File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1016/j.archger.2023.105195
- Scopus: eid_2-s2.0-85171612551
- Find via
Supplementary
-
Citations:
- Scopus: 0
- Appears in Collections:
Article: The role of older adult-focused social vulnerability on the relationship between temperature and emergency department attendance in a subtropical Asian city
Title | The role of older adult-focused social vulnerability on the relationship between temperature and emergency department attendance in a subtropical Asian city |
---|---|
Authors | |
Keywords | Emergency department Emergency visits Older adults Social vulnerability Temperature |
Issue Date | 11-Sep-2023 |
Publisher | Elsevier |
Citation | Archives of Gerontology and Geriatrics, 2024, v. 117 How to Cite? |
Abstract | PurposeOlder 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. MethodsDaily 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. ResultsHigh 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. ConclusionsOlder 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. |
Persistent Identifier | http://hdl.handle.net/10722/333907 |
ISSN | 2021 Impact Factor: 4.163 2020 SCImago Journal Rankings: 0.985 |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ho, JY | - |
dc.contributor.author | Lai, ET | - |
dc.contributor.author | Chau, PH | - |
dc.contributor.author | Chong, KC | - |
dc.contributor.author | Woo, J | - |
dc.date.accessioned | 2023-10-06T08:40:08Z | - |
dc.date.available | 2023-10-06T08:40:08Z | - |
dc.date.issued | 2023-09-11 | - |
dc.identifier.citation | Archives of Gerontology and Geriatrics, 2024, v. 117 | - |
dc.identifier.issn | 0167-4943 | - |
dc.identifier.uri | http://hdl.handle.net/10722/333907 | - |
dc.description.abstract | <h3>Purpose</h3><p>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.</p><h3>Methods</h3><p>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.</p><h3>Results</h3><p>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.</p><h3>Conclusions</h3><p>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.</p> | - |
dc.language | eng | - |
dc.publisher | Elsevier | - |
dc.relation.ispartof | Archives of Gerontology and Geriatrics | - |
dc.subject | Emergency department | - |
dc.subject | Emergency visits | - |
dc.subject | Older adults | - |
dc.subject | Social vulnerability | - |
dc.subject | Temperature | - |
dc.title | The role of older adult-focused social vulnerability on the relationship between temperature and emergency department attendance in a subtropical Asian city | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.archger.2023.105195 | - |
dc.identifier.scopus | eid_2-s2.0-85171612551 | - |
dc.identifier.volume | 117 | - |
dc.identifier.issnl | 0167-4943 | - |