Department of Psychiatry, School of Medicine, Yale University, Connecticut Mental Health Center, 34 Park Street, 06519, New Haven, CT, USA.
Community Ment Health J. 2023 Oct;59(7):1330-1340. doi: 10.1007/s10597-023-01119-9. Epub 2023 Apr 4.
Individuals with serious mental illness are vulnerable to extreme heat due to biological, social, and place-based factors. We examine the spatial correlation of prevalence of individuals treated at a community mental health center to heat vulnerability. We applied a heat vulnerability index (HVI) to the catchment of the Connecticut Mental Health Center in New Haven, Connecticut. Geocoded addresses were mapped to correlate patient prevalence with heat vulnerability of census tracts. Census tracts closer to the city center had elevated vulnerability scores. Patient prevalence was positively correlated with HVI score (Pearson's r(44) = 0.67, p < 0.01). Statistical significance persists after correction for spatial autocorrelation (modified t-test p < 0.01). The study indicates that individuals treated at this community mental health center are more likely to live in census tracts with high heat vulnerability. Heat mapping strategies can help communicate risk and target resources at the local scale.
由于生物学、社会和基于地点的因素,患有严重精神疾病的个体易受极端高温的影响。我们研究了在社区心理健康中心接受治疗的个体的患病率与热脆弱性之间的空间相关性。我们应用了一个热脆弱性指数(HVI)来分析康涅狄格州纽黑文市康涅狄格州心理健康中心的服务区。将地理编码的地址映射到与普查地段热脆弱性相关的位置。靠近市中心的普查地段脆弱性得分较高。患者的患病率与 HVI 得分呈正相关(Pearson's r(44) = 0.67,p < 0.01)。在纠正空间自相关后,统计显著性仍然存在(修正后的 t 检验 p < 0.01)。这项研究表明,在这家社区心理健康中心接受治疗的个体更有可能居住在热脆弱性高的普查地段。热图策略可以帮助在当地范围内传达风险并定位资源。