NDLI: Vulnerability to extreme-heat-associated hospitalization in three counties in Michigan, USA, 2000

Content Provider	Springer Nature Link
Author	Ogbomo, Adesuwa S. Gronlund, Carina J. O’Neill, Marie S. Konen, Tess Cameron, Lorraine Wahl, Robert
Copyright Year	2016
Abstract	With climate change, extreme heat (EH) events are increasing, so it is important to understand who is vulnerable to heat-associated morbidity. We determined the association between EH and hospitalizations for all natural causes; cardiovascular, respiratory, and renal diseases; diabetes mellitus; and acute myocardial infarction in Michigan, USA, at different intensities and durations. We assessed confounding by ozone and how individual characteristics and health insurance payer (a proxy for income) modified these associations. We obtained Michigan Inpatient Database, National Climatic Data Center, and US Environmental Protection Agency ozone data for May–September, 2000–2009 for three Michigan counties. We employed a case-crossover design and modeled EH as an indicator for temperature above the 95th, 97th, or 99th percentile thresholds for 1, 2, 3, or 4 days. We examined effect modification by patient age, race, sex, and health insurance payer and pooled the county results. Among non-whites, the pooled odds ratio for hospitalization on EH (97th percentile threshold) vs. non-EH days for renal diseases was 1.37 (95 % CI = 1.13–1.66), which increased with increasing EH intensity, but was null among whites (OR = 1.00, 95 % CI = 0.81, 1.25). We observed a null association between EH and cardiovascular hospitalization. EH (99th percentile threshold) was associated with myocardial infarction hospitalizations. Confounding by ozone was minimal. EH was associated with hospitalizations for renal disease among non-whites. This information on vulnerability to heat-associated morbidity helps characterize the public health burden of EH and target interventions including patient education.
Starting Page	833
Ending Page	843
Page Count	11
File Format	PDF
ISSN	00207128
Journal	International Journal of Biometeorology
Volume Number	61
Issue Number	5
e-ISSN	14321254
Language	English
Publisher	Springer Berlin Heidelberg
Publisher Date	2016-10-30
Publisher Place	Berlin, Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Hospitalization Temperature Morbidity Heat wave Heat Environment Biological and Medical Physics, Biophysics Meteorology Animal Physiology Plant Physiology Environmental Health
Content Type	Text
Resource Type	Article
Subject	Ecology Health, Toxicology and Mutagenesis Atmospheric Science

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