Melis Giulia, Ellena Marta, Zengarini Nicolás, Di Gangi Eduardo, Ricciardi Guglielmo, Costa Giuseppe
Fondazione LINKS, Torino;
Centro Euro-Mediterraneo sui Cambiamenti Climatici (CMCC Foundation), Lecce.
Epidemiol Prev. 2025 Mar-Jun;49(2-3):86-96. doi: 10.19191/EP25.2-3.S1.060.
urban areas face growing challenges from climate change, especially in the form of extreme heat events that disproportionately affect vulnerable populations. Turin, a large city in Northern Italy, in past years has developed a policy framework integrating health equity into urban planning through the "Health in All Policies" approach.
to assess climate-related health risks in Turin by identifying spatial patterns of social vulnerability associated with Urban Heat Islands (UHIs), with the goal of guiding targeted adaptation and mitigation strategies.
cross-sectional ecological risk assessment using the IPCC framework, integrating data on hazard, exposure, and vulnerability.
the analysis focused on the municipality of Turin (847,237 residents), with a specific emphasis on individuals aged over 65 years. The spatial unit of analysis was the census tract (N. 3,852).
an index of climate risk was developed for each census tract by aggregating normalized indicators for climatic hazard (UHI intensity), exposure (elderly population), and vulnerability (socioeconomic, demographic, health, and environmental indicators).
the analysis revealed significant spatial disparities in climate risk across the city. Northern and peripheral neighbourhoods showed the highest levels of social vulnerability and climate risk, while green and less densely populated areas displayed lower risk. The approach enabled the identification of high-priority areas for urban health interventions.
the study demonstrates the feasibility and policy relevance of applying a structured climate health risk assessment framework at the urban level. The methodology supports evidence-based planning for climate adaptation, helping local authorities target actions to protect vulnerable populations and reduce health inequalities. The results contribute to ongoing efforts in Turin to integrate climate resilience into citywide health and social policy agendas.
城市地区面临着气候变化带来的日益严峻的挑战，尤其是极端高温事件，这些事件对弱势群体的影响尤为严重。意大利北部的大城市都灵，在过去几年里通过“所有政策中的健康”方法制定了一个将健康公平纳入城市规划的政策框架。
通过识别与城市热岛（UHI）相关的社会脆弱性空间模式，评估都灵与气候相关的健康风险，目标是指导有针对性的适应和缓解策略。
使用政府间气候变化专门委员会（IPCC）框架进行横断面生态风险评估，整合危害、暴露和脆弱性数据。
分析集中在都灵市（847,237名居民），特别关注65岁以上的人群。分析的空间单位是普查区（共3,852个）。
通过汇总气候危害（UHI强度）、暴露（老年人口）和脆弱性（社会经济、人口、健康和环境指标）的标准化指标，为每个普查区制定气候风险指数。
分析揭示了全市气候风险存在显著的空间差异。北部和周边社区的社会脆弱性和气候风险水平最高，而绿化较好、人口密度较低的地区风险较低。该方法能够识别城市健康干预的高优先区域。
该研究证明了在城市层面应用结构化气候健康风险评估框架的可行性和政策相关性。该方法支持基于证据的气候适应规划，帮助地方当局将行动目标对准保护弱势群体并减少健康不平等现象上。研究结果有助于都灵目前将气候适应能力纳入全市健康和社会政策议程的努力。
