Adaptive Capacity to Extreme Heat: Results from a Household Survey in Houston, Texas

AbstractExtreme heat is the leading cause of weather-related mortality in the United States, suggesting the necessity for better understanding population vulnerability to extreme heat. The work presented here is part of a larger study examining vulnerability to extreme heat in current and future climates [System for Integrated Modeling of Metropolitan Extreme Heat Risk (SIMMER)] and was undertaken to assess Houston, Texas, residents’ adaptive capacity to extreme heat. A comprehensive, semistructured survey was conducted by telephone at 901 households in Houston in 2011. Frequency and logistic regression analyses were conducted. Results show that 20% of the survey respondents reported heat-related symptoms in the summer of 2011 despite widespread air conditioning availability throughout Houston. Of those reporting heat-related symptoms experienced in the home (n = 56), the majority could not afford to use air conditioning because of the high cost of electricity. This research highlights the efficacy of com...

[1]  Matthew J. Heaton,et al.  An Analysis of an Incomplete Marked Point Pattern of Heat-Related 911 Calls , 2015 .

[2]  S. Cutter,et al.  Temporal and spatial changes in social vulnerability to natural hazards , 2008, Proceedings of the National Academy of Sciences.

[3]  G. Luber,et al.  Climate change and extreme heat events. , 2008, American journal of preventive medicine.

[4]  C. Begley,et al.  Impact of the 2011 heat wave on mortality and emergency department visits in Houston, Texas , 2015, Environmental Health.

[5]  Nathaniel A. Brunsell,et al.  Interactions between urbanization, heat stress, and climate change , 2015, Climatic Change.

[6]  Matthew Roach,et al.  Assessing Adaptation Strategies for Extreme Heat: A Public Health Evaluation of Cooling Centers in Maricopa County, Arizona , 2017 .

[7]  T. Stocker,et al.  Managing the risks of extreme events and disasters to advance climate change adaptation. Special report of the Intergovernmental Panel on Climate Change. , 2012 .

[8]  Tao Zhang,et al.  Anatomy of an Extreme Event , 2013 .

[9]  J. Balbus,et al.  Identifying Vulnerable Subpopulations for Climate Change Health Effects in the United States , 2009, Journal of occupational and environmental medicine.

[10]  William L. Stefanov,et al.  Neighborhood Effects on Heat Deaths: Social and Environmental Predictors of Vulnerability in Maricopa County, Arizona , 2012, Environmental health perspectives.

[11]  W R Keatinge,et al.  Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southeast England. , 2003, Environmental research.

[12]  S. Cutter,et al.  Journal of Homeland Security and Emergency Management Disaster Resilience Indicators for Benchmarking Baseline Conditions , 2011 .

[13]  S. Grimmond Urbanization and global environmental change: local effects of urban warming , 2007 .

[14]  Antonella Zanobetti,et al.  The Time Course of Weather-Related Deaths , 2001, Epidemiology.

[15]  Brian C. O'Neill,et al.  Future population exposure to US heat extremes , 2015 .

[16]  Jean-Luc Salagnac,et al.  Lessons from the 2003 heat wave: a French perspective , 2007 .

[17]  Matthew J. Heaton,et al.  Influences of climatic and population changes on heat-related mortality in Houston, Texas, USA , 2018, Climatic Change.

[18]  Patrick L. Kinney,et al.  Intra-urban vulnerability to heat-related mortality in New York City, 1997–2006 , 2014, Health & place.

[19]  Gerardo Chowell,et al.  Heat-Related Deaths in Hot Cities: Estimates of Human Tolerance to High Temperature Thresholds , 2014, International journal of environmental research and public health.

[20]  Tord Kjellstrom,et al.  Sustainability Challenges from Climate Change and Air Conditioning Use in Urban Areas , 2013 .

[21]  J. Patz,et al.  Impact of regional climate change on human health , 2005, Nature.

[22]  Daniel P. Johnson,et al.  Developing an applied extreme heat vulnerability index utilizing socioeconomic and environmental data , 2012 .

[23]  Olga V. Wilhelmi,et al.  Intra-urban societal vulnerability to extreme heat: the role of heat exposure and the built environment, socioeconomics, and neighborhood stability. , 2011, Health & place.

[24]  B. Wisner,et al.  At Risk: Natural Hazards, People's Vulnerability and Disasters , 1996 .

[25]  A. Fall,et al.  Urbanization and global environmental change : local effects of urban warming , 2007 .

[26]  A. Barnett,et al.  Temperature and Cardiovascular Deaths in the US Elderly: Changes Over Time , 2007, Epidemiology.

[27]  Carol Farbotko,et al.  Residential air-conditioning and climate change: voices of the vulnerable. , 2011, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[28]  Hannah Brenkert-Smith,et al.  Differential Adaptive Capacity to Extreme Heat: A Phoenix, Arizona, Case Study , 2011 .

[29]  B. Weinhold Volcanic Ash and the Respiratory Immune System - Possible Mechanisms behind Reported Infections , 2013, Environmental health perspectives.

[30]  Wendy M Novicoff,et al.  Changing heat-related mortality in the United States. , 2003, Environmental health perspectives.

[31]  Y. Strengers,et al.  Housing, heat stress and health in a changing climate: promoting the adaptive capacity of vulnerable households, a suggested way forward. , 2011, Health promotion international.

[32]  M. Boeckmann,et al.  Is planned adaptation to heat reducing heat-related mortality and illness? A systematic review , 2014, BMC Public Health.

[33]  A. Auliciems,et al.  Temperature and cardiovascular deaths in Montreal , 1989, International journal of biometeorology.

[34]  R. Morss,et al.  Storm surge and "certain death": Interviews with Texas coastal residents following Hurricane Ike , 2010 .

[35]  Eric Klinenberg,et al.  Heat Wave: A Social Autopsy of Disaster in Chicago , 2002 .

[36]  S. Hales,et al.  Climate change and human health: present and future risks , 2006, The Lancet.

[37]  Matthew J. Heaton,et al.  Characterizing urban vulnerability to heat stress using a spatially varying coefficient model. , 2014, Spatial and spatio-temporal epidemiology.

[38]  Olga V. Wilhelmi,et al.  Connecting people and place: a new framework for reducing urban vulnerability to extreme heat , 2010 .

[39]  Scott L Zeger,et al.  Temperature and mortality in 11 cities of the eastern United States. , 2002, American journal of epidemiology.

[40]  R. E. Porter PUBLIC PERCEPTION AND RESPONSE TO EXTREME HEAT EVENTS , 2013 .

[41]  Darren M. Ruddell,et al.  Climate change and health in cities: impacts of heat and air pollution and potential co-benefits from mitigation and adaptation , 2011 .

[42]  Olga V. Wilhelmi,et al.  Potential Impacts of Future Warming and Land Use Changes on Intra-Urban Heat Exposure in Houston, Texas , 2016, PloS one.

[43]  S. Hajat,et al.  Heat-related mortality: a review and exploration of heterogeneity , 2009, Journal of Epidemiology & Community Health.

[44]  W. Stefanov,et al.  Neighborhood microclimates and vulnerability to heat stress. , 2006, Social science & medicine.

[45]  Daniel P. Johnson,et al.  Socioeconomic indicators of heat-related health risk supplemented with remotely sensed data , 2009, International journal of health geographics.