Weathering the Storm: Climate-Related Weather Event Experiences of Families of Children With Medical Complexity

IF 1.8 4区 医学 Q2 PEDIATRICS
Jennifer Baumbusch, Vanessa Fong, Esther Lee, Nilanga Aki Bandara, Koushambhi Basu Khan
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Abstract

Background

Climate change is increasingly an urgent concern because of the catastrophic and irreversible impacts on the planet and society as a whole. In recent years, there have also been more frequent and extreme weather events such as heatwaves, droughts, floods and wildfires across the globe. Although families of children with medical complexity may be particularly vulnerable to the impacts of extreme weather events, few studies exist that address this topic.

Methods

Drawing upon a subset of data from two qualitative studies, we explored the experiences of families during climate-related weather events in British Columbia, Canada. During the summer and fall of 2021, this area experienced a series of extreme weather events (e.g., heat dome, wildfires and atmospheric rivers causing flooding) in rapid succession. Semistructured interviews were conducted with 30 parents between July 2021 and April 2022. Descriptive content analysis was used for data analysis.

Results

Participants described their lived experiences during the heat dome, wildfires and flooding of 2021. Across all of the weather events, children with medical complexity experienced social isolation and, for some, increased anxiety. Participants also shared adaptive measures, or strategies, they used during these events. In the absence of government supports, families drew upon their informal peer networks in some situations.

Conclusions

The unique needs of children with medical complexity are not accounted for in existing government policies and supports related to climate-related weather events. Families are self-reliant and draw upon their informal peer network for supports. There is an urgent need for inclusive programs and supports across emergency management, health, education and social care to address the needs of this group.

Abstract Image

风化风暴:医疗复杂性儿童家庭的气候相关天气事件经历
由于气候变化对地球和整个社会造成灾难性和不可逆转的影响,气候变化日益成为一个紧迫的问题。近年来,全球范围内的热浪、干旱、洪水和野火等极端天气事件也越来越频繁。虽然患有复杂医疗问题的儿童的家庭可能特别容易受到极端天气事件的影响,但很少有研究涉及这一主题。方法利用两项定性研究的数据子集,我们探讨了加拿大不列颠哥伦比亚省与气候相关的天气事件中家庭的经历。在2021年夏秋两季,该地区连续经历了一系列极端天气事件(如热穹、野火和引发洪水的大气河流)。在2021年7月至2022年4月期间,对30名家长进行了半结构化访谈。数据分析采用描述性内容分析。参与者描述了他们在2021年高温穹顶、野火和洪水期间的生活经历。在所有的天气事件中,患有医疗复杂性的儿童经历了社会孤立,对一些人来说,焦虑增加了。参与者还分享了他们在这些活动中使用的适应性措施或策略。在没有政府支持的情况下,家庭在某些情况下利用其非正式的同伴网络。结论与气候相关天气事件相关的现有政府政策和支持并未考虑到医疗复杂性儿童的独特需求。家庭是自力更生的,并利用其非正式的同伴网络获得支持。迫切需要在应急管理、卫生、教育和社会关怀方面制定包容性方案和支持,以满足这一群体的需求。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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