title: Perceptions of heat-susceptibility in older persons: barriers to adaptation.
abstract: The increase in the frequency of very hot weather that is a predicted consequence of climate change poses an emerging threat to public health. Extreme heat can be harmful to the health of older persons who are known to be amongst the most vulnerable in the community. This study aimed to investigate factors influencing the ability of older persons to adapt to hot conditions, and barriers to adaptation. A qualitative study was conducted in Adelaide, Australia, involving focus groups and interviews with stakeholders including key personnel involved in aged care, community services, government sectors, emergency services and policy making. Findings revealed a broad range of factors that underpin the heat-susceptibility of the aged. These were categorized into four broad themes relating to: physiology and an age-related decline in health; socioeconomic factors, particularly those influencing air conditioning use; psychological issues including fears and anxieties about extreme heat; and adaptive strategies that could be identified as both enablers and barriers. As a consequence, the ability and willingness to undertake behavior change during heatwaves can therefore be affected in older persons. Additionally, understanding the control panels on modern air conditioners can present challenges for the aged. Improving heat-health knowledge and addressing the social and economic concerns of the older population will assist in minimizing heat-related morbidity and mortality in a warming climate.
authors.affiliation: Discipline of Public Health, The University of Adelaide, Level 9, 10 Pulteney Street, Mail Drop DX650 207, Adelaide, SA 5005, Australia. alana.hansen@adelaide.edu.au
authors.forename: Alana
authors.initials: A
authors.lastname: Hansen
authors.forename: Peng
authors.initials: P
authors.lastname: Bi
authors.forename: Monika
authors.initials: M
authors.lastname: Nitschke
authors.forename: Dino
authors.initials: D
authors.lastname: Pisaniello
authors.forename: Jonathan
authors.initials: J
authors.lastname: Newbury
authors.forename: Alison
authors.initials: A
authors.lastname: Kitson
mesh_terms: D000222:Adaptation, Physiological; D000368:Aged; D004198:Disease Susceptibility; D017144:Focus Groups; D006359:Heat Exhaustion; D006801:Humans; D007407:Interviews as Topic; D013021:South Australia