Heat-Related Illness Is Associated with Lack of Air Conditioning and Pre-Existing Health Problems in Detroit, Michigan, USA: A Community-Based Participatory Co-Analysis of Survey Data

Details

• Personal Author:
  Cardoza JE ; Gronlund CJ ; O'Neill MS ; Schott J ; Stone B ; Ziegler T
• Description:
  The objective of the study was to investigate, using academic-community epidemiologic co-analysis, the odds of reported heat-related illness for people with (1) central air conditioning (AC) or window unit AC versus no AC, and (2) fair/poor vs. good/excellent reported health. From 2016 to 2017, 101 Detroit residents were surveyed once regarding extreme heat, housing and neighborhood features, and heat-related illness in the prior 5 years. Academic partners selected initial confounders and, after instruction on directed acyclic graphs, community partners proposed alternate directed acyclic graphs with additional confounders. Heat-related illness was regressed on AC type or health and co-selected confounders. The study found that heat-related illness was associated with no-AC (n = 96, odds ratio (OR) = 4.66, 95% confidence interval (CI) = 1.22, 17.72); living =5 years in present home (n = 57, OR = 10.39, 95% CI = 1.13, 95.88); and fair/poor vs. good/excellent health (n = 97, OR = 3.15, 95% CI = 1.33, 7.48). Co-analysis suggested multiple built-environment confounders. We conclude that Detroit residents with poorer health and no AC are at greater risk during extreme heat. Academic-community co-analysis using directed acyclic graphs enhances research on community-specific social and health vulnerabilities by identifying key confounders and future research directions for rigorous and impactful research. [Description provided by NIOSH]
• Subjects:
  Climate Change Epidemiology Hot Temperature Men Occupational Health Safety Women
• Keywords:
  Air Conditioning Author Keywords: Climate Change Climate Change Climatic Conditions Community-based Participatory Research Heat Heat Exhaustion Heat Exposure Heat Wave Humans Statistical Analysis

  More +
• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Michigan ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  17
• Issue:
  16
• NIOSHTIC Number:
  nn:20060636
• Citation:
  Int J Environ Res Public Health 2020 Aug; 17(16):5704
• Contact Point Address:
  Carina J. Gronlund, Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104
• Email:
  gronlund@umich.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Michigan, Ann Arbor
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:822a2a999d81455556f4bf7903b0d23a7f039a736c8064542af57ad52436fbf459b28db0f052badda96684c399e1eb3c7b3095ec67dce14ec673cf61f4e78e06
• Download URL:
  https://stacks.cdc.gov/view/cdc/224486/cdc_224486_DS1.pdf
• File Type:
  [PDF - 836.86 KB ]