{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:26:15Z","timestamp":1791001575322,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005222","name":"National Center for Environmental Health","doi-asserted-by":"publisher","award":["1 NUE1EH001339-01-00"],"award-info":[{"award-number":["1 NUE1EH001339-01-00"]}],"id":[{"id":"10.13039\/100005222","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Maricopa County, Arizona (2017 population about 4.3 million), is located in the Sonoran Desert. In 2005, the Maricopa County Department of Public Health (MCDPH) established a heat-associated mortality surveillance system that captures data on circumstances of death for Maricopa County residents and visitors. We analyzed 2006-2016 surveillance system data to understand the characteristics and circumstances of heat-associated deaths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We classified heat-associated deaths based on International Classification of Diseases, Tenth Revision codes (X30, T67.X, and P81.0) and phrases (heat exposure, environ, exhaustion, sun, heat stress, heat stroke, or hyperthermia) in part I or part II of the death certificate. We summarized data on decedents\u2019 demographic characteristics, years lived in Arizona, location of death (indoors vs outdoors), presence and functionality of air conditioning, and whether the decedent had been homeless. We examined significant associations between variables by using the Pearson \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      tests and logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During 2006-2016, MCDPH recorded data on 920 heat-associated deaths, 912 of which included location of injury. Of 565 (62%) heat-associated deaths that occurred outdoors, 458 (81%) were among male decedents and 243 (43%) were among decedents aged 20-49. Of 347 (38%) heat-associated deaths that occurred indoors, 201 (58%) were among decedents aged \u226565. Non-Arizona residents were 5 times as likely as Arizona residents to have a heat-associated death outdoors ( P &lt; .001). Of 727 decedents with data on duration of Arizona residency, 438 (60%) had resided in Arizona \u226520 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ongoing evaluation of interventions that target populations at risk for both outdoor and indoor heat-associated deaths can further inform refinement of the surveillance system and identify best practices to prevent heat-associated deaths.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354920938006","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T19:46:25Z","timestamp":1595274385000},"page":"631-639","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":46,"title":["Heat-Associated Mortality in a Hot Climate"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3576-1884","authenticated-orcid":false,"given":"Sally Ann","family":"Iverson","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA"},{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"},{"name":"Arizona Department of Health Services, Phoenix, AZ, USA"},{"name":"Preventive Medicine Residency and Fellowship Program, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Gettel","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla P.","family":"Bezold","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA"},{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"},{"name":"Arizona Department of Health Services, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Goodin","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benita","family":"McKinney","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Sunenshine","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"},{"name":"Career Epidemiology Feld Officer Program, Division of State and Local Readiness, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vjollca","family":"Berisha","sequence":"additional","affiliation":[{"name":"Maricopa County Department of Public Health, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"bibr1-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1175\/WCAS-D-16-0033.1"},{"key":"bibr2-0033354920938006","unstructured":"Centers for Disease Control and Prevention. About underlying cause of death, 1999-2018. Accessed May 16, 2019. http:\/\/wonder.cdc.gov\/ucd-icd10.html"},{"key":"bibr3-0033354920938006","unstructured":"Arizona Department of Health Services. Arizona environmental public health tracking. Accessed April 15, 2019. www.azdhs.gov\/epht"},{"key":"bibr4-0033354920938006","unstructured":"US Census Bureau. Maricopa County added over 222 people per day in 2016, more than any other county. March 23, 2017. Accessed February 14, 2018. https:\/\/www.census.gov\/newsroom\/press-releases\/2017\/cb17-44.html"},{"key":"bibr5-0033354920938006","unstructured":"US Census Bureau. US Census 2010. Published 2010. Accessed May 10, 2018. https:\/\/data.census.gov\/cedsci"},{"key":"bibr6-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1104625"},{"key":"bibr7-0033354920938006","unstructured":"Maricopa County Public Health. Heat-associated deaths in Maricopa County, AZ: final report for 2016. Published 2017. Accessed September 7, 2018. https:\/\/www.maricopa.gov\/Archive\/ViewFile\/Item\/3084"},{"key":"bibr8-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-008-0169-0"},{"key":"bibr9-0033354920938006","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph110303304"},{"key":"bibr10-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1409119"},{"key":"bibr11-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1088\/1748-9326\/aadb44"},{"key":"bibr12-0033354920938006","unstructured":"Arizona Revised Statutes \u00a736-325 Accessed June 19, 2018. https:\/\/www.azleg.gov\/viewdocument\/?docName=https:\/\/www.azleg.gov\/ars\/36\/00325.htm"},{"key":"bibr13-0033354920938006","unstructured":"World Health Organization.\n                      International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10)\n                      . Published 2016. Accessed February 1, 2018. https:\/\/icd.who.int\/browse10\/2016\/en#\/R92"},{"key":"bibr14-0033354920938006","unstructured":"US Census Bureau. US Census 2000. Published 2000. Accessed May 10, 2018. https:\/\/www.census.gov\/main\/www\/cen2000.html"},{"key":"bibr15-0033354920938006","unstructured":"SAS Enterprise Guide\n                      [statistical software]. Version 7.1. SAS Institute; 2017"},{"key":"bibr16-0033354920938006","unstructured":"Berisha V., Gettel A., Zook A et al. Assessing the cooling needs of homebound populations in Maricopa County, Arizona, 2016. Presented at the Council of State and Territorial Epidemiologists Annual Conference; June 10-14, 2018; West Palm Beach, FL."},{"key":"bibr17-0033354920938006","unstructured":"Roach M., Barrett E., Brown HE et al. Climate and health adaptation plan 2017: public health guidance for the state of Arizona. Published 2017. Accessed November 16, 2018. https:\/\/www.azdhs.gov\/documents\/preparedness\/epidemiology-disease-control\/extreme-weather\/pubs\/arizona-climate-health-adaptation-plan.pdf"},{"key":"bibr18-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199607113350203"},{"key":"bibr19-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.8.482"},{"issue":"31","key":"bibr20-0033354920938006","first-page":"617","volume":"62","author":"Centers for Disease Control and Prevention","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr21-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-006-0089-4"},{"key":"bibr22-0033354920938006","unstructured":"Maricopa Association of Governments. Point-in-time homeless count analysis. Published 2017. Accessed June 4, 2018. https:\/\/azmag.gov\/Portals\/0\/Documents\/MagContent\/2017-08_PIT-Report.pdf?ver=2017-12-14-075807-823"},{"key":"bibr23-0033354920938006","unstructured":"US Census Bureau. American Housing Survey (AHS). Published 2015. Accessed June 29, 2018. https:\/\/www.census.gov\/programs-surveys\/ahs.html"},{"key":"bibr24-0033354920938006","doi-asserted-by":"publisher","DOI":"10.1111\/coep.12050"},{"key":"bibr25-0033354920938006","unstructured":"Virginia G Piper Charitable Trust. Building community resilience in Maricopa County. Published 2016. Accessed October 9, 2018. https:\/\/pipertrust.org\/wp-content\/uploads\/2016\/10\/ISC-Report-PiperResilienceAssessmentProject-10-11-16-web-version.pdf"},{"key":"bibr26-0033354920938006","unstructured":"Arizona Office of Tourism.\n                      Arizona Domestic Overnight Visitors: Arizona vs Phoenix & Central Region\n                      . Published 2017. https:\/\/tourism.az.gov\/sites\/default\/files\/Phoenix%26 Central Region Visitor Profile 2017.pdf"},{"key":"bibr27-0033354920938006","unstructured":"Centers for Disease Control and Prevention. National Vital Statistics System mortality tables. Published 2019. Accessed May 22, 2019. https:\/\/www.cdc.gov\/nchs\/nvss\/mortality_tables.htm"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354920938006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0033354920938006","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354920938006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:36:17Z","timestamp":1777628177000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0033354920938006"}},"subtitle":["Maricopa County, Arizona, 2006-2016"],"short-title":[],"issued":{"date-parts":[[2020,7,20]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0033354920938006"],"URL":"https:\/\/doi.org\/10.1177\/0033354920938006","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,20]]}}}