{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:30:23Z","timestamp":1791387023156,"version":"4.3.3"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["K01MD016956"],"award-info":[{"award-number":["K01MD016956"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Boston University School of Public Health"},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","award":["R21ES035890"],"award-info":[{"award-number":["R21ES035890"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","award":["R01ES029950"],"award-info":[{"award-number":["R01ES029950"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["216033-Z-19-Z"],"award-info":[{"award-number":["216033-Z-19-Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"name":"US Department of Veterans Affairs Health Services Research and Development","award":["DEI-SUPP-023"],"award-info":[{"award-number":["DEI-SUPP-023"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>High and low daily ambient temperatures are associated with higher mortality in the general population. People experiencing homelessness (PEH) are thought to be particularly vulnerable, but there is almost no direct evidence available. We examined the temperature-mortality association among PEH in 2 populous, urban counties in hot-climate regions of the United States, focusing on heat effects. Study setting was Los Angeles County, CA, and Clark County, NV, which encompass the cities of Los Angeles and Las Vegas, respectively. Outcomes were 2015-2022 deaths among decedents categorized as homeless in county administrative records. We used quasi-Poisson distributed lag nonlinear models to estimate the association of mortality with daily temperatures and with 7-day lagged temperatures, adjusting for day of week, seasonality, and long-term trends. We estimated the minimum mortality temperature and fraction of mortality attributable to temperatures above and below minimum mortality temperature. The association between daily temperature and PEH mortality was skewed towards greater risk at higher temperatures, especially in Clark County. Temperature-attributable mortality equaled 50.1% of deaths in Clark County (95% CI, 29.0-62.8) and 7.0% in Los Angeles County (95% CI, 1.4-12.1). In both counties, most temperature-attributable deaths were attributable to heat rather than cold. In these hot-climate urban counties, our estimates of heat-attributable mortality among PEH were orders of magnitude greater than those reported in prior research on the general population. These results indicate that temperature vulnerability, particularly heat vulnerability, requires stronger public health and policy responses.<\/jats:p>\n               <jats:p>This article is part of a Special Collection on Environmental Epidemiology.<\/jats:p>","DOI":"10.1093\/aje\/kwae084","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T03:09:07Z","timestamp":1717729747000},"page":"1576-1582","source":"Crossref","is-referenced-by-count":11,"title":["Daily heat and mortality among people experiencing homelessness in 2 urban US counties, 2015-2022"],"prefix":"10.1093","volume":"193","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2213-7959","authenticated-orcid":false,"given":"Zihan","family":"Lin","sequence":"first","affiliation":[{"name":"Boston University School of Public Health Department of Community Health Sciences, , Boston 02118, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Weinberger","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Department of Community Health Sciences, , Boston 02118, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2335-6811","authenticated-orcid":false,"given":"Amruta","family":"Nori-Sarma","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Department of Environmental Health, , Boston, MA 02118,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7546-0827","authenticated-orcid":false,"given":"Melissa","family":"Chinchilla","sequence":"additional","affiliation":[{"name":"UCLA David Geffen School of Medicine Department of Psychiatry and Biobehavioral Sciences, , Los Angeles, CA 90095,","place":["United States"]},{"name":"Center for the Study of Healthcare Innovation, Implementation & Policy, Veterans Affairs Greater Los Angeles Healthcare System , Los Angeles, CA 90073,","place":["United States"]},{"name":"VA Desert Pacific Mental Illness Research, Education, and Clinical Center , Los Angeles, CA 90073,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-7376","authenticated-orcid":false,"given":"Gregory A","family":"Wellenius","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Department of Environmental Health, , Boston, MA 02118,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7543-4247","authenticated-orcid":false,"given":"Jonathan","family":"Jay","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Department of Community Health Sciences, , Boston 02118, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"issue":"12","key":"2025052206412710500_ref1","doi-asserted-by":"publisher","first-page":"2212","DOI":"10.2105\/AJPH.2021.306502","article-title":"Using point-in-time homeless counts to monitor mortality trends among people experiencing homelessness in Los Angeles County, California, 2015\u20132019","volume":"111","author":"Nicholas","year":"2021","journal-title":"Am J Public Health."},{"key":"2025052206412710500_ref2","author":"Batko","year":"2020","journal-title":"Unsheltered Homelessness: Trends, Characteristics, and Homeless Histories."},{"key":"2025052206412710500_ref3","author":"US Department of Commerce, N. 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