Mapping social vulnerability indicators to understand the health impacts of climate change: a scoping review

IF 24.1 1区 医学 Q1 ENVIRONMENTAL SCIENCES
Ang Li PhD , Mathew Toll BA Hons , Prof Rebecca Bentley PhD
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Abstract

The need to assess and measure how social vulnerability influences the health impacts of climate change has resulted in a rapidly growing body of research literature. To date, there has been no overarching, systematic examination of where this evidence is concentrated and what inferences can be made. This scoping review provides an overview of studies published between 2012 and 2022 on social vulnerability to the negative health effects of climate change. Of the 2115 studies identified from four bibliographic databases (Scopus, Web of Science, PubMed, and CAB Direct), 230 that considered indicators of social vulnerability to climate change impacts on health outcomes were selected for review. Frequency and thematic analyses were conducted to establish the scope of the social vulnerability indicators, climate change impacts, and health conditions studied, and the substantive themes and findings of this research. 113 indicators of social vulnerability covering 15 themes were identified, with a small set of indicators receiving most of the research attention, including age, sex, ethnicity, education, income, poverty, unemployment, access to green and blue spaces, access to health services, social isolation, and population density. The results reveal an undertheorisation and few indicators that conceptualise and operationalise social vulnerability beyond individual sociodemographic characteristics by identifying structural and institutional dimensions of vulnerability, and a preponderance of social vulnerability research in high-income countries. This Review highlights the need for future research, data infrastructure, and policy attention to address structural, institutional, and sociopolitical conditions, which will better support climate resilience and adaptation planning.

绘制社会脆弱性指标以了解气候变化对健康的影响:范围界定审查。
由于需要评估和衡量社会脆弱性如何影响气候变化对健康的影响,研究文献数量迅速增加。到目前为止,还没有对这些证据集中在哪里以及可以做出什么推断进行全面、系统的检查。这篇范围界定综述概述了2012年至2022年间发表的关于气候变化对健康负面影响的社会脆弱性的研究。在从四个书目数据库(Scopus、Web Of Science、PubMed和CAB Direct)中确定的2115项研究中,选择了230项考虑了社会易受气候变化影响对健康结果的指标进行审查。进行了频率和主题分析,以确定所研究的社会脆弱性指标、气候变化影响和健康状况的范围,以及本研究的实质性主题和结果。确定了113个社会脆弱性指标,涵盖15个主题,其中一小部分指标受到了大多数研究关注,包括年龄、性别、种族、教育、收入、贫困、失业、获得绿色和蓝色空间、获得医疗服务、社会孤立和人口密度。研究结果表明,通过确定脆弱性的结构和制度层面,在个人社会人口特征之外,对社会脆弱性进行概念化和操作化的理论不足和指标很少,高收入国家的社会脆弱性研究占主导地位。本次审查强调了未来研究、数据基础设施和政策关注的必要性,以解决结构、体制和社会政治条件,从而更好地支持气候恢复力和适应规划。
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来源期刊
CiteScore
28.40
自引率
2.30%
发文量
272
审稿时长
8 weeks
期刊介绍: The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice. With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.
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