Extreme heat and its human impacts are significant public health challenges that disproportionately affect certain populations. Often, people with the least resources to cope with the heat also live in the hottest regions of cities. Previous heat vulnerability research has predominantly been conducted at a coarse geographic scale, yet translating relationships measured at aggregated scales to the individual level can result in ecological fallacy. Prior work has also primarily studied the most severe health outcomes: hospitalization/emergency care and mortality. It is likely that magnitudes more people are experiencing negative health impacts from heat that do not necessarily result in medical care. Such less severe impacts are under-researched in the literature.This dissertation addresses these knowledge gaps by identifying how social characteristics and physical measurements of heat at the individual and household level act independently and in concert to influence human heat-related outcomes, especially less severe outcomes. In the first paper, meta-analysis was used to quantify the summary effects of vulnerability indicators on incidence of heat-related illness. More proximal vulnerability indicators (e.g., residential air conditioning use, indoor heat exposure, etc.) tended to have the strongest impact on odds of experiencing heat-related illness than more distal indicators. In the next paper, indoor air temperature observations were related to the social characteristics of the residents. The strongest predictor of indoor air temperature was the residents’ ideal thermally comfortable temperature, despite affordability. In the final paper, fine scale biometeorological observations of the outdoor thermal environment near residents’ homes were linked to their experience with heat-related illness. The outdoor thermal environment appeared to have a stronger, more consistent impact on heat-related illness among households in a lower income neighborhood compared to a higher income one. These findings affirm the value of employing residential heat mitigation solutions at the individual and household scale, indoors and outdoors. Across all chapters, the indoor thermal environment, and the ability to modify it, had a clear impact on residents’ comfort and health. Solutions that target the most proximal causal factors of heat-related illness will likely have the greatest impact on reducing the burden of heat on human health and well-being.

The built environment increases radiant heat exchange in urban areas by several degrees hotter compared to non-urban areas. Research has investigated how urbanization and heat affect human health; but there is scant literature on the effects of urban heat on wildlife. Animal body condition can be used to assess overall health. This parameter estimates the storage of energy-rich fat, which is important for growth, survival, and reproduction. The purpose of my research was to examine the Urban Heat Island effect on wild rodents across urban field sites spanning three strata of land surface temperature. Site level surface temperatures were measured using temperature data loggers and I captured 116 adult pocket mice (Chaetodipus spp. and Perognathus spp.) and Merriam’s kangaroo rats (Dipodomys merriami) to measure their body condition using accurate and noninvasive quantitative magnetic resonance. I used baited Sherman live traps from mid-May to early September during 2019 and 2020 in mountainous urban parks and open spaces over two summers. Rodents were captured at seven sites near the Phoenix metropolitan area; an ideal area for examining the effect of extreme heat experienced by urban wildlife. Results supported the prediction that rodent body condition was greatest in the cooler temperature stratas compared to the hottest temperature strata. I related rodent body condition to environmental predictors to dispute to environmental predictors to dispute alternative hypotheses; such as vegetation cover and degree of urbanization. Results based on measures of body fat and environmental predictors show pocket mice have more fat where vegetation is higher, nighttime temperatures are lower, surface temperatures are lower, and urbanization is greater. Kangaroo rats have more fat where surface temperature is lower. My results contribute to understanding the negative effects of extreme heat on body condition and generalized health experienced by urban wildlife because of the built environment. This research shows a need to investigate further impacts of urban heat on wildlife. Management suggestions for urban parks and open spaces include increasing vegetation cover, reducing impervious surface, and building with materials that reduce radiant heat.