Downloads

Caruso, C., & Candore, G. Climate Change, Socio-Economic Status, and Life Expectancy. Ageing and Longevity Research. 2025. doi: Retrieved from https://w3.sciltp.com/journals/alr/article/view/486

Review

Climate Change, Socio-Economic Status, and Life Expectancy

Calogero Caruso * and Giuseppina Candore

Laboratory of Immunopathology and Immunosenescence, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90134 Palermo, Italy

* Correspondence: calogero.caruso@unipa.it

Received: 3 September 2024; Revised: 10 February 2025; Accepted: 7 March 2025; Published: 10 March 2025

Abstract: The relationship between climate change, socio-economic status, and life expectancy is complex and interlinked. Climate change exacerbates environmental conditions that disproportionately affect disadvantaged communities, often due to lower socio-economic status. Poorer populations are generally more vulnerable to extreme weather events, such as heatwaves and floods, because they have fewer resources for adaptation and recovery. For instance, they might live in less durable housing, have limited access to healthcare, and face higher exposure to environmental hazards. This increased vulnerability can lead to higher morbidity and mortality rates, thereby reducing life expectancy. Additionally, socio-economic status impacts an individual’s ability to mitigate or adapt to climate-related changes. Those with lower incomes may struggle more with the health impacts of climate change, as they might lack the financial means to afford preventive measures, such as air conditioning or healthcare services. Overall, climate change can deepen existing inequalities by disproportionately affecting those who are already marginalized, contributing to a decline in life expectancy for these vulnerable groups.

Keywords:

climate change heat life expectancy poverty racism

References

  1. Esper, J.; Torbenson, M.; Büntgen, U. 2023 summer warmth unparalleled over the past 2000 years. Nature 2024, 631, 94–97.
  2. Bell, M.L.; Gasparrini, A.; Benjamin, G.C. Climate Change, Extreme Heat, and Health. N. Engl. J. Med. 2024, 390, 1793–1801.
  3. Ebi, K.L.; Åström, C.; Boyer, C.J.; et al. Using Detection and Attribution to Quantify How Climate Change Is Affecting Health. Health Aff. 2020, 39, 2168–2174.
  4. Witze, A. Racism is magnifying the deadly impact of rising city heat. Nature 2021, 595, 349–351.
  5. Vicedo-Cabrera, A.M.; Scovronick, N.; Sera, F.; et al. The burden of heat-related mortality attributable to recent human-induced climate change. Nat. Clim. Chang. 2021, 11, 492–500.
  6. Patz, J.A.; Campbell-Lendrum, D.; Holloway, T.; et al. Impact of regional climate change on human health. Nature 2005, 438, 310–317.
  7. Anenberg, S.C.; Haines, S.; Wang, E.; et al. Synergistic health effects of air pollution, temperature, and pollen exposure: A systematic review of epidemiological evidence. Environ. Health 2020, 19, 130.
  8. Cunningham, C.X.; Williamson, G.J.; Bowman, D.M. Increasing frequency and intensity of the most extreme wildfires on Earth. Nat. Ecol. Evol. 2024, 8, 1420–1425.
  9. Sorensen, C.; Hess, J. Treatment and Prevention of Heat-Related Illness. N. Engl. J. Med. 2022, 387, 1404–1413.
  10. Cottle, R.M.; Fisher, K.G.; Wolf, S.T.; et al. Onset of cardiovascular drift during progressive heat stress in young adults (PSU HEAT project). J. Appl. Physiol. 2023, 135, 292–299.
  11. Henderson, M.E.; Brayson, D.; Halsey, L.G. The cardio-respiratory effects of passive heating and the human thermoneutral zone. Physiol. Rep. 2021, 9, e14973.
  12. Liu, J.; Varghese, B.M.; Hansen, A.; et al. Heat exposure and cardiovascular health outcomes: A systematic review and meta-analysis. Lancet Planet. Health 2022, 6, e484–e495.
  13. Sun, S.; Weinberger, K.R.; Nori-Sarma, A.; et al. Ambient heat and risks of emergency department visits among adults in the United States: Time stratified case crossover study. BMJ 2021, 375, e065653.
  14. Vaidyanathan, A.; Saha, S.; Vicedo-Cabrera, A.M.; et al. Assessment of extreme heat and hospitalizations to inform early warning systems. Proc. Natl. Acad. Sci. USA 2019, 116, 5420–5427.
  15. Ballester, J.; Quijal-Zamorano, M.; Méndez Turrubiates, R.F.; et al. Heat-related mortality in Europe during the summer of 2022. Nat. Med. 2023, 29, 1857–1866.
  16. O’lenick, C.R.; Baniassadi, A.; Michael, R.; et al. A Case-Crossover Analysis of Indoor Heat Exposure on Mortality and Hospitalizations among the Elderly in Houston, Texas. Environ. Health Perspect. 2020, 128, 127007.
  17. Sheridan, S.C.; Lee, C.C.; Allen, M.J. The Mortality Response to Absolute and Relative Temperature Extremes. Int. J. Environ. Res. Public Health 2019, 16, 1493.
  18. Wu, Y.; Wen, B.; Li, S.; et al. Fluctuating temperature modifies heat-mortality association around the globe. Innovation 2022, 3, 100225.
  19. Anderson, B.G.; Bell, M.L. Weather-related mortality: How heat, cold, and heat waves affect mortality in the United States. Epidemiology 2009, 20, 205–213.
  20. Chen, S.; Liu, C.; Lin, G.; et al. The role of absolute humidity in respiratory mortality in Guangzhou, a hot and wet city of South China. Environ. Health Prev. Med. 2021, 26, 109.
  21. Sera, F.; Hashizume, M.; Honda, Y.; et al. Air Conditioning and Heat-related Mortality: A Multi-country Longitudinal Study. Epidemiology 2020, 31, 779–787.
  22. Bobb, J.F.; Peng, R.D.; Bell, M.L.; et al. Heat-related mortality and adaptation to heat in the United States. Environ. Health Perspect. 2014, 122, 811–816.
  23. Arbuthnott, K.; Hajat, S.; Heaviside, C.; et al. Changes in population susceptibility to heat and cold over time: Assessing adaptation to climate change. Environ. Health 2016, 15, 73–93.
  24. Van Daalen, K.R.; Tonne, C.; Semenza, J.C.; et al. The 2024 Europe report of the Lancet Countdown on health and climate change: Unprecedented warming demands unprecedented action. Lancet Public Health 2024, 9, e495–e522.
  25. Wong, C. How climate change is hitting Europe: Three graphics reveal health impacts. Nature 2024, 630, 800–801.
  26. Backus, L.H.; Pérez, A.M.L.; Foley, J.E. Effect of Temperature on Host Preference in Two Lineages of the Brown Dog Tick, Rhipicephalus sanguineus. Am. J. Trop. Med. Hyg. 2021, 104, 2305–2311.
  27. Hayward, M.D.; Crimmins, E.M.; Miles, T.P.; et al. The significance of socioeconomic status in explaining the racial gap in chronic health conditions. Am. Sociol. Rev. 2000, 65, 910–930.
  28. McLean, G.; Gunn, J.; Wyke, S.; et al. The influence of socioeconomic deprivation on multimorbidity at different ages: A cross-sectional study. Br. J. Gen. Pract. 2014, 64, e440–e447.
  29. Stringhini, S.; Carmeli, C.; Jokela, M.; et al. LIFEPATH Consortium. Socioeconomic status, non-communicable disease risk factors, and walking speed in older adults: Multi-cohort population based study. BMJ 2018, 360, k1046.
  30. Caruso, C.; Accardi, G.; Aiello, A.; et al. Ambiente, invecchiamento e longevità. In Trattato Italiano di Medicina d’Ambiente; Società Editrice Universo: Roma, Italy, 2021. (In Italian).
  31. Istat. Available online: www.istat.it (accessed on 2 September 2024).
  32. Vineis, P.; Avendano-Pabon, M.; Barros, H.; et al. Special Report: The Biology of Inequalities in Health: The Lifepath Consortium. Front. Public Health 2020, 8, 118.
  33. Caruso, C.; Ligotti, M.E.; Accardi, G.; et al. An immunologist’s guide to immunosenescence and its treatment. Expert Rev. Clin. Immunol. 2022, 18, 961–981.
  34. Nazmi, A.; Victora, C.G. Socioeconomic and racial/ethnic differentials of C-reactive protein levels: A systematic review of population-based studies. BMC Public Health 2007, 7, 212.
  35. Gruenewald, T.L.; Cohen, S.; Matthews, K.A.; et al. Association of socioeconomic status with inflammation markers in black and white men and women in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Soc. Sci. Med. 2009, 69, 451–459.
  36. Petrovic, D.; de Mestral, C.; Bochud, M.; et al. The contribution of health behaviors to socioeconomic inequalities in health: A systematic review. Prev. Med. 2018, 113, 15–31.
  37. Aiello, A.; Farzaneh, F.; Candore, G.; et al. Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention. Front. Immunol. 2019, 10, 2247.
  38. Noppert, G.A.; Stebbins, R.C.; Dowd, J.B.; et al. Socioeconomic and race/ethnic differences in immunosenescence: Evidence from the Health and Retirement Study. Brain Behav. Immun. 2023, 107, 361–368.
  39. Washington. H.A. How environmental racism is fuelling the coronavirus pandemic. Nature 2020, 581, 241.
  40. Wu, X.; Nethery, R.C.; Sabath, M.B.; et al. Air pollution and COVID-19 mortality in the United States: Strengths and limitations of an ecological regression analysis. Sci. Adv. 2020, 6, eabd4049.
  41. Pradhan, B.; Kjellstrom, T.; Atar, D.; et al. Heat Stress Impacts on Cardiac Mortality in Nepali Migrant Workers in Qatar. Cardiology 2019, 143, 37–48.
  42. Arifwidodo, S.D.; Chandrasiri, O. Urban heat stress and human health in Bangkok, Thailand. Environ. Res. 2020, 185, 109398.
  43. Hsu, A.; Sheriff, G.; Chakraborty, T.; et al. Disproportionate exposure to urban heat island intensity across major US cities. Nat. Commun. 2021, 12, 2721.
  44. Hoffman, J.S.; Shandas, V.; Pendleton, N. The Effects of Historical Housing Policies on Resident Exposure to Intra-Urban Heat: A Study of 108 US Urban Areas. Climate 2020, 8, 12.
  45. Baccarelli, A.A.; Hales, N.; Burnett, R.T.; et al. Particulate Air Pollution, Exceptional Aging, and Rates of Centenarians: A Nationwide Analysis of the United States, 1980–2010. Environ. Health Perspect. 2016, 124, 1744–1750.
  46. Kotz, M.; Levermann, A.; Wenz, L. The economic commitment of climate change. Nature 2024, 628, 551–557.