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Community Trial on Heat Related-Illness Prevention Behaviors and Knowledge for the Elderly

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  • Noriko Takahashi

    (Department of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan
    Graduate School of Biomedical Sciences, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan
    National Center for Child Health and Development, 2-10-1 Okura, Setagaya, Tokyo 157-8535, Japan)

  • Rieko Nakao

    (Department of Nursing, Graduate School of Biomedical Science, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8520, Japan)

  • Kayo Ueda

    (The National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki 305-8506, Japan)

  • Masaji Ono

    (The National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba, Ibaraki 305-8506, Japan)

  • Masahide Kondo

    (Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan)

  • Yasushi Honda

    (Faculty of Health and Sport Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan)

  • Masahiro Hashizume

    (Department of Paediatric Infectious Diseases, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan
    Graduate School of Biomedical Sciences, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan)

Abstract

This study aims to explore whether broadcasting heat health warnings (HHWs), to every household and whether the additional home delivery of bottled water labeled with messages will be effective in improving the behaviors and knowledge of elderly people to prevent heat-related illness. A community trial on heat-related-illness-prevention behaviors and knowledge for people aged between 65 and 84 years was conducted in Nagasaki, Japan. Five hundred eight subjects were selected randomly from three groups: heat health warning (HHW), HHW and water delivery (HHW+W), and control groups. Baseline and follow-up questionnaires were conducted in June and September 2012, respectively. Of the 1524 selected subjects, the 1072 that completed both questionnaires were analyzed. The HHW+W group showed improvements in nighttime AC use ( p = 0.047), water intake ( p = 0.003), cooling body ( p = 0.002) and reduced activities in heat ( p = 0.047) compared with the control, while the HHW group improved hat or parasol use ( p = 0.008). An additional effect of household water delivery was observed in water intake ( p = 0.067) and cooling body ( p = 0.095) behaviors. HHW and household bottled water delivery improved heat-related-illness-prevention behaviors. The results indicate that home water delivery in addition to a HHW may be needed to raise awareness of the elderly.

Suggested Citation

  • Noriko Takahashi & Rieko Nakao & Kayo Ueda & Masaji Ono & Masahide Kondo & Yasushi Honda & Masahiro Hashizume, 2015. "Community Trial on Heat Related-Illness Prevention Behaviors and Knowledge for the Elderly," IJERPH, MDPI, vol. 12(3), pages 1-27, March.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:3:p:3188-3214:d:46922
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    References listed on IDEAS

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    1. Ghasem Toloo & Gerard FitzGerald & Peter Aitken & Kenneth Verrall & Shilu Tong, 2013. "Evaluating the effectiveness of heat warning systems: systematic review of epidemiological evidence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(5), pages 667-681, October.
    2. Hajat, S. & Sheridan, S.C. & Allen, M.J. & Pascal, M. & Laaidi, K. & Yagouti, A. & Bickis, U. & Tobias, A. & Bourque, D. & Armstrong, B.G. & Kosatsky, T., 2010. "Heat-health warning systems: A comparison of the predictive capacity of different approaches to identifying dangerously hot days," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1137-1144.
    3. Joseph Ibrahim & Judith McInnes & Nick Andrianopoulos & Sue Evans, 2012. "Minimising harm from heatwaves: a survey of awareness, knowledge, and practices of health professionals and care providers in Victoria, Australia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(2), pages 297-304, April.
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