify: 1) the most vulnerable counties to extreme heat; and 2) demographic and socioeconomic variables that are most strongly and consistently related to heat-sensitive health outcomes (cardiovascular disease, dehydration, heat-related illness, acute renal disease, and respiratory disease) across 67 counties in the state of Florida, U. S over 2008-2012.

methodsWe first used a case-crossover design to examine the effects of air temperature on daily counts of health outcomes. We employed a time-stratified design with a 28-day comparison window. Referent periods were extracted from ±7, ±14, or ± 21 days to address seasonality. The results are expressed as odds ratios, or the change in the likelihood of each health outcome for a unit change in heat exposure. We then spatially examined the case-crossover extreme heat and health odds ratios and county level demographic and socioeconomic variables with multiple linear regression or spatial lag models.

resultsResults indicated that southwest Florida has the highest risks of cardiovascular disease, dehydration, acute renal disease, and respiratory disease. Results also suggested demographic and socioeconomic variables were significantly associated with the magnitude of heat-related health risk. The counties with larger populations working in farming, fishing, mining, forestry, construction, and extraction tended to have higher risks of dehydration and acute renal disease, whereas counties with larger populations working in installation, maintenance, and repair workers tended to have lower risks of cardiovascular, dehydration, acute renal disease, and respiratory disease. Finally, our results showed that high income counties consistently have lower health risks of dehydration, heat-related illness, acute renal disease, and respiratory disease.

conclusionsOur study identified different relationships with demographic/socioeconomic variables for each heat-sensitive health outcome. Results should be incorporated into vulnerability or risk indices for each health outcome.

Indexed as

Extreme HeatHeat Stress DisordersRespiratory Tract DiseasesHot TemperatureHumansCase-crossover analysisHeat vulnerabilitySocial determinants of healthSpatial lag model

Identifiers

PMID34732187
PMCPMC8567677
OpenAlexW3210331999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.