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Extreme hot-weather events have become life-threatening natural phenomena in many cities around the world, and the health impacts of excessive heat are expected to increase with climate change (Huang et al. 2011; Knowlton et al. 2007; Meehl and Tebaldi 2004; Patz 2005). Heat waves will likely have the worst health

Extreme hot-weather events have become life-threatening natural phenomena in many cities around the world, and the health impacts of excessive heat are expected to increase with climate change (Huang et al. 2011; Knowlton et al. 2007; Meehl and Tebaldi 2004; Patz 2005). Heat waves will likely have the worst health impacts in urban areas, where large numbers of vulnerable people reside and where local-scale urban heat island effects (UHI) retard and reduce nighttime cooling. This dissertation presents three empirical case studies that were conducted to advance our understanding of human vulnerability to heat in coupled human-natural systems. Using vulnerability theory as a framework, I analyzed how various social and environmental components of a system interact to exacerbate or mitigate heat impacts on human health, with the goal of contributing to the conceptualization of human vulnerability to heat. The studies: 1) compared the relationship between temperature and health outcomes in Chicago and Phoenix; 2) compared a map derived from a theoretical generic index of vulnerability to heat with a map derived from actual heat-related hospitalizations in Phoenix; and 3) used geospatial information on health data at two areal units to identify the hot spots for two heat health outcomes in Phoenix. The results show a 10-degree Celsius difference in the threshold temperatures at which heat-stress calls in Phoenix and Chicago are likely to increase drastically, and that Chicago is likely to be more sensitive to climate change than Phoenix. I also found that heat-vulnerability indices are sensitive to scale, measurement, and context, and that cities will need to incorporate place-based factors to increase the usefulness of vulnerability indices and mapping to decision making. Finally, I found that identification of geographical hot-spot of heat-related illness depends on the type of data used, scale of measurement, and normalization procedures. I recommend using multiple datasets and different approaches to spatial analysis to overcome this limitation and help decision makers develop effective intervention strategies.
ContributorsChuang, Wen-Ching (Author) / Gober, Patricia (Thesis advisor) / Boone, Christopher (Committee member) / Guhathakurta, Subhrajit (Committee member) / Ruddell, Darren (Committee member) / Arizona State University (Publisher)
Created2013
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This study assessed the spatial distribution of vulnerability to extreme heat in 1990 and 2000 within metropolitan Phoenix based on an index of seven equally weighted measures of physical exposure and adaptive capacity. These measures were derived from spatially interpolated climate, normalized differential vegetation index, and U.S. Census data. From

This study assessed the spatial distribution of vulnerability to extreme heat in 1990 and 2000 within metropolitan Phoenix based on an index of seven equally weighted measures of physical exposure and adaptive capacity. These measures were derived from spatially interpolated climate, normalized differential vegetation index, and U.S. Census data. From resulting vulnerability maps, we also analyzed population groups living in areas of high heat vulnerability. Results revealed that landscapes of heat vulnerability changed substantially in response to variations in physical and socioeconomic factors, with significant alterations to spatial distribution of vulnerability especially between eastern and western sectors of Phoenix. These changes worked to the detriment of Phoenix's Hispanic population and the elderly concentrated in urban-fringe retirement communities.

ContributorsChow, Winston, 1951- (Author) / Chuang, Wen-Ching (Author) / Gober, Patricia (Author)
Created2011-08-18