Heat-Related Health Risk Assessment and Mitigation for Aging Populations in Public Housing: A Community-Individual Environment-Health Nexus

公共住房中与热相关的健康风险评估和老龄化人口缓解：社区-个人环境-健康关系

• 批准号: 10587936
• 负责人: Dongying Li
• 金额: $ 36.9万
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-13 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10587936
• 关键词: 3-Dimensional; Accounting; Adopted; Adverse effects; Affective; Age; Aging; Air; Buffers; Characteristics; Chicago; Cities; Classification; Climate; Cognitive; Communities; Community Health; Complex; Data; Development; Disadvantaged; Disparity; Dose; Elderly; Emergency response; Emotional; Environment; Environmental Risk Factor; Equity; Event; Exposure to; Face; Foundations; Frequencies; Future; Goals; Green space; Health; Heat Stress Disorders; Housing; Human; Imagery; Impairment; Individual; Inequality; Infrastructure; Investigation; Knowledge; Measures; Mission; Modeling; Neighborhoods; Older Population; Outcome; Pathway interactions; Personal Satisfaction; Physiologic Thermoregulation; Physiological; Physiology; Policies; Population; Proxy; Public Health; Public Housing; Quasi-experiment; Rationalization; Research; Risk; Risk Assessment; Risk Factors; Role; Sampling; Site; Social Environment; Social outcome; Subgroup; Surveys; Temperature; Texas; Typology; United States National Institutes of Health; Vulnerable Populations; aging in place; behavioral outcome; climate adaptation; climate disaster; college; community planning; cost; density; design; experience; extreme heat; extreme weather; innovation; insight; modifiable risk; neglect; novel; prevent; psychologic; public health intervention; remote sensing; resilience; response; risk mitigation; social; social disparities; social vulnerability; socioeconomics; stress reduction; stressor

PROJECT SUMMARY Although older adults in public housing face serious threats to their heat-related health, current assessment and mitigation frameworks neglect physiological conditions and place-based infrastructural and social inequalities. Our long-term goal is to develop quantifiable measures and dose-response relationships between the density and characteristics of urban green infrastructure (GI) and heat-related health outcomes for older adults, which can inform community planning and resilience policies that support aging in place during current and future climate conditions. Our objectives are to: 1) assess heat-related health risks for older adults in public housing neighborhoods; 2) determine the effects of green infrastructure on micrometeorological conditions and heat stress; and 3) evaluate the extent to which neighborhood GI mitigates heat-related health risks via emotional, cognitive, and social pathways. Our central hypothesis is that neighborhood GI characteristics are associated with a reduced risk of heat-related illness for older adults in public housing. To achieve Aim 1, we will perform heat-related health risk assessments using the population vulnerability framework, which integrates exposure, sensitivity, and adaptive capacity. Biometeorological exposure will be evaluated based on a novel human heat stress model that accounts for the physiology of older adults; sensitivity and adaptivity will be assessed using social and infrastructural stressors. To achieve Aim 2, we will develop 3-dimensional measures of GI characteristics using remote sensing data and street-level imagery and video classifications and identify inter- and intra-neighborhood GI attributes that relate to micrometeorological parameters and heat stress in older adults. To achieve Aim 3, we will conduct a 2-wave panel survey with multi-stage sampling of older adults in public housing neighborhoods in Houston and Chicago. By comparing baseline measures collected in the spring wave with those during heat conditions in the summer wave, we will assess the sociopsychological pathways through which neighborhood GI is associated with heat-related health/behavioral outcomes and subjective well-being. The research proposed in this application is innovative because it develops heat-related health risk assessments that integrate a novel age-specific human heat- stress model. It also focuses on GI as a modifiable risk factor and adopts a socioecological perspective to elucidate the extent to which individuals’ interaction with their neighborhood’s green infrastructure can moderate heat-related health risks via emotional, cognitive, and social pathways. The proposed research is significant because it is expected to provide strong scientific justification for heat assessment and mitigation frameworks that clarifies the complex transactions between the community-level socioenvironmental infrastructure and an individual’s health. Ultimately, such knowledge has the potential to offer new public health and environmental planning policies that enhance community resilience and promote climate equity.

项目摘要 尽管公共住房中的老年人面临着与热有关的健康的严重威胁，但目前的评估 缓解框架忽略了生理条件以及基于地方的基础设施和社会 我们的长期目标是建立可量化的测量和剂量反应之间的关系 城市绿色基础设施（GI）的密度和特征和与老年人相关的健康结果 成人，可以为社区规划和弹性政策提供信息，以支持当前的衰老 和未来的气候条件。我们的目标是：1）评估老年人与热有关的健康风险 公共住房社区； 2）确定绿色基础设施对微气象学的影响 条件和热应激； 3）评估社区GI减轻与热有关的健康的程度 通过情感，认知和社会道路冒险。我们的中心假设是邻里gi 特征与公共住房中老年人的热相关疾病风险降低有关。到 达到目标1，我们将使用人群脆弱性进行与热有关的健康风险评估 框架，集成了曝光，灵敏度和自适应能力。生物气象暴露将是 根据一种新的人类热应激模型进行评估，该模型解释了老年人的生理学； 敏感性和适应性将使用社会和基础设施压力源进行评估。为了实现目标2，我们将 使用遥远灵敏度数据和街道级图像以及 视频分类并识别与微气象相关的邻居内和邻居内gi属性 老年人的参数和热应激。为了达到目标3，我们将与 休斯顿和芝加哥公共住房社区中老年人的多阶段抽样。通过比较 在夏季波中的热条件下，在春波中收集的基线测量，我们将 评估社区GI与热有关的社会心理学途径 健康/行为成果和主观幸福感。本应用程序中提出的研究是创新的 因为它开发了与热有关的健康风险评估，以整合新颖的年龄特异性人类热量 压力模型。它还侧重于GI作为可修改的危险因素，并将社会生态观点改编成 阐明个人与社区绿色基础设施的互动程度可以 通过情绪，认知和社会道路遇到与热相关的健康风险。拟议的研究是 重要的是因为有望为热评估和缓解措施提供强有力的科学依据 阐明社区级社会环境之间复杂交易的框架 基础设施和个人的健康。最终，这种知识有可能提供新的公共卫生 以及增强社区弹性并促进气候公平的环境规划政策。