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...

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Bibliographic Details
Main Authors: Ghasem (Sam) (Author), Yuming Guo (Author), Lyle Turner (Author), Xin Qi (Author), Peter Aitken (Author), Shilu Tong (Author)
Format: Book
Published: Elsevier, 2014-10-01T00:00:00Z.
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Summary: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.
Item Description:1753-6405
1326-0200
10.1111/1753-6405.12253