title: Neighbourhood and dwelling characteristics associated with the self-reported adverse health effects of heat in most deprived urban areas: a cross-sectional study in 9 cities.
abstract: Dwelling and neighbourhood characteristics associated with the prevalence of self-reported heat-induced adverse health effects are not well known. We interviewed 3485 people in the most disadvantaged neighbourhoods of the nine largest cities in Québec, Canada. The prevalence of heat-induced adverse health effects was 46%, out of which one fourth led to medical consultation. Multivariate analyses showed that dissatisfaction with the summer dwelling temperature, which refers to home heat exposure, and perception that the neighbourhood is polluted due to traffic, were determinant, even after adjusting for current health status. These risk indicators can be used to identify subgroups at high risk and as priority-setting criteria for urban renewal programs for the hotter climate to come.
authors.affiliation: Institut National de la Recherche Scientifique (INRS), Centre Eau Terre Environnement, 490, rue de la Couronne, Québec, Canada G1K 9A9; Centre de Recherche du Centre Hospitalier Universitaire (CHU), de Québec, 2705, Boulevard Laurier, Québec, Canada G1V 4G2. Electronic address: diane.belanger@ete.inrs.ca.
authors.forename: Diane
authors.initials: D
authors.lastname: Bélanger
authors.affiliation: Institut National de la Recherche Scientifique (INRS), Centre Eau Terre Environnement, 490, rue de la Couronne, Québec, Canada G1K 9A9; Centre de Recherche du Centre Hospitalier Universitaire (CHU), de Québec, 2705, Boulevard Laurier, Québec, Canada G1V 4G2; Ouranos and Institut national de santé publique du Québec (INSPQ), 945, Avenue Wolfe, Québec, Canada G1V 5B3; Université Laval, 2325 rue de l'Université, Québec, Canada G1V 0A6. Electronic address: pierre.gosselin@inspq.qc.ca.
authors.forename: Pierre
authors.initials: P
authors.lastname: Gosselin
authors.affiliation: Université Laval, 2325 rue de l'Université, Québec, Canada G1V 0A6. Electronic address: pierre.valois@fse.ulaval.ca.
authors.forename: Pierre
authors.initials: P
authors.lastname: Valois
authors.affiliation: Centre de Recherche du Centre Hospitalier Universitaire (CHU), de Québec, 2705, Boulevard Laurier, Québec, Canada G1V 4G2; Université Laval, 2325 rue de l'Université, Québec, Canada G1V 0A6. Electronic address: belkacem.abdous@fmed.ulaval.ca.
authors.forename: Belkacem
authors.initials: B
authors.lastname: Abdous
mesh_terms: D000368:Aged; D016902:Air Pollution, Indoor / Q000009:adverse effects; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D018882:Heat Stress Disorders / Q000453:epidemiology*; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011203:Poverty; D015995:Prevalence; D011792:Quebec / Q000453:epidemiology; D012111:Residence Characteristics; D012307:Risk Factors; D014505:Urban Population
keywords: Chronic disease; Deprivation; Dwelling; Heat; Pollution