Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review
Introduction: Extreme heat and heat waves have long been recognized as a significant risk factor for cardiovascular disease exacerbations and death. Differential outcomes among structurally marginalized populations are less well understood, and in particular, the impact of this environmental hazard...
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Elsevier
2024-11-01
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| Series: | The Journal of Climate Change and Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667278224000464 |
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| author | Cory Sejo Natasha Mehta Samantha Wilairat Michele Barry Michelle C. Odden Andrew Y. Chang |
| author_facet | Cory Sejo Natasha Mehta Samantha Wilairat Michele Barry Michelle C. Odden Andrew Y. Chang |
| author_sort | Cory Sejo |
| collection | DOAJ |
| description | Introduction: Extreme heat and heat waves have long been recognized as a significant risk factor for cardiovascular disease exacerbations and death. Differential outcomes among structurally marginalized populations are less well understood, and in particular, the impact of this environmental hazard on cardiac mortality deserves further exploration for these populations. Methods: A scoping review was conducted to characterize the scientific literature examining the impact of extreme heat on cardiovascular mortality among structurally marginalized populations in the United States. Using relevant medical subject headings (MeSH) and key terms, a systematic search of the indexing databases of Pubmed, Embase, and Web of Science for English-language manuscripts published from inception to July 2023 for primary research, systematic reviews, meta analyses, and narrative reviews was performed. Results: 4674 articles were screened, of which 33 which met inclusion criteria. The majority (73 %) of these were primary quantitative research studies, all of which were observational in nature. Half of the research designs were cohort studies. The most common marginalized group described was that of older adults (79 % of manuscripts), while race/ethnicity (42 %), sex/gender (42 %), and lower socioeconomic status (49 %) were also commonly explored. Most studies assessed aggregated composite cardiovascular mortality as the primary end point, with only four fractionating myocardial ischemia/infarction as the cause of death. Conclusions: Future directions of study for the field include additional analyses of other marginalized groups including differently-abled, immigrant, outdoor laborers, incarcerated peoples, Hispanic/Latinx, Native American, and Asian American/Pacific Islander populations, as well as determining the impact of diverse socioeconomic parameters, and examining disaggregated cardiac outcomes. |
| format | Article |
| id | doaj-art-e908b2d39a924b7ba550135ed089fbe3 |
| institution | Kabale University |
| issn | 2667-2782 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Journal of Climate Change and Health |
| spelling | doaj-art-e908b2d39a924b7ba550135ed089fbe32024-12-10T04:14:53ZengElsevierThe Journal of Climate Change and Health2667-27822024-11-0120100343Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping reviewCory Sejo0Natasha Mehta1Samantha Wilairat2Michele Barry3Michelle C. Odden4Andrew Y. Chang5Department of Medicine, Northwestern University School of Medicine, Chicago IL, USADepartment of Medicine, Stanford University School of Medicine, Stanford CA, USALane Medical Library, Stanford University, Stanford CA, USADepartment of Medicine, Stanford University School of Medicine, Stanford CA, USA; Center for Innovation in Global Health, Stanford University, Stanford CA, USA; Woods Institute for the Environment, Stanford University, Stanford CA, USADepartment of Epidemiology and Population Health, Stanford University, Stanford CA, USA; Stanford Cardiovascular Institute, Stanford University, Stanford CA, USACenter for Innovation in Global Health, Stanford University, Stanford CA, USA; Department of Epidemiology and Population Health, Stanford University, Stanford CA, USA; Stanford Cardiovascular Institute, Stanford University, Stanford CA, USA; Section of Cardiovascular Medicine, Department of Medicine, Yale University, New Haven CT, USA; Corresponding author at: Yale University School of Medicine, Section of Cardiovascular Medicine, 789 Howard Avenue, New Haven, CT 06519, USA.Introduction: Extreme heat and heat waves have long been recognized as a significant risk factor for cardiovascular disease exacerbations and death. Differential outcomes among structurally marginalized populations are less well understood, and in particular, the impact of this environmental hazard on cardiac mortality deserves further exploration for these populations. Methods: A scoping review was conducted to characterize the scientific literature examining the impact of extreme heat on cardiovascular mortality among structurally marginalized populations in the United States. Using relevant medical subject headings (MeSH) and key terms, a systematic search of the indexing databases of Pubmed, Embase, and Web of Science for English-language manuscripts published from inception to July 2023 for primary research, systematic reviews, meta analyses, and narrative reviews was performed. Results: 4674 articles were screened, of which 33 which met inclusion criteria. The majority (73 %) of these were primary quantitative research studies, all of which were observational in nature. Half of the research designs were cohort studies. The most common marginalized group described was that of older adults (79 % of manuscripts), while race/ethnicity (42 %), sex/gender (42 %), and lower socioeconomic status (49 %) were also commonly explored. Most studies assessed aggregated composite cardiovascular mortality as the primary end point, with only four fractionating myocardial ischemia/infarction as the cause of death. Conclusions: Future directions of study for the field include additional analyses of other marginalized groups including differently-abled, immigrant, outdoor laborers, incarcerated peoples, Hispanic/Latinx, Native American, and Asian American/Pacific Islander populations, as well as determining the impact of diverse socioeconomic parameters, and examining disaggregated cardiac outcomes.http://www.sciencedirect.com/science/article/pii/S2667278224000464Extreme heatHeat wavesClimate changeStructurally marginalized populationsHealth DisparitiesCardiovascular mortality |
| spellingShingle | Cory Sejo Natasha Mehta Samantha Wilairat Michele Barry Michelle C. Odden Andrew Y. Chang Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review The Journal of Climate Change and Health Extreme heat Heat waves Climate change Structurally marginalized populations Health Disparities Cardiovascular mortality |
| title | Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review |
| title_full | Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review |
| title_fullStr | Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review |
| title_full_unstemmed | Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review |
| title_short | Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review |
| title_sort | extreme heat and cardiovascular mortality among structurally marginalized populations in the united states a scoping review |
| topic | Extreme heat Heat waves Climate change Structurally marginalized populations Health Disparities Cardiovascular mortality |
| url | http://www.sciencedirect.com/science/article/pii/S2667278224000464 |
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