In the American Southwest, an area which already experiences a significant number of cooling degree days, anthropogenic climate change is expected to result in higher average temperatures and the increasing frequency, duration, and severity of heat waves. Climatological forecasts predict heat waves will increase by 150-840% in Los Angeles County, California and 340-1800% in Maricopa County, Arizona. Heat exposure is known to increase both morbidity and mortality and rising temperatures represent a threat to public health. As a result there has been a significant amount of research into understanding existing socio-economic vulnerabilities to extreme heat which has identified population subgroups at greater risk of adverse health outcomes. Additionally, research has shown that man-made infrastructure can mitigate or exacerbate these health risks. However, while recent socio-economic heat vulnerability research has developed geospatially explicit results, research which links it directly with infrastructure characteristics is limited. Understanding how socio-economic vulnerabilities interact with infrastructure systems is a critical component to developing climate adaptation policies and programs which efficiently and effectively mitigate health risks associated with rising temperatures.

The availability of cooled space, whether public or private, has been shown to greatly reduce health risks associated with extreme heat. However, a lack of fine-scale knowledge of which households have access to this infrastructure results in an incomplete understanding of the health risks associated with heat. This knowledge gap could result in the misallocation of resources intended to mitigate negative health impacts associated with heat exposure. Additionally, when discussing accessibility to public cooled space there are underlying questions of mobility and mode choice. In addition to captive riders, a growing emphasis on walking, biking and public transit will likely expose additional choice riders to extreme temperatures and compound existing vulnerabilities to heat.