Vulnerability to extreme-heat-associated hospitalization in three counties in Michigan, USA, 2000-2009.

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

SUBMITTER: Ogbomo AS 

PROVIDER: S-EPMC5410403 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature