Heat-Associated Mortality in a Hot Climate Maricopa County, Arizona, 2006-2016
Heat-Associated Mortality in a Hot Climate Maricopa County, Arizona, 2006-2016
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DOI：
10.1177/0033354920938006
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发表时间：
2020-07-20
影响因子：
3.3
通讯作者：
Berisha, Vjollca
中科院分区：
文献类型：
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作者：
Iverson, Sally Ann;Gettel, Aaron;Berisha, Vjollca
目标：亚利桑那州马里科帕县（2017 年人口约为 430 万），位于索诺兰沙漠。 2005 年，马里科帕县公共卫生部 (MCDPH) 建立了一个与高温相关的死亡监测系统，用于捕获马里科帕县居民和游客的死亡情况数据。我们分析了2006-2016年监测系统数据，以了解热相关死亡的特征和情况。方法：我们根据国际疾病分类第十修订版代码（X30、T67.X和P81.0）以及死亡证明第一部分或第二部分中的短语（热暴露、环境、疲惫、日晒、热应激、中暑或高热）对热相关死亡进行分类。我们总结了死者的人口统计特征、在亚利桑那州居住的年数、死亡地点（室内与室外）、空调的存在和功能以及死者是否无家可归的数据。我们使用 Pearson chi(2) 检验和逻辑回归检验了变量之间的显着关联。结果：2006 年至 2016 年期间，MCDPH 记录了 920 例与高温相关的死亡数据，其中 912 例包括受伤位置。在 565 例 (62%) 发生在户外的高温相关死亡中，458 例 (81%) 为男性死者，243 例 (43%) 为 20-49 岁的死者。在 347 例 (38%) 发生在室内的高温相关死亡中，有 201 例 (58%) 死者年龄≥ 65 岁。非亚利桑那州居民在户外发生高温相关死亡的可能性是亚利桑那州居民的 5 倍（P = 20 年）。结论：针对室外和室内高温相关死亡风险人群的干预措施的持续评估可以进一步完善监测系统，并确定预防高温相关死亡的最佳做法。死亡。
Objectives: Maricopa County, Arizona (2017 population about 4.3 million), is located in the Sonoran Desert. In 2005, the Maricopa County Department of Public Health (MCDPH) established a heat-associated mortality surveillance system that captures data on circumstances of death for Maricopa County residents and visitors. We analyzed 2006-2016 surveillance system data to understand the characteristics and circumstances of heat-associated deaths.Methods: We classified heat-associated deaths based on International Classification of Diseases, Tenth Revision codes (X30, T67.X, and P81.0) and phrases (heat exposure, environ, exhaustion, sun, heat stress, heat stroke, or hyperthermia) in part I or part II of the death certificate. We summarized data on decedents' demographic characteristics, years lived in Arizona, location of death (indoors vs outdoors), presence and functionality of air conditioning, and whether the decedent had been homeless. We examined significant associations between variables by using the Pearson chi(2) tests and logistic regression.Results: During 2006-2016, MCDPH recorded data on 920 heat-associated deaths, 912 of which included location of injury. Of 565 (62%) heat-associated deaths that occurred outdoors, 458 (81%) were among male decedents and 243 (43%) were among decedents aged 20-49. Of 347 (38%) heat-associated deaths that occurred indoors, 201 (58%) were among decedents aged >= 65. Non-Arizona residents were 5 times as likely as Arizona residents to have a heat-associated death outdoors (P = 20 years.Conclusions: Ongoing evaluation of interventions that target populations at risk for both outdoor and indoor heat-associated deaths can further inform refinement of the surveillance system and identify best practices to prevent heat-associated deaths.