Human exposure to excessively warm weather, especially in cities, is an increasingly important public health problem. This study examined heat-related health inequalities within one city in order to understand the relationships between the microclimates of urban neighborhoods, population characteristics, thermal environments that regulate microclimates, and the resources people possess to cope with climatic conditions. A simulation model was used to estimate an outdoor human thermal comfort index (HTCI) as a function of local climate variables collected in 8 diverse city neighborhoods during the summer of 2003 in Phoenix, USA. HTCI is an indicator of heat stress, a condition that can cause illness and death. There were statistically significant differences in temperatures and HTCI between the neighborhoods during the entire summer, which increased during a heat wave period. Lower socioeconomic and ethnic minority groups were more likely to live in warmer neighborhoods with greater exposure to heat stress. High settlement density, sparse vegetation, and having no open space in the neighborhood were significantly correlated with higher temperatures and HTCI. People in warmer neighborhoods were more vulnerable to heat exposure because they had fewer social and material resources to cope with extreme heat. Urban heat island reduction policies should specifically target vulnerable residential areas and take into account equitable distribution and preservation of environmental resources.

To build 21st century sustainable cities, officials are installing alternative infrastructure technologies to reduce atmospheric environmental problems such as the urban heat island (UHI). The purpose of this study is to further our understanding of how ground-level UHI mitigation strategies in compact urban areas impact air temperatures. The term ‘cool pavement’ refers to both reflective and porous pavements. While cool pavements are identified as UHI mitigation strategies, we evaluated their in-situ effectiveness on air and surface temperatures. Using a case-control research design, we measured the impact of these pavements on air temperature relative to conventional asphalt in alleys. In locations where high vertical walls constrained the release of solar radiation, reflective pavements increased air temperatures. In two neighborhoods, reflective concrete increased daytime 3-meter air temperatures by 0.9° C and 0.5° C respectively and had no influence on nighttime temperatures. Unlike reflective pavement, porous pavements permit percolation and may contribute to cooling through evaporation. However, our research illustrated that porous asphalt and porous concrete increased maximum daytime air temperatures by 0.8° C and 0.5° C and did not lower nighttime air temperatures. While porous concrete pavers had significantly warmer midday air temperatures, it was the only cool pavement strategy to yield lower early evening air temperatures relative to conventional asphalt. Even immediately after rain events, the air temperatures above the porous pavements were not significantly cooler. This research demonstrates our need to evaluate real world installations of cool pavement to determine their actual impact on decreasing summertime temperatures.