Rural heat health disparities: Evidence from the U.S. National Emergency Medical Services Information System (NEMSIS) - 18/03/25
, Ladd Keith a , Heidi E. Brown b, ⁎
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Abstract |
Background |
Increasing average temperatures and extreme heat events due to climate change have adverse effects on human health. Previous studies focus on the heat impacts in urban areas due to the focus on the greater population and urban heat island effect, but this tendency results in the effect of heat on rural health being overlooked.
Methods |
Using the National Emergency Medical Services Information System (NEMSIS) data from 2021 to 2023, this study compares heat-related illness (HRI) in urban and rural areas of the U.S.
Results |
We found the odds of EMS events in an urban area resulting with a positive outcome for the patient was 1.24 times that of EMS events in rural areas. This urban-rural disparity was not equal across regions with the odds of EMS events to rural areas of the Western U.S. resulting with a positive outcome for the patient was 54 % less than that for urban areas.
Conclusion |
This critical evidence of a rural-urban heat health disparity calls attention to the impact of climate change-fueled heat impacts on health in communities of all sizes, and a need for more rural heat resilience research to inform practice.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Studies on the health effects of heat tend to overlook rural areas. |
• | Comparing EMS heat related events, the odds an urban event resulting in a positive outcome was 1.24 times that of patients in rural area. |
• | This urban-rural disparity was more evident in the Western U.S. |
Keywords : Extreme heat, Heat equity, Rural health, Heat health, Emergency medical services
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Vol 22
Article 100432- mars 2025 Retour au numéro
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