{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T10:28:05Z","timestamp":1788604085058,"version":"build-2803163510"},"reference-count":10,"publisher":"American Public Health Association","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p> Objectives. To assess the impacts of ambient temperature on hospitalizations of people experiencing homelessness. <\/jats:p><jats:p> Methods. We used daily time-series regression analysis employing distributed lag nonlinear models of 148\u2009177 emergency inpatient admissions with \u201cno fixed abode\u201d and 20\u2009804 admissions with a diagnosis of homelessness in London, United Kingdom, in 2011 through 2019. <\/jats:p><jats:p> Results. There was a significantly increased risk of hospitalization associated with high temperature; at 25\u00b0C versus the minimum morbidity temperature (MMT), relative risks were 1.359 (95% confidence interval [CI]\u2009=\u20091.216, 1.580) and 1.351 (95% CI\u2009=\u20091.039, 1.757) for admissions with \u201cno fixed abode\u201d and admissions with a homelessness diagnosis, respectively. Between 14.5% and 18.9% of admissions were attributable to temperatures above the MMT. No significant associations were observed with cold. <\/jats:p><jats:p> Conclusions. There is an elevated risk of hospitalization associated with even moderately high temperatures in individuals experiencing homelessness. Risks are larger than those reported in the general population. <\/jats:p><jats:p> Public Health Implications. Greater emphasis should be placed on addressing homeless vulnerabilities during hot weather rather than cold. Activation thresholds for interventions such as the Severe Weather Emergency Protocol (SWEP) could be better aligned with health risks. Given elevated risks at even moderate temperatures, our findings support prioritization of prevention-oriented measures, rather than crisis response, to address homelessness. (Am J Public Health. 2023;113(9):981\u2013984. https:\/\/doi.org\/10.2105\/AJPH.2023.307351 ) <\/jats:p>","DOI":"10.2105\/ajph.2023.307351","type":"journal-article","created":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T20:04:47Z","timestamp":1694030687000},"page":"981-984","source":"Crossref","is-referenced-by-count":22,"title":["Ambient Temperature and Emergency Hospital Admissions in People Experiencing Homelessness: London, United Kingdom, 2011\u20132019"],"prefix":"10.2105","volume":"113","author":[{"given":"Shakoor","family":"Hajat","sequence":"first","affiliation":[{"name":"Shakoor Hajat is with the London School of Hygiene & Tropical Medicine, London, UK. Christophe E. Sarran is with the Met Office, Exeter, UK. Mariya Bezgrebelna is with the Department of Psychology, York University, Toronto, Ontario, Canada. Sean A. Kidd is with the Centre for Addiction and Mental Health and the University of Toronto Department of Psychiatry, Toronto."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe E.","family":"Sarran","sequence":"additional","affiliation":[{"name":"Shakoor Hajat is with the London School of Hygiene & Tropical Medicine, London, UK. Christophe E. Sarran is with the Met Office, Exeter, UK. Mariya Bezgrebelna is with the Department of Psychology, York University, Toronto, Ontario, Canada. Sean A. Kidd is with the Centre for Addiction and Mental Health and the University of Toronto Department of Psychiatry, Toronto."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariya","family":"Bezgrebelna","sequence":"additional","affiliation":[{"name":"Shakoor Hajat is with the London School of Hygiene & Tropical Medicine, London, UK. Christophe E. Sarran is with the Met Office, Exeter, UK. Mariya Bezgrebelna is with the Department of Psychology, York University, Toronto, Ontario, Canada. Sean A. Kidd is with the Centre for Addiction and Mental Health and the University of Toronto Department of Psychiatry, Toronto."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean A.","family":"Kidd","sequence":"additional","affiliation":[{"name":"Shakoor Hajat is with the London School of Hygiene & Tropical Medicine, London, UK. Christophe E. Sarran is with the Met Office, Exeter, UK. Mariya Bezgrebelna is with the Department of Psychology, York University, Toronto, Ontario, Canada. Sean A. Kidd is with the Centre for Addiction and Mental Health and the University of Toronto Department of Psychiatry, Toronto."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"issue":"10286","key":"bib1","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1016\/S0140-6736(21)00834-5","volume":"397","author":"Kidd SA","year":"2021","journal-title":"Lancet."},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-009-9354-7"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61711-6"},{"key":"bib4","volume-title":"Homelessness Kills: An Analysis of the Mortality of Homeless People in Early Twenty-First Century England.","author":"Thomas B.","year":"2012"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt092"},{"issue":"6","key":"bib7","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1097\/01.ede.0000239732.50999.8f","volume":"17","author":"Armstrong B.","year":"2006","journal-title":"Epidemiology."},{"key":"bib10","doi-asserted-by":"crossref","first-page":"115193","DOI":"10.1016\/j.socscimed.2022.115193","volume":"308","author":"Rizmie D","year":"2022","journal-title":"Soc Sci Med."},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306557"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1104625"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2009.076679"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2023.307351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T17:44:53Z","timestamp":1694195093000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2023.307351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.2105\/AJPH.2023.307351"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2023.307351","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}