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Perceived Adverse Health Effects of Heat and Their Determinants in Deprived Neighbourhoods: A Cross-Sectional Survey of Nine Cities in Canada

Author

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  • Diane Bélanger

    (Institut National de la Recherche Scientifique Centre Eau Terre Environnement, 490, rue de la Couronne, QC G1K 9A9, Canada)

  • Pierre Gosselin

    (Institut National de Santé Publique du Québec, 945, Avenue Wolfe, QC G1V 5B3, Canada)

  • Pierre Valois

    (Université Laval, 2325 rue de l'Université, QC G1V 0A6, Canada)

  • Belkacem Abdous

    (Centre de Recherche du Centre Hospitalier Universitaire de Québec, 2705, Boulevard Laurier, QC G1V 4G2, Canada)

Abstract

This study identifies several characteristics of individuals who report their physical and/or mental health as being adversely affected by summertime heat and humidity, within the most disadvantaged neighbourhoods of the nine largest cities of Québec (Canada). The study is cross-sectional by stratified representative sample; 3485 people were interviewed in their residence. The prevalence of reported impacts was 46%, mostly physical health. Female gender and long-term medical leave are two impact risk indicators in people <65 years of age. Low income and air conditioning at home are risk indicators at all ages. Results for having ≥2 diagnoses of chronic diseases, particularly for people self-describing as in poor health (odds ratio, OR <65 = 5.6; OR ≥65 = 4.2), and perceiving daily stress, are independent of age. The prevalence of reported heat-related health impacts is thus very high in those inner cities, with notable differences according to age, stress levels and long-term medical leave, previously unmentioned in the literature. Finally, the total number of pre-existing medical conditions seems to be a preponderant risk factor. This study complements the epidemiologic studies based on mortality or severe morbidity and shows that the heat-related burden of disease appears very important in those communities, affecting several subgroups differentially.

Suggested Citation

  • Diane Bélanger & Pierre Gosselin & Pierre Valois & Belkacem Abdous, 2014. "Perceived Adverse Health Effects of Heat and Their Determinants in Deprived Neighbourhoods: A Cross-Sectional Survey of Nine Cities in Canada," IJERPH, MDPI, vol. 11(11), pages 1-26, October.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:11028-11053:d:41607
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    References listed on IDEAS

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    1. Anna Alberini & Will Gans & Mustapha Alhassan, 2011. "Individual and Public-Program Adaptation: Coping with Heat Waves in Five Cities in Canada," IJERPH, MDPI, vol. 8(12), pages 1-23, December.
    2. Weisskopf, M.G. & Anderson, H.A. & Foldy, S. & Hanrahan, L.P. & Blair, K. & Török, T.J. & Rumm, P.D., 2002. "Heat wave morbidity and mortality, Milwaukee, Wis, 1999 vs 1995: An improved response?," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 830-833.
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    2. Anna Malmquist & Mattias Hjerpe & Erik Glaas & Hulda Karlsson-Larsson & Tina Lassi, 2022. "Elderly People’s Perceptions of Heat Stress and Adaptation to Heat: An Interview Study," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    3. Kaddour Mehiriz & Pierre Gosselin & Isabelle Tardif & Marc-André Lemieux, 2018. "The Effect of an Automated Phone Warning and Health Advisory System on Adaptation to High Heat Episodes and Health Services Use in Vulnerable Groups—Evidence from a Randomized Controlled Study," IJERPH, MDPI, vol. 15(8), pages 1-13, July.
    4. McKenzie H. Tilstra & Ishwar Tiwari & Leigh Niwa & Sandra Campbell & Charlene C. Nielsen & C. Allyson Jones & Alvaro Osornio Vargas & Okan Bulut & Bernadette Quemerais & Jordana Salma & Kyle Whitfield, 2021. "Risk and Resilience: How Is the Health of Older Adults and Immigrant People Living in Canada Impacted by Climate- and Air Pollution-Related Exposures?," IJERPH, MDPI, vol. 18(20), pages 1-22, October.
    5. Joost van Hoof & Helen Bennetts & Alana Hansen & Jan K. Kazak & Veronica Soebarto, 2019. "The Living Environment and Thermal Behaviours of Older South Australians: A Multi-Focus Group Study," IJERPH, MDPI, vol. 16(6), pages 1-19, March.

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