IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v22y2025i7p1124-d1702873.html
   My bibliography  Save this article

Assessing Heat–Health Vulnerability Through Temporal, Demographic, and Spatial Lenses: A Time-Stratified Case-Crossover Analysis in New York State

Author

Listed:
  • Heather Aydin-Ghormoz

    (Center for Environmental Health, New York State Department of Health, Albany, NY 12237, USA)

  • Temilayo Adeyeye

    (Center for Environmental Health, New York State Department of Health, Albany, NY 12237, USA)

  • Wanhsiang Hsu

    (Center for Environmental Health, New York State Department of Health, Albany, NY 12237, USA)

  • Neil Muscatiello

    (Center for Environmental Health, New York State Department of Health, Albany, NY 12237, USA)

Abstract

New York State (NYS) has experienced warming outpacing the national average, and heat events are increasing. This case-crossover study uses conditional logistic regression to estimate how maximum heat index affects heat-related illness across temporal, demographic, and spatial groups in NYS, from May to September, 2008–2019. The highest risks were in May (Relative Risk (RR) = 1.81, CI: 1.72, 1.90) and August (RR = 1.86, CI: 1.79, 1.94). Older adults, especially those aged 85 and above, are at greatest risk (RR = 1.83, CI: 1.71, 1.96). The Southern Tier climate region had a higher risk (RR = 1.93, CI: 1.80, 2.07) than several other regions. Overall, similar risk between rural and urban NYS was observed. Rural non-Hispanic Black (RR = 2.38, CI: 1.78, 3.19) populations had a higher risk than their urban counterparts. This study was innovative for NYS, providing a deeper understanding of heat–health risks to vulnerable sub-groups. This can assist with facilitating targeted interventions and public health messaging during the periods of highest risk, such as promoting awareness of cooling centers and air-conditioning benefits.

Suggested Citation

  • Heather Aydin-Ghormoz & Temilayo Adeyeye & Wanhsiang Hsu & Neil Muscatiello, 2025. "Assessing Heat–Health Vulnerability Through Temporal, Demographic, and Spatial Lenses: A Time-Stratified Case-Crossover Analysis in New York State," IJERPH, MDPI, vol. 22(7), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:7:p:1124-:d:1702873
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/22/7/1124/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/22/7/1124/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Probst, J.C. & Moore, C.G. & Glover, S.H. & Samuels, M.E., 2004. "Person and place: The compounding effects of race/ethnicity and rurality on health," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1695-1703.
    2. Harlan, Sharon L. & Brazel, Anthony J. & Prashad, Lela & Stefanov, William L. & Larsen, Larissa, 2006. "Neighborhood microclimates and vulnerability to heat stress," Social Science & Medicine, Elsevier, vol. 63(11), pages 2847-2863, December.
    3. Caldwell, J.T. & Ford, C.L. & Wallace, S.P. & Wang, M.C. & Takahashi, L.M., 2016. "Intersection of living in a rural versus urban area and race/ethnicity in explaining access to health care in the United States," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1463-1469.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jeffrey E. Hall & Ramal Moonesinghe & Karen Bouye & Ana Penman-Aguilar, 2019. "Racial/Ethnic Disparities in Mortality: Contributions and Variations by Rurality in the United States, 2012–2015," IJERPH, MDPI, vol. 16(3), pages 1-18, February.
    2. Whitney E. Zahnd & Cathryn Murphy & Marie Knoll & Gabriel A. Benavidez & Kelsey R. Day & Radhika Ranganathan & Parthenia Luke & Anja Zgodic & Kewei Shi & Melinda A. Merrell & Elizabeth L. Crouch & Hea, 2021. "The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States," IJERPH, MDPI, vol. 18(4), pages 1-26, February.
    3. Thorsen, Maggie L. & Harris, Sean & Palacios, Janelle F. & McGarvey, Ronald G. & Thorsen, Andreas, 2023. "American Indians travel great distances for obstetrical care: Examining rural and racial disparities," Social Science & Medicine, Elsevier, vol. 325(C).
    4. Radney, Angelise & Lee, Joyce Y. & Xu, Amy & Steinke, Hannah R. & Mengo, Cecilia & Johnson-Motoyama, Michelle, 2024. "Racial and ethnic disparities in healthcare utilization among children in U.S. foster care: Recommendations to challenge the status quo based on a scoping review," Children and Youth Services Review, Elsevier, vol. 162(C).
    5. H. Allen Klaiber & Joshua K. Abbott & V. Kerry Smith, 2017. "Some Like It (Less) Hot: Extracting Trade-Off Measures for Physically Coupled Amenities," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 4(4), pages 1053-1079.
    6. Cheryl Dye & Deborah Willoughby & Begum Aybar-Damali & Carmelita Grady & Rebecca Oran & Alana Knudson, 2018. "Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching," IJERPH, MDPI, vol. 15(4), pages 1-23, April.
    7. Megan E. Gandy & Kacie M. Kidd & James Weiss & Judith Leitch & Xavier Hersom, 2021. "Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach," IJERPH, MDPI, vol. 18(23), pages 1-13, December.
    8. Susan Williams & Peng Bi & Jonathan Newbury & Guy Robinson & Dino Pisaniello & Arthur Saniotis & Alana Hansen, 2013. "Extreme Heat and Health: Perspectives from Health Service Providers in Rural and Remote Communities in South Australia," IJERPH, MDPI, vol. 10(11), pages 1-19, October.
    9. Weihua Dong & Zhao Liu & Lijie Zhang & Qiuhong Tang & Hua Liao & Xian'en Li, 2014. "Assessing Heat Health Risk for Sustainability in Beijing’s Urban Heat Island," Sustainability, MDPI, vol. 6(10), pages 1-24, October.
    10. Fei Li & Tan Yigitcanlar & Madhav Nepal & Kien Nguyen Thanh & Fatih Dur, 2022. "Understanding Urban Heat Vulnerability Assessment Methods: A PRISMA Review," Energies, MDPI, vol. 15(19), pages 1-34, September.
    11. Sara Wilkinson & Renato Castiglia Feitosa, 2015. "Retrofitting Housing with Lightweight Green Roof Technology in Sydney, Australia, and Rio de Janeiro, Brazil," Sustainability, MDPI, vol. 7(1), pages 1-18, January.
    12. De Valck, Jeremy & Beames, Alistair & Liekens, Inge & Bettens, Maarten & Seuntjens, Piet & Broekx, Steven, 2019. "Valuing urban ecosystem services in sustainable brownfield redevelopment," Ecosystem Services, Elsevier, vol. 35(C), pages 139-149.
    13. Tao Chen & Anchang Sun & Ruiqing Niu, 2019. "Effect of Land Cover Fractions on Changes in Surface Urban Heat Islands Using Landsat Time-Series Images," IJERPH, MDPI, vol. 16(6), pages 1-18, March.
    14. Vaneckova, Pavla & Beggs, Paul J. & Jacobson, Carol R., 2010. "Spatial analysis of heat-related mortality among the elderly between 1993 and 2004 in Sydney, Australia," Social Science & Medicine, Elsevier, vol. 70(2), pages 293-304, January.
    15. Wei Zhang & Phil McManus & Elizabeth Duncan, 2018. "A Raster-Based Subdividing Indicator to Map Urban Heat Vulnerability: A Case Study in Sydney, Australia," IJERPH, MDPI, vol. 15(11), pages 1-20, November.
    16. Maria Papathoma-Koehle & Catrin Promper & Roxana Bojariu & Roxana Cica & András Sik & Kinga Perge & Peter László & Erika Balázs Czikora & Alexandru Dumitrescu & Cosmin Turcus & Marius-Victor Birsan & , 2016. "A common methodology for risk assessment and mapping for south-east Europe: an application for heat wave risk in Romania," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 82(1), pages 89-109, May.
    17. Qunshan Zhao & Elizabeth A. Wentz, 2016. "A MODIS/ASTER Airborne Simulator (MASTER) Imagery for Urban Heat Island Research," Data, MDPI, vol. 1(1), pages 1-9, June.
    18. Elizabeth Lawrence & Robert A. Hummer & Kathleen Mullan Harris, 2017. "The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum," The ANNALS of the American Academy of Political and Social Science, , vol. 672(1), pages 257-281, July.
    19. Wenwen Cheng & J. O. Spengler & Robert D. Brown, 2020. "A Comprehensive Model for Estimating Heat Vulnerability of Young Athletes," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    20. Shalin Bidassey-Manilal & Caradee Yael Wright & Thandi Kapwata & Joyce Shirinde, 2020. "A Study Protocol to Determine Heat-Related Health Impacts among Primary Schoolchildren in South Africa," IJERPH, MDPI, vol. 17(15), pages 1-12, July.

    More about this item

    Keywords

    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:22:y:2025:i:7:p:1124-:d:1702873. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.