東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Environmental Heat in Relation to Ch...

Boston University., Epidemiology SPH.

FindBook

Google Book

Amazon

博客來

Environmental Heat in Relation to Child Health Outcomes.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Environmental Heat in Relation to Child Health Outcomes./
作者:	Fitzsimmons, Kathleen.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	207 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-09, Section: B.
Contained By:	Dissertations Abstracts International81-09B.
標題:	Epidemiology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27669866
ISBN:	9781392393048

Environmental Heat in Relation to Child Health Outcomes.
Fitzsimmons, Kathleen.

Environmental Heat in Relation to Child Health Outcomes. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 207 p.

Source: Dissertations Abstracts International, Volume: 81-09, Section: B.

Thesis (Ph.D.)--Boston University, 2020.

This item must not be sold to any third party vendors.

In the United States, annual average temperature is projected to rise throughout the 21st century, and both extremely hot days and heat waves are expected to become more intense and frequent. Global climate change is already negatively affecting human health and with continued warming, adverse health outcomes are expected to be exacerbated, especially among already susceptible populations, like children.This dissertation responds to the call for scientific research on potential health consequences of climate change among children. Pregnant women and children, especially infants, are considered vulnerable to a number of climate-sensitive health outcomes, including heat stress, respiratory disease, and diarrheal illness. Specifically, with the three studies described here, we aimed to contribute to the growing body of research establishing baseline relationships between environmental heat and child health outcomes in the United States. For Studies 1 and 2, we examined exposure to heat wave, defined multiple ways, in relation to preterm birth and pediatric asthma, respectively, using meteorological data from University of Massachusetts, Lowell and health data from the Massachusetts Department of Public Health. The first study overall found little to no short-term association between maternal heat wave exposure and preterm birth among women in ten large Massachusetts cities, using five definitions of heat wave. However, there were potential differences by gestational age that should be explored further in future studies. Findings from the second study provided some evidence for increased rates of emergency department (ED) visits for asthma/wheeze, among Massachusetts children during and immediately following heat waves, although excess numbers were small. Rates of all-cause pediatric ED visits were also elevated during heat waves and the days following, corresponding to hundreds of excess visits. For Study 3, we used national data from the U.S. Centers for Disease Control and Prevention's Laboratory-based Enteric Disease Surveillance system to evaluate the association between temperature-based season and incident Salmonella infection in infants. Results confirmed elevated rates of infant infection in the summer compared to winter and revealed a greater absolute impact among infants compared to other age groups, especially in the South and for Salmonella serotypes commonly from environmental, non-food sources.Findings from this dissertation should not be viewed in isolation, but rather as part of a growing body of scientific literature on the potential impacts of climate change on child health. This work provides evidence that environmental heat is associated with certain adverse health outcomes among children in the U.S. and raises questions for further research. Results could be used as a baseline and compared with future estimates to assess changes in vulnerability and inform public health interventions.

ISBN: 9781392393048Subjects--Topical Terms:

568544
Epidemiology.
Subjects--Index Terms:

Asthma

Environmental Heat in Relation to Child Health Outcomes.
LDR:04166nmm a2200397 4500 001 2266239
005 20200608092714.5
008 220629s2020 ||||||||||||||||| ||eng d
020 $a 9781392393048
035 $a (MiAaPQ)AAI27669866
035 $a AAI27669866
040 $a MiAaPQ $c MiAaPQ
100 1 $a Fitzsimmons, Kathleen. $3 3543424
245 1 0 $a Environmental Heat in Relation to Child Health Outcomes.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2020
300 $a 207 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-09, Section: B.
500 $a Advisor: Werler, Martha.
502 $a Thesis (Ph.D.)--Boston University, 2020.
506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a In the United States, annual average temperature is projected to rise throughout the 21st century, and both extremely hot days and heat waves are expected to become more intense and frequent. Global climate change is already negatively affecting human health and with continued warming, adverse health outcomes are expected to be exacerbated, especially among already susceptible populations, like children.This dissertation responds to the call for scientific research on potential health consequences of climate change among children. Pregnant women and children, especially infants, are considered vulnerable to a number of climate-sensitive health outcomes, including heat stress, respiratory disease, and diarrheal illness. Specifically, with the three studies described here, we aimed to contribute to the growing body of research establishing baseline relationships between environmental heat and child health outcomes in the United States. For Studies 1 and 2, we examined exposure to heat wave, defined multiple ways, in relation to preterm birth and pediatric asthma, respectively, using meteorological data from University of Massachusetts, Lowell and health data from the Massachusetts Department of Public Health. The first study overall found little to no short-term association between maternal heat wave exposure and preterm birth among women in ten large Massachusetts cities, using five definitions of heat wave. However, there were potential differences by gestational age that should be explored further in future studies. Findings from the second study provided some evidence for increased rates of emergency department (ED) visits for asthma/wheeze, among Massachusetts children during and immediately following heat waves, although excess numbers were small. Rates of all-cause pediatric ED visits were also elevated during heat waves and the days following, corresponding to hundreds of excess visits. For Study 3, we used national data from the U.S. Centers for Disease Control and Prevention's Laboratory-based Enteric Disease Surveillance system to evaluate the association between temperature-based season and incident Salmonella infection in infants. Results confirmed elevated rates of infant infection in the summer compared to winter and revealed a greater absolute impact among infants compared to other age groups, especially in the South and for Salmonella serotypes commonly from environmental, non-food sources.Findings from this dissertation should not be viewed in isolation, but rather as part of a growing body of scientific literature on the potential impacts of climate change on child health. This work provides evidence that environmental heat is associated with certain adverse health outcomes among children in the U.S. and raises questions for further research. Results could be used as a baseline and compared with future estimates to assess changes in vulnerability and inform public health interventions.
590 $a School code: 0017.
650 4 $a Epidemiology. $3 568544
650 4 $a Climate change. $2 bicssc $3 2079509
650 4 $a Environmental health. $3 543032
653 $a Asthma
653 $a Birth
653 $a Climate change
653 $a Epidemiology
653 $a Salmonella
653 $a Temperature
690 $a 0766
690 $a 0404
690 $a 0470
710 2 $a Boston University. $b Epidemiology SPH. $3 3350150
773 0 $t Dissertations Abstracts International $g 81-09B.
790 $a 0017
791 $a Ph.D.
792 $a 2020
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27669866