Research Supplement to Promote Diversity for R01 Pediatric Health in Extreme Weather - Health Effects and Ambient Temperature (PHEW - HEAT)

项目总结/摘要 虽然越来越多的研究证实，热量与儿童健康的影响，这一领域的 热和儿童健康仍然严重不足，从而限制了公共卫生预防和临床 方法侧重于减少儿童的热健康风险。根据我们的初步工作，我们假设 1）儿童对热的健康影响的脆弱性因人口统计和社区水平的暴露而异， 有重要的公共卫生后果的方式; 2）热对儿童健康的最大影响是 在非热特异性诊断;和3）结果，如伤害和暴力代表了一个重要的 现有研究中的空白可能会遗漏大部分与热相关的儿童健康负担。我们 建议使用足够大的管理数据集在父R 01上进行调查， 允许对亚群体进行检查，以确定脆弱的亚群体，并采用一种独特的先前- 编制全市敏感性指标数据集。我们建议检查社区一级的暴露， 将阐明观察到的热损伤/暴力协会的根本病因。具体来说， 补充多样性促进提案旨在1）审查纽约市之间的高温和暴力协会 儿科人群和2）完善我们对人口统计学和社区水平影响的理解 儿童接触热暴力的情况。这项研究的结果将作为 在母公司赠款目标4中提出的培训和外联系列。

Project Summary/ Abstract While a growing number of studies corroborate that heat is associated with pediatric health impacts, this area of heat and child health remains critically understudied, thereby limiting public health prevention and clinical approaches focused on heat health risk reduction for children. Drawing on our preliminary work, we hypothesize that 1) child vulnerability to the health effects of heat varies by demographics and community-level exposures in ways that have important public health consequences; that 2) the greatest health impact to children from heat is among non-heat specific diagnoses; and that 3) outcomes such as injury and violence represent an important gap in existing research that is potentially missing the bulk of heat-associated health burden for children. We propose an investigation that builds on a parent R01 using an administrative dataset that is large enough to permit examination of subgroups to identify vulnerable subpopulations and employing a unique previously- compiled dataset of city-wide susceptibility indicators. We propose to examine community-level exposures that will shed light on underlying etiology of the observed heat-injury/violence associations. Specifically, this supplemental diversity promotion proposal aims to 1) Examine heat and violence associations among the NYC pediatric population and 2) refine our understanding of the influence of the demographics and community-level exposures on heat-violence associations for children. Results of this research will be disseminated as part of the training and outreach series proposed in the parent grant aim 4.