At the time of the study, Juliette M. Randazza was with the Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle. Jeremy J. Hess is with the Departments of Global Health and Environmental and Occupational Health Sciences, School of Public Health, and the Department of Emergency Medicine, School of Medicine, University of Washington. Ann Bostrom is with the Daniel J. Evans School of Public Policy and Governance, University of Washington. Cat Hartwell and Nicole A. Errett are with the Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington. Quinn H. Adams, Amruta Nori-Sarma, Keith R. Spangler, Yuantong Sun, and Gregory A. Wellenius are with the Department of Environmental Health, School of Public Health, Boston University, Boston, MA. At the time of the study, Kate R. Weinberger was with the Occupational and Environmental Health Division, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Am J Public Health. 2023 May;113(5):559-567. doi: 10.2105/AJPH.2022.307217. Epub 2023 Mar 16.
To examine commonalities and gaps in the content of local US heat action plans (HAPs) designed to decrease the adverse health effects of extreme heat. We used content analysis to identify common strategies and gaps in extreme heat preparedness among written HAPs in the United States from jurisdictions that serve municipalities with more than 200 000 residents. We reviewed, coded, and analyzed plans to assess the prevalence of key components and strategies. All 21 plans evaluated incorporated data on activation triggers, heat health messaging and risk communication, cooling centers, surveillance activities, and agency coordination, and 95% incorporated information on outreach to at-risk populations. Gaps existed in the specific applications of these broad strategies. Practice-based recommendations as well as future areas of research should focus on increasing targeted strategies for at-risk individuals and expanding the use of surveillance data outside of situational awareness. (. 2023;113(5):559-567. https://doi.org/10.2105/AJPH.2022.307217).
为了研究旨在降低极端高温对健康不良影响的美国地方性防暑行动计划（HAP）在内容上的共性和差异。我们采用内容分析法，对美国 20 多万人口以上城市所在辖区的 HAP 中与极端高温准备相关的防暑计划进行分析，以识别其中的共性策略和差距。对所有 21 个计划进行了评估，以评估关键组成部分和策略的流行程度。所有 21 个评估计划都纳入了有关启动触发因素、高温健康信息和风险沟通、降温中心、监测活动和机构协调的数据，并且 95%的计划都纳入了针对高危人群的外展信息。这些广泛策略的具体应用中存在差距。基于实践的建议以及未来的研究领域应侧重于针对高危个人制定有针对性的策略，并扩大监测数据在除态势感知之外的应用。（2023；113（5）：559-567. https://doi.org/10.2105/AJPH.2022.307217）。
