Indoor Temperature and Energy Insecurity: Implications for Prenatal Health Disparities in Extreme Heat Events.

Autor: Meltzer GY; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.; Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York, USA., Factor-Litvak P; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA., Herbstman JB; Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York, USA., Wylie BJ; Collaborative for Women's Environmental Health, Columbia University Irving Medical Center, New York, New York, USA., Hernández D; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.
Jazyk: angličtina
Zdroj: Environmental health perspectives [Environ Health Perspect] 2024 Mar; Vol. 132 (3), pp. 35001. Date of Electronic Publication: 2024 Mar 06.
DOI: 10.1289/EHP13706
Abstrakt: Background: Extreme heat events are a major public health concern and are only expected to increase in intensity and severity as climate change continues to accelerate. Pregnant people are physiologically more vulnerable to the effects of extreme heat, and exposure can induce harm on both the pregnant person and the fetus.
Objectives: This commentary argues that there is a need for greater epidemiological research on indoor heat exposure and energy insecurity as potential drivers of maternal and child environmental health disparities.
Discussion: While there is substantial evidence linking ambient (outdoor) high temperature to pregnancy-related outcomes, there is a lack of epidemiological evidence to date on pregnant people's exposure to high indoor temperature and adverse maternal and/or child health outcomes. Energy insecurity is disproportionately experienced by people with low incomes and/or people of color, and indoor temperature may play a role in shaping socioeconomic and racial/ethnic disparities in maternal and child health in the United States. Further research is needed to understand the relationship between indoor heat exposure, energy insecurity, and pregnancy outcomes in both parents and children and to inform potential policies and practices to enhance resilience and reduce maternal/child health disparities. https://doi.org/10.1289/EHP13706.
Databáze: MEDLINE
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