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Increasing temperatures will make space cooling a necessity for maintain comfort and protecting human health, and rising income levels will allow more people to purchase and run air conditioners. Here we show that, in Brazil, India, Indonesia, and Mexico income and humidity-adjusted temperature are common determinants for adopting air-conditioning, but their relative contribution varies in relation to household characteristics. Adoption rates are higher among households living in higher quality dwellings in urban areas, and among those with higher levels of education. Air-conditioning is unevenly distributed across income levels, making evident the existence of a disparity in access to cooling devices. Although the adoption of air-conditioning could increase between twofold and sixteen-fold by 2040, from 64 to 100 million families with access to electricity will not be able to adequately satisfy their demand for thermal comfort. The need to sustain electricity expenditure in response to higher temperatures can also create unequal opportunities to adapt. Adaptation to heat stress through the use of air conditioners has received increasing attention. Here the authors show that income and humidity adjusted temperature are common determinants for adopting air conditioning, but their relative contribution varies in relation to household characteristics. [ABSTRACT FROM AUTHOR]