Health Risks Related to Extreme Temperature Resulting from Climate Changes among Older Adults with Respiratory Diseases

Esraa I. Elsayed, Hanaa. A. Abd El-Megeed, Hedya F. Mohy El-Deen, Huda A. Afifi
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Abstract

Background: Extreme temperatures are major environmental health hazards resulting from climate changes, represent a massive direct threat to respiratory health by aggravating respiratory diseases or indirectly by increasing exposure to risk factors for respiratory diseases and associated with an overall morbidity and mortality of older adults with chronic respiratory diseases. This study aimed to assess health risks related to extreme temperature resulting from climate changes among older adults with respiratory diseases. Research design: A descriptive research design was utilized in this study. Setting: Chest Outpatient Clinic in Benha University Hospital. The sample: A simple random sample was used which included 297 older adults with chronic respiratory diseases. Tool: One tool was used: A structured interviewing questionnaire to assess socio-demographic characteristics of the studied older adults with chronic respiratory diseases, respiratory health risks of the studied older adults related to extreme temperature, knowledge of the studied older adults regarding extreme temperatures resulting from climate change and chronic respiratory diseases and reported practice of the studied older adults regarding their adaptation to lessen the impact of extreme temperature on their respiratory health. Results: 66% of the studied older adults aged from 60 to less than 65 years with mean ±SD 63.21±7.52, 35.7% of them had asthma, 66.3 % of them had average total knowledge level about extreme temperatures and chronic respiratory diseases and 73.7 % of them had satisfactory total reported practices level regarding their adaptation to lessen the impact of extreme temperature on their respiratory health. Conclusion: There was a positive highly statistically significant relation between the studied older adults' total knowledge level and their total practices level. Recommendation: Health education program should be developed and implemented to improve older adults with chronic respiratory diseases knowledge and practices regarding their adaptation to lessen the impact of extreme temperature on their respiratory health status.
患有呼吸系统疾病的老年人与气候变化导致的极端温度有关的健康风险
背景:极端气温是气候变化导致的主要环境健康危害,通过加重呼吸系统疾病或通过增加呼吸系统疾病风险因素的暴露而间接地对呼吸系统健康构成巨大的直接威胁,并与患有慢性呼吸系统疾病的老年人的总体发病率和死亡率相关。本研究旨在评估气候变化导致的极端温度对患有呼吸系统疾病的老年人造成的健康风险。研究设计:本研究采用描述性研究设计。研究地点本哈大学医院胸科门诊。样本:采用简单随机抽样,包括 297 名患有慢性呼吸道疾病的老年人。工具:使用一种工具:结构化访谈问卷,用于评估研究对象中患有慢性呼吸系统疾病的老年人的社会人口学特征、研究对象中与极端气温相关的老年人的呼吸系统健康风险、研究对象中的老年人对气候变化导致的极端气温和慢性呼吸系统疾病的了解程度,以及研究对象中的老年人报告的为减轻极端气温对其呼吸系统健康的影响而采取的适应措施。研究结果66%的受试老年人年龄在 60 岁至 65 岁之间,平均年龄(±SD)为 63.21±7.52,其中 35.7%患有哮喘,66.3%的受试老年人对极端气温和慢性呼吸道疾病的总体认识水平一般,73.7%的受试老年人报告了他们为减少极端气温对呼吸道健康的影响而采取的措施,总体实践水平令人满意。结论所研究的老年人的总体知识水平与总体实践水平之间存在高度统计学意义上的正相关关系。建议:应制定并实施健康教育计划:应制定和实施健康教育计划,以提高患有慢性呼吸系统疾病的老年人在适应极端温度对呼吸系统健康状况的影响方面的知识和实践水平。
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