Heat vulnerability: health impacts of heat on older people in urban and rural areas in Europe.

Aged Climate change Hot temperature Rural ropulation Urban population

Journal

Wiener klinische Wochenschrift
ISSN: 1613-7671
Titre abrégé: Wien Klin Wochenschr
Pays: Austria
ID NLM: 21620870R

Informations de publication

Date de publication:
19 Aug 2024
Historique:
received: 02 07 2024
accepted: 16 07 2024
medline: 19 8 2024
pubmed: 19 8 2024
entrez: 19 8 2024
Statut: aheadofprint

Résumé

Exposure to extreme heat is associated with both increased morbidity and mortality, especially in older people. Health burdens associated with heat include heat stroke, diabetes mellitus, hypertension, ischemic heart diseases, heart failure and arrhythmia, pulmonary diseases but also injuries, problems with activities of daily living, and mental disorders. In Europe, there are remarkable spatial differences in heat exposure between urban and less populated areas. In Austria, for example, there is a significant gradual association between population density and the number of heat days, where the gradient of urbanization also follows the gradient of sea level. The European population is continuously ageing, especially in rural areas. Older adults are especially vulnerable to negative health consequences resulting from heat exposure, due to a lack of physiological, social, cognitive, and behavioral resources. Older people living in urban areas are particularly at risk, due to the urban heat island effect, the heat-promoting interplay between conditions typically found in cities, such as a lack of vegetation combined with a high proportion of built-up areas; however, older people living in rural regions often have less infrastructure to cope with extreme heat, such as fewer cooling centers and emergency services. Additionally, older adults still engaged in agricultural or forestry activities may be exposed to high temperatures without adequate protection or hydration. More research is required to examine factors responsible for heat vulnerability in older adults and the interactions and possibilities for increasing resilience in older urban and rural populations to the health consequences of heat.

Identifiants

pubmed: 39158652
doi: 10.1007/s00508-024-02419-0
pii: 10.1007/s00508-024-02419-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Christina Fastl (C)

Academy for Ageing Research, Haus der Barmherzigkeit, Vienna, Austria.

Arne Arnberger (A)

Institute of Landscape Development, Recreation and Conservation Planning, University of Natural Resources and Life Sciences, Vienna, Austria.

Vera Gallistl (V)

Division of Gerontology and Health Research, Karl Landsteiner University of Health Sciences, Krems, Austria.

Viktoria K Stein (VK)

Karl-Landsteiner Institute for Health Promotion Research, Sitzenberg-Reidling, Austria.

Thomas E Dorner (TE)

Academy for Ageing Research, Haus der Barmherzigkeit, Vienna, Austria. thomas.dorner@meduniwien.ac.at.
Karl-Landsteiner Institute for Health Promotion Research, Sitzenberg-Reidling, Austria. thomas.dorner@meduniwien.ac.at.
Center for Public Health, Department of Social and Preventive Research, Medical University of Vienna, Vienna, Austria. thomas.dorner@meduniwien.ac.at.

Classifications MeSH