Article ; Online: The role of older adult-focused social vulnerability on the relationship between temperature and emergency department attendance in a subtropical Asian city.
Archives of gerontology and geriatrics
2023 Volume 117, Page(s) 105195
Abstract: Purpose: Older adults exhibit a wide range of capabilities and vulnerabilities that affect their capacity to respond to heat. This study analysed the associations between hot temperatures and Accident & Emergency (A&E) attendance taking into account ... ...
Abstract | Purpose: Older adults exhibit a wide range of capabilities and vulnerabilities that affect their capacity to respond to heat. This study analysed the associations between hot temperatures and Accident & Emergency (A&E) attendance taking into account older adult-focused social vulnerability. Methods: Daily A&E attendance data of Young-old (65-74) and Old-old (75+) was obtained for Hong Kong 2010-2019 hot seasons and stratified into three Social Vulnerability Index (SVI) groups (Low, Moderate, High). Mean temperature (lag 0-2) was analysed on A&E attendance at each SVI using Generalized Additive Models and Distributed Lag Non-linear Models. Results: High temperatures were associated with increased same-day (lag 0) relative risk (RR) of A&E attendance for Young-old and Old-old in High SVI districts, with RR being 1.024 (95 % CI: 1.011, 1.037) and 1.036 (95 % CI: 1.018, 1.053), respectively. The Old-old living in Moderate and Low SVI districts also demonstrated increased RR of 1.037 (95 % CI: 1.028, 1.047) and 1.022 (95 % CI: 1.009, 1.036), respectively. Fewer emergency visits were found on the subsequent day (lag 1) of hot temperatures. Conclusions: Older adults, both young-old and old-old, living in districts with higher social vulnerability tended to have increased risk of A&E attendance associated with same-day high temperature. With climate change and rapidly aging population, cities should prepare to meet needs of more vulnerable older adults in extreme heat. |
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MeSH term(s) | Humans ; Aged ; Temperature ; Cities ; Social Vulnerability ; Hot Temperature ; Emergency Service, Hospital |
Language | English |
Publishing date | 2023-09-11 |
Publishing country | Netherlands |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 603162-6 |
ISSN | 1872-6976 ; 0167-4943 |
ISSN (online) | 1872-6976 |
ISSN | 0167-4943 |
DOI | 10.1016/j.archger.2023.105195 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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