The impact of extreme heat on older regional and rural Australians: A systematic review

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-02-28 DOI:10.1111/ajr.13094
Grace Harvey BHLTH, Suzanne Bain-Donohue VCHAM, Sari Puspa Dewi MD, MHPE
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Abstract

Introduction

Extreme heat causes a major health burden, especially for older Australians.

Objective

To assess the impact of extreme heat on older regional and rural Australians, including clinical presentations, social implications, and health-seeking behaviours and adaptations.

Design

A systematic review and narrative synthesis.

Findings

Ten articles were included in the review with research on this topic limited. Extreme heat causes an increase in mortality and ambulance dispatches for older rural Australians. Social connectedness is negatively affected by extreme heat due to cancellation of events and individuals becoming housebound. Air conditioning is the main cooling mechanism used, although cost is a major concern. Despite this, older rural populations display a depth of knowledge regarding practical behavioural responses to adapt to extreme heat. Studies show older rural Australians do not consider extreme heat to be a threat to health.

Discussion

Further research needs to examine the role extreme heat may play in contributing to experiences of loneliness. Air conditioning cannot be the ultimate solution in responding to extreme heat due to cost and increased carbon emissions. The low-risk perception of extreme heat for older rural people may inform effective heat health warnings and effective use of primary health care in heat-health education. Listening to First Nations knowledge in dealing with heat may provide a powerful mechanism in which to protect health.

Conclusion

The extensive health effects of extreme heat highlights the necessity of further research and strengthening of services in preparation for an ageing rural population enduring climate change.

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极端高温对澳大利亚地区和农村老年人的影响:系统回顾。
简介:极端高温对健康造成重大负担,尤其是对澳大利亚老年人而言:酷热会造成严重的健康负担,尤其是对澳大利亚老年人而言:评估酷热对澳大利亚地区和农村老年人的影响,包括临床表现、社会影响以及寻求健康的行为和适应:设计:系统性综述和叙述性综合:综述共收录了 10 篇文章,但对该主题的研究有限。酷热导致澳大利亚农村老年人的死亡率和救护车出动次数增加。极热天气会取消各种活动,并导致个人无法出门,从而对社会联系产生负面影响。空调是主要的降温机制,但成本是一个主要问题。尽管如此,农村老年人对适应极端高温的实际行为应对措施仍有很深的了解。研究表明,澳大利亚农村老年人并不认为酷热会威胁健康:讨论:需要进一步研究酷热对孤独感的影响。由于成本和碳排放量的增加,空调不可能成为应对酷热的最终解决方案。农村老年人对极端高温的低风险认知可能会为有效的高温健康警告和在高温健康教育中有效利用初级卫生保健提供依据。倾听原住民应对酷热的知识可能会为保护健康提供一个强有力的机制:极端高温对健康的广泛影响凸显了进一步研究和加强服务的必要性,以便为经受气候变化的农村老龄人口做好准备。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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