Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis

Abstract Objective: Examining the association between socioeconomic disadvantage and heat‐related emergency department (ED) visits during heatwave periods in Brisbane, 2000–2008. Methods: Data from 10 public EDs were analysed using a generalised additive model for disease categories, age groups and...

Full description

Bibliographic Details
Main Authors: Ghasem (Sam) Toloo, Yuming Guo, Lyle Turner, Xin Qi, Peter Aitken, Shilu Tong
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12253
_version_ 1797711550593630208
author Ghasem (Sam) Toloo
Yuming Guo
Lyle Turner
Xin Qi
Peter Aitken
Shilu Tong
author_facet Ghasem (Sam) Toloo
Yuming Guo
Lyle Turner
Xin Qi
Peter Aitken
Shilu Tong
author_sort Ghasem (Sam) Toloo
collection DOAJ
description Abstract Objective: Examining the association between socioeconomic disadvantage and heat‐related emergency department (ED) visits during heatwave periods in Brisbane, 2000–2008. Methods: Data from 10 public EDs were analysed using a generalised additive model for disease categories, age groups and gender. Results: Cumulative relative risks (RR) for non‐external causes other than cardiovascular and respiratory diseases were 1.11 and 1.05 in most and least disadvantaged areas, respectively. The pattern persisted on lags 0–2. Elevated risks were observed for all age groups above 15 years in all areas. However, with RRs of 1.19–1.28, the 65–74 years age group in more disadvantaged areas stood out, compared with RR=1.08 in less disadvantaged areas. This pattern was observed on lag 0 but did not persist. The RRs for male presentations were 1.10 and 1.04 in most and less disadvantaged areas; for females, RR was 1.04 in less disadvantaged areas. This pattern persisted across lags 0–2. Conclusions: Heat‐related ED visits increased during heatwaves. However, due to overlapping confidence intervals, variations across socioeconomic areas should be interpreted cautiously. Implications: ED data may be utilised for monitoring heat‐related health impacts, particularly on the first day of heatwaves, to facilitate prompt interventions and targeted resource allocation.
first_indexed 2024-03-12T07:08:37Z
format Article
id doaj.art-ed2646a879104b70a819e4fd2a0758ab
institution Directory Open Access Journal
issn 1326-0200
1753-6405
language English
last_indexed 2024-03-12T07:08:37Z
publishDate 2014-10-01
publisher Elsevier
record_format Article
series Australian and New Zealand Journal of Public Health
spelling doaj.art-ed2646a879104b70a819e4fd2a0758ab2023-09-02T23:16:51ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052014-10-0138543043510.1111/1753-6405.12253Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysisGhasem (Sam) Toloo0Yuming Guo1Lyle Turner2Xin Qi3Peter Aitken4Shilu Tong5School of Public Health and Social Work, Queensland University of TechnologySchool of Medicine, University of QueenslandFaculty of Medicine, Nursing & Health Sciences, Monash University, VictoriaSchool of Public Health and Social Work, Queensland University of TechnologySchool of Public Health, Tropical Medicine & Rehabilitation Sciences, James Cook University, QueenslandSchool of Public Health and Social Work, Queensland University of TechnologyAbstract Objective: Examining the association between socioeconomic disadvantage and heat‐related emergency department (ED) visits during heatwave periods in Brisbane, 2000–2008. Methods: Data from 10 public EDs were analysed using a generalised additive model for disease categories, age groups and gender. Results: Cumulative relative risks (RR) for non‐external causes other than cardiovascular and respiratory diseases were 1.11 and 1.05 in most and least disadvantaged areas, respectively. The pattern persisted on lags 0–2. Elevated risks were observed for all age groups above 15 years in all areas. However, with RRs of 1.19–1.28, the 65–74 years age group in more disadvantaged areas stood out, compared with RR=1.08 in less disadvantaged areas. This pattern was observed on lag 0 but did not persist. The RRs for male presentations were 1.10 and 1.04 in most and less disadvantaged areas; for females, RR was 1.04 in less disadvantaged areas. This pattern persisted across lags 0–2. Conclusions: Heat‐related ED visits increased during heatwaves. However, due to overlapping confidence intervals, variations across socioeconomic areas should be interpreted cautiously. Implications: ED data may be utilised for monitoring heat‐related health impacts, particularly on the first day of heatwaves, to facilitate prompt interventions and targeted resource allocation.https://doi.org/10.1111/1753-6405.12253socioeconomic disadvantagevulnerabilityheatwavesemergency departmentstemporal analysis
spellingShingle Ghasem (Sam) Toloo
Yuming Guo
Lyle Turner
Xin Qi
Peter Aitken
Shilu Tong
Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
Australian and New Zealand Journal of Public Health
socioeconomic disadvantage
vulnerability
heatwaves
emergency departments
temporal analysis
title Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
title_full Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
title_fullStr Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
title_full_unstemmed Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
title_short Socio‐demographic vulnerability to heatwave impacts in Brisbane, Australia: a time series analysis
title_sort socio demographic vulnerability to heatwave impacts in brisbane australia a time series analysis
topic socioeconomic disadvantage
vulnerability
heatwaves
emergency departments
temporal analysis
url https://doi.org/10.1111/1753-6405.12253
work_keys_str_mv AT ghasemsamtoloo sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis
AT yumingguo sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis
AT lyleturner sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis
AT xinqi sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis
AT peteraitken sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis
AT shilutong sociodemographicvulnerabilitytoheatwaveimpactsinbrisbaneaustraliaatimeseriesanalysis