{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:51:34Z","timestamp":1791366694728,"version":"4.3.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"S 04","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Bewohner:innen urbaner W\u00e4rmeinseln, insbesondere \u00e4ltere Personen, sind\nw\u00e4hrend Hitzeperioden erheblich gesundheitlich belastet. Angesichts von\nKlima- und demografischem Wandel sind Anpassungsstrategien essentiell. Es\nwurde der Frage nachgegangen, welche Hitzebew\u00e4ltigungsstrategien von\n\u00e4lteren, selbst\u00e4ndig und nicht selbst\u00e4ndig lebenden Personen in Wien\nbevorzugt angewandt werden.<\/jats:p>\n                  <jats:p>Vier Zielgebietstypen in Wien wurden f\u00fcr die Auswahl der Befragten aufgrund\nsozio-\u00f6konomischer Faktoren und Gr\u00fcnraumanteil definiert. Von September bis\nNovember 2011 wurden 901 Personen befragt. Interviews erfolgten pers\u00f6nlich\nmit Bewohner:innen von Senior:innen-Wohnh\u00e4usern (n=200,\u226565 Jahre) sowie\ntelefonisch mit Personen in Privatwohnungen (n=401,\u226565 Jahre) und einer\nKontrollgruppe (n=300, 18\u201355 Jahre). Zur Identifizierung von Diskrepanzen\nzwischen empfohlenem und tats\u00e4chlichem Verhalten wurden Interviews mit\nExpert:innen durchgef\u00fchrt. In einer zweiten Welle wurden zwei Jahre sp\u00e4ter\nbei Bewohner:innen von Hitzeinseln (n=200,\u226565 Jahre) in sozio\u00f6konomisch\nbesser und schlechter gestellten Wiener Gebieten zu Hitzesymptomen und\nAbhilfema\u00dfnahmen befragt.<\/jats:p>\n                  <jats:p>Die h\u00e4ufigsten Auswirkungen von Hitze waren altersunabh\u00e4ngig M\u00fcdigkeit und\nSchlafst\u00f6rungen. W\u00e4hrend k\u00f6rperbezogene Ma\u00dfnahmen wie mehr trinken\nunabh\u00e4ngig von Beschwerden angewendet wurden, nahmen Indoor-Ma\u00dfnahmen mit\nzunehmenden Hitzebeschwerden zu. Outdoor-Strategien wurden bei geringerer\nSymptomatik h\u00e4ufiger eingesetzt. Insgesamt hielten sich bei Hitze 70% der\nBewohner:innen von Senior:innen-Wohnh\u00e4usern, 66% in Privathaushalten und,\n54% der Kontrollgruppe \u00fcberwiegend in der Wohnung auf.<\/jats:p>\n                  <jats:p>In Hitzeinseln bewerteten 80% der Befragten ihre Wohnung w\u00e4hrend einer\nHitzewelle als hei\u00df bis extrem hei\u00df, wobei Bewohner:innen sozio\u00f6konomisch\nbenachteiligter Bezirke \u00fcber mehr Hitzebeschwerden berichteten.<\/jats:p>\n                  <jats:p>\u00c4ltere Menschen, die sich nicht effektiv an Hitze anpassen k\u00f6nnen, haben\nnicht nur ein erh\u00f6htes Gesundheitsrisiko, sondern auch ein erh\u00f6htes Risiko\nf\u00fcr soziale Isolation. Personen, die stark unter der Hitze leiden, ziehen\nsich eher aus dem \u00f6ffentlichen Raum in ihre Wohnungen zur\u00fcck. Dies ist im\nFall von k\u00fchleren Wohnungen vorteilhaft, kann aber auch zu sozialer\nIsolation und damit einem Risikofaktor f\u00fchren.<\/jats:p>\n                  <jats:p>Die Schaffung hitzeresilienter Wohngebiete und Nachbarschaften ist ein\nzentrales Handlungsfeld des \u00d6ffentlichen Gesundheitsdienstes zur Reduktion\ngesundheitlicher Ungleichheiten im Alter.<\/jats:p>","DOI":"10.1055\/a-2894-0587","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:41:50Z","timestamp":1790584910000},"page":"S357-S367","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["Hei\u00dfes Pflaster Wien: Wie \u00e4ltere Menschen Hitze empfinden und wie sie\ndamit umgehen"],"prefix":"10.1055","volume":"88","author":[{"given":"Hutter","family":"Hans-Peter","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Umwelthygiene und Umweltmedizin, Zentrum f\u00fcr Public\nHealth, Medizinische Universit\u00e4t Wien, Kinderspitalgasse, Wien,\nAustria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eder","family":"Renate","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Landschaftsentwicklung, Erholungs- und Naturschutzplanung,\nDepartment f\u00fcr Landschaft, Wasser und Infrastruktur, Universit\u00e4t f\u00fcr Bodenkultur\nWien, Peter-Jordan-Stra\u00dfe, Wien, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7374-1307","authenticated-orcid":false,"given":"Weitensfelder","family":"Lisbeth","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Umwelthygiene und Umweltmedizin, Zentrum f\u00fcr Public\nHealth, Medizinische Universit\u00e4t Wien, Kinderspitalgasse, Wien,\nAustria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lemmerer","family":"Kathrin","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Umwelthygiene und Umweltmedizin, Zentrum f\u00fcr Public\nHealth, Medizinische Universit\u00e4t Wien, Kinderspitalgasse, Wien,\nAustria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wallner","family":"Peter","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Umwelthygiene und Umweltmedizin, Zentrum f\u00fcr Public\nHealth, Medizinische Universit\u00e4t Wien, Kinderspitalgasse, Wien,\nAustria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kolland","family":"Franz","sequence":"additional","affiliation":[{"name":"Kompetenzzentrum Gerontologie und Gesundheitsforschung, Karl\nLandsteiner Privatuniversit\u00e4t f\u00fcr Gesundheitswissenschaften,\nDr.-Karl-Dorrek-Stra\u00dfe, Krems an der Donau"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanka","family":"Anna","sequence":"additional","affiliation":[{"name":"Fachbereich 04 \u2013 Institut f\u00fcr Sozialp\u00e4dagogik & Erwachsenenbildung,\nGoethe-Universit\u00e4t, Theodor-W.-Adorno-Platz, Frankfurt am Main,\nDeutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnberger","family":"Arne","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Landschaftsentwicklung, Erholungs- und Naturschutzplanung,\nDepartment f\u00fcr Landschaft, Wasser und Infrastruktur, Universit\u00e4t f\u00fcr Bodenkultur\nWien, Peter-Jordan-Stra\u00dfe, Wien, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"146389","DOI":"10.1016\/j.scitotenv.146389.","article-title":"Urban heat island (UHI) intensity and magnitude estimations: A systematic\nliterature review","volume":"779","author":"S-W Kim","year":"2021","journal-title":"Science of the Total Environment"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1553\/asr18","article-title":"\u00d6sterreichischer Special Report Gesundheit, Demographie und Klimawandel\n(ASR18)","author":"Austrian Panel on Climate Change\n(APCC)","year":"2018"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s00508-006-0742-7","article-title":"Heatwaves in Vienna: effects on mortality","volume":"119","author":"H-P Hutter","year":"2007","journal-title":"Wien Klin Wochenschr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1007\/s00391-014-0674-1","article-title":"The challenges posed by climate change to successful ageing","volume":"47","author":"A Wanka","year":"2014","journal-title":"Z Gerontol Geriatr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2785","DOI":"10.3390\/healthcare13212785","article-title":"Heat tolerance in older adults: a systematic review of thermoregulation,\nvulnerability, environmental change, and health outcomes","volume":"13","author":"S N\u00fa\u00f1ez-Rodr\u00edguez","year":"2025","journal-title":"Healthcare"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s00391-019-01594-4","article-title":"Epidemiologie und Pr\u00e4vention hitzebedingter Gesundheitssch\u00e4den \u00e4lterer\nMenschen","volume":"52","author":"A Herrmann","year":"2019","journal-title":"Zeitschrift f\u00fcr Gerontologie und Geriatrie"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1136\/jech.56.5.367","article-title":"Impact of hot temperatures on death in London: a time series approach","volume":"56","author":"S Hajat","year":"2002","journal-title":"Journal of Epidemiology and Community Health"},{"key":"ref8","first-page":"369","article-title":"Impact of Heat Waves on Mortality \u2013 Rome, Italy, June-August 2003","volume":"53","author":"P Michelozzi","year":"2004","journal-title":"MMWR"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1093\/ije\/dym253","article-title":"Has the impact of heat waves on mortality changed in France since the European\nheat wave of summer 2003? A study of the 2006 heat wave","volume":"37","author":"A Fouillet","year":"2008","journal-title":"International Journal of Epidemiology"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/EDE.0b013e318190ee08","article-title":"Weather-related mortality: how heat, cold, and heat waves affect mortality in\nthe United States","volume":"20","author":"B G Anderson","year":"2009","journal-title":"Epidemiology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.crvi.2007.12.001","article-title":"Death toll exceeded 70,000 in Europe during summer of 2003","volume":"331","author":"J-M Robine","year":"2008","journal-title":"C.R. Biologies"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/S0140-6736(21)01208-3","article-title":"Hot weather and heat extremes: health risks","volume":"398","author":"K L Ebi","year":"2021","journal-title":"Lancet (London, England)"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1857","DOI":"10.1038\/s41591-023-02419-z","article-title":"Heat-related mortality in Europe during the summer of 2022","volume":"29","author":"J Ballester","year":"2023","journal-title":"Nat Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1518","DOI":"10.2105\/ajph.94.9.1518","article-title":"Mortality in 13 French cities during the August 2003 heat wave","volume":"94","author":"S Vandentorren","year":"2004","journal-title":"Am J Public Health"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.7208\/chicago\/9780226026718.001.0001","volume-title":"Heat Wave: A Social Autopsy of Disaster in Chicago","author":"E Klinenberg","year":"2002"},{"key":"ref17","volume-title":"D. Huppmann, M. Keiler, K. Riahi, H. Rieder (eds.)","author":"Second Austrian Assessment Report on Climate Change\n(AAR2)"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1093\/ageing\/afaa048","article-title":"Preventative strategies and interventions to improve outcomes during\nheatwaves","volume":"49","author":"H Green","year":"2020","journal-title":"Age and Ageing"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1016\/S0140-6736(15)00516-4","article-title":"The World report on ageing and health: a policy framework for healthy\nageing","volume":"387","author":"J R Beard","year":"2016","journal-title":"The Lancet"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"S12","DOI":"10.1016\/S2542-5196(24)00077-9","article-title":"Social interactions and heat stress mitigation among elderly people in a healthy\ncity","volume":"Suppl1","author":"K Seino","year":"2024","journal-title":"Lancet Planet Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.ufug.2016.11.012","article-title":"Elderly resident\u2019s uses of and preferences for urban green spaces during heat\nperiods","volume":"21","author":"A Arnberger","year":"2017","journal-title":"Urban Forestry & Urban Greening"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1007\/s00508-024-02419-0","article-title":"Heat vulnerability: health impacts of heat on older people in urban and rural\nareas in Europe","volume":"136","author":"C Fastl","year":"2024","journal-title":"Wiener Klinische Wochenschrift"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.maturitas.2011.06.015","article-title":"Assessing heat-adaptive behaviors among older, urban-dwelling adults","volume":"70","author":"J L White-Newsome","year":"2011","journal-title":"Maturitas"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2373","DOI":"10.3390\/ijerph16132373","article-title":"Building vulnerability in a changing climate: indoor temperature exposures and\nhealth outcomes in older adults living in public housing during an extreme heat\nevent in Cambridge, MA","volume":"16","author":"A A Williams","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"ref27","first-page":"S5","article-title":"the role of urban green spaces for heat in old age","volume":"57","author":"A Arnberger","year":"2024","journal-title":"Zeitschrift f\u00fcr Gerontologie und Geriatrie"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1038\/s41597-024-03509-4","article-title":"A thermosurvey dataset: Older adults' experiences and adaptation to urban\nheat and climate change","volume":"11","author":"B Jancewicz","year":"2024","journal-title":"Sci Data"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2894-0587.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:06:07Z","timestamp":1791363967000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2894-0587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":25,"journal-issue":{"issue":"S 04","published-online":{"date-parts":[[2026,10,6]]},"published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2894-0587","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]}}}