Extreme heat awareness and protective behaviors in New York City.

Extreme heat awareness and protective behaviors in New York City.
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DOI:
10.1007/s11524-013-9850-7
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发表时间:
2014-06
影响因子:
6.6
通讯作者:
Matte, Thomas
Matte, Thomas
中科院分区:
医学2区
文献类型:
--
作者:
Lane, Kathryn;Wheeler, Katherine;Charles-Guzman, Kizzy;Ahmed, Munerah;Blum, Micheline;Gregory, Katherine;Graber, Nathan;Clark, Nancy;Matte, Thomas

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热浪可能是致命的,并经常提醒公众注意高温的危险。随着气候变化,极端高温事件将变得更加频繁和激烈。然而,公众对高温警告或高温天气下的行为的认识却知之甚少。采用定量和定性方法评估了纽约市的热警告意识、预防行为和空调(AC)普及率和使用情况。2011年9月对719名成年人进行了随机抽样电话调查,2012年冬季在老年人和潜在的老年护理人员中举行了后续焦点小组会议。在2011年夏天,79%的成年人听到或看到了高温警告。在24%的老年人或健康状况一般或不佳的人中,34%的人没有空调,或者从来没有/很少在热天使用空调。在这个亚组中,30%的人不知道警告,49%的人在炎热的天气里呆在家里。在炎热的天气里不使用空调的原因包括不喜欢空调(29%),不觉得热(19%)和偏爱风扇(18%)。焦点小组中的老年人并不认为自己处于危险之中,而且往往不认为AC是一种重要的健康保护策略。虽然大多数纽约人都收到了高温警告,但空调成本,风险感知问题以及呆在家里的偏好使许多人在热浪期间处于危险之中。改善空调接入和风险沟通将有助于在热浪期间更好地保护最脆弱的人群。
Heat waves can be lethal and routinely prompt public warnings about the dangers of heat. With climate change, extreme heat events will become more frequent and intense. However, little is known about public awareness of heat warnings or behaviors during hot weather. Awareness of heat warnings, prevention behaviors, and air conditioning (AC) prevalence and use in New York City were assessed using quantitative and qualitative methods. A random sample telephone survey was conducted in September 2011 among 719 adults and follow-up focus groups were held in winter 2012 among seniors and potential senior caregivers. During summer 2011, 79 % of adults heard or saw a heat warning. Of the 24 % who were seniors or in fair or poor health, 34 % did not own AC or never/rarely used it on hot days. Of this subgroup, 30 % were unaware of warnings, and 49 % stay home during hot weather. Reasons for not using AC during hot weather include disliking AC (29 %), not feeling hot (19 %), and a preference for fans (18 %). Seniors in the focus groups did not perceive themselves to be at risk, and often did not identify AC as an important health protection strategy. While heat warnings are received by most New Yorkers, AC cost, risk perception problems, and a preference for staying home leave many at risk during heat waves. Improving AC access and risk communications will help better protect the most vulnerable during heat waves.
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