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Objective:Although extreme heat can impact the health of anyone, certain groups are disproportionately affected. In urban settings, cooling centers are intended to reduce heat exposure by providing air-conditioned spaces to the public. We examined the characteristics of populations living near cooling centers and how well they serve areas with high social vulnerability. Methods:We identified 1402 cooling centers in 81 US cities from publicly available sources and analyzed markers of urban heat and social vulnerability in relation to their locations. Within each city, we developed cooling center access areas, defined as the geographic area within a 0.5-mile walk from a center, and compared sociodemographic characteristics of populations living within versus outside the access areas. We analyzed results by city and geographic region to evaluate climate-relevant regional differences. Results:Access to cooling centers differed among cities, ranging from 0.01% (Atlanta, Georgia) to 63.2% (Washington, DC) of the population living within an access area. On average, cooling centers were in areas that had higher levels of social vulnerability, as measured by the number of people living in urban heat islands, annual household income below poverty, racial and ethnic minority status, low educational attainment, and high unemployment rate. However, access areas were less inclusive of adult populations aged ≥65 years than among populations aged <65 years. Conclusion:Given the large percentage of individuals without access to cooling centers and the anticipated increase in frequency and severity of extreme heat events, the current distribution of centers in the urban areas that we examined may be insufficient to protect individuals from the adverse health effects of extreme heat, particularly in the absence of additional measures to reduce risk.
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This content will become publicly available on July 30, 2026
Can Cash Incentives Reduce Syringe Litter? Evidence From Boston's 311 Service Requests
ABSTRACT Syringe littering in public places is a public health problem in many big cities nationwide amid the ongoing opioid crisis. Besides needle exchanges and/or safe disposal efforts, cash incentives have come into play as a policy tool to address the issue. In December 2020, the City of Boston launched the Community Syringe Redemption Program (CSRP), which offers a nominal cash “buy back” incentive for used syringes at designated centers. This study examines the impact of Boston's CSRP on reducing syringe litter. It employs a distance band‐based, near‐far identification strategy and uses the difference‐in‐differences (DID) to analyze Boston's 311 service requests related to needle pickup and the number of discarded needles discovered in response to the pickup requests before and after CSRP's implementation. Results show that both 311 requests and publicly discarded syringes have reduced significantly in neighborhoods located within a 0.5‐mile radius of the CSRP redemption center. There are no statistically significant reductions observed in 0.5–1‐mile or 1–1.5‐mile donut bands around the center. In effect, although CSRP could be effective in reducing syringe littering, its impact is geographically bounded and sensitive to the redemption centers' locations. Results from alternative models, robustness tests, and placebo tests are consistent with main findings.
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- Award ID(s):
- 1924154
- PAR ID:
- 10633432
- Publisher / Repository:
- Wiley
- Date Published:
- Journal Name:
- Policy Studies Journal
- ISSN:
- 0190-292X
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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