ArticleThe journal of climate change and health
Rural heat health disparities: Evidence from the U.S. National Emergency Medical Services Information System (NEMSIS).
Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Temporal trends and disparities in heat-related cardiovascular mortality in the United States (1999-2024): a CDC WONDER analysis.Frontiers in cardiovascular medicine · 2026Article
- Navigating the heat: implementation challenges and opportunities for heat alert communication and rural health data infrastructure.Frontiers in public health · 2026Article
- Metrics of Urbanicity and Rurality in US-Based Epidemiologic Studies of Ambient Temperature and Health: A Scoping Review.Current environmental health reports · 2025Article
- Assessing Heat-Health Vulnerability Through Temporal, Demographic, and Spatial Lenses: A Time-Stratified Case-Crossover Analysis in New York State.International journal of environmental research and public health · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Increasing average temperatures and extreme heat events due to climate change have adverse effects on human health. Previous studies focus on the heat impacts in urban areas due to the focus on the greater population and urban heat island effect, but this tendency results in the effect of heat on rural health being overlooked. Methods: Using the National Emergency Medical Services Information System (NEMSIS) data from 2021 to 2023, this study compares heat-related illness (HRI) in urban and rural areas of the U.S. Results: We found the odds of EMS events in an urban area resulting with a positive outcome for the patient was 1.24 times that of EMS events in rural areas. This urban-rural disparity was not equal across regions with the odds of EMS events to rural areas of the Western U.S. resulting with a positive outcome for the patient was 54 % less than that for urban areas. Conclusion: This critical evidence of a rural-urban heat health disparity calls attention to the impact of climate change-fueled heat impacts on health in communities of all sizes, and a need for more rural heat resilience research to inform practice.
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