The journal of climate change and health最新文献

{"title":"Beyond the storms: Exploring predictors of posttraumatic stress and posttraumatic growth among survivors of hurricanes Irma and Maria in Puerto Rico","authors":"Marie-Claire Meadows ,&nbsp;Noelle Serino ,&nbsp;Dahianira M. Camacho-Monclova ,&nbsp;Kaumudi Joshipura ,&nbsp;Sarah R. Lowe","doi":"10.1016/j.joclim.2024.100365","DOIUrl":"10.1016/j.joclim.2024.100365","url":null,"abstract":"<div><h3>Background</h3><div>Within disaster-affected communities, residents’ exposures and post-disaster mental health outcomes can vary widely. Yet, few studies have explored the relationship between such diverse disaster-related exposures and posttraumatic growth (PTG) in a Puerto Rican context.</div></div><div><h3>Methods</h3><div>To address this gap, we used data from the Preparedness to Reduce Exposures and Diseases Post-hurricanes and Augment Resilience (PREPARE) study, a cohort of mainly Hispanic Puerto Ricans who experienced Hurricanes Maria and Irma in 2017. This analysis focused on 484 individuals who completed structured interviews 20 to 34 months after the hurricanes. We evaluated the associations between five different disaster exposures (e.g., financial, home damage, personal health, and familial health), posttraumatic stress (PTS), and PTG and its five domains (personal strength, new possibilities, improved relationships, spiritual growth, and appreciation of life), controlling for demographic, geographic, and social factors.</div></div><div><h3>Results</h3><div>In multivariable models, higher total disaster score was associated with higher levels of both PTS and PTG (2.91 and 3.87, respectively). Personal health impacts were consistently associated with higher levels on all PTG subscales, ranging from 0.89 to 1.94, which was not the case for other exposures. Specifically, home damage was associated with higher levels on all PTG subscales except spiritual growth, and financial and familial health impacts were associated with greater identification with new possibilities and appreciation of life only.</div></div><div><h3>Conclusion</h3><div>These findings provide novel evidence that different disaster-related exposures have distinct associations with the different PTG domains in Puerto Rico. These findings can inform future efforts to address post-disaster mental health ailments by bolstering different aspects of PTG.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing healthcare professionals’ fatigue for effective climate action engagement","authors":"Eddie Robinson ,&nbsp;Dinesh Bhandari ,&nbsp;Ross Donohue ,&nbsp;Zerina Lokmic-Tomkins","doi":"10.1016/j.joclim.2024.100366","DOIUrl":"10.1016/j.joclim.2024.100366","url":null,"abstract":"<div><div>Climate change is a significant threat to public health, exacerbating existing challenges in healthcare systems. The anticipated impacts encompassing increased global surface temperatures, rising sea levels, water and food insecurity, geopolitical instability and the heightened frequency, duration, and intensity of natural disasters coupled with the healthcare sector's contribution to carbon emissions, necessitate urgent action from healthcare professionals. However, while healthcare professionals are called to engage in climate action, defined as an action to combat climate change and its impacts, the healthcare workforce also faces unprecedented challenges exacerbated by the public health emergencies (e.g.: COVID-19 pandemic) such as fatigue, burnout, and workforce shortages. Dealing with these challenges leaves little opportunity or time for healthcare professionals to engage in climate change mitigation and adaptation. In this perspective paper, we outline the fundamental aspects of change fatigue and suggest solutions to engage healthcare professionals in climate action.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ClimaWATCH: A new interactive tool for community heat-health vulnerability assessments","authors":"Aparna Keshaviah,&nbsp;Dheeya Rizmie,&nbsp;Huihua Lu,&nbsp;Mike Rudacille,&nbsp;Eric Morris,&nbsp;Colleen Psomas,&nbsp;Farid Qamar,&nbsp;Xindi C. Hu","doi":"10.1016/j.joclim.2024.100359","DOIUrl":"10.1016/j.joclim.2024.100359","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme heat is the deadliest of all weather-related hazards, yet also the most preventable. To boost heat preparedness and response, officials need information on where heat-related health issues concentrate and how risks vary by demographic, social, environmental, and infrastructural factors. We present a tool for heat-health vulnerability assessments, called ClimaWATCH, which links large, diverse data to summarize county, state, and national exposure to heatwaves; susceptibility based on various factors; and heat-related health burdens.</div></div><div><h3>Case presentation</h3><div>Leveraging a case-crossover study design, the tool clarifies how heat-related excess healthcare utilization and spending varies by geography, year, diagnosis, subpopulation, and care setting. Nationally in 2020, excess Medicaid spending amounted to $18 million on heat stress, $15 million on electrolyte imbalance, $25 million on acute myocardial infarction, and $133 million on acute renal failure. Per-beneficiary levels of excess spending on these four acute diagnoses were highest in Massachusetts, Pennsylvania, and California.</div></div><div><h3>Discussion</h3><div>The dynamic functionality can improve emergency preparedness by facilitating exploration of the heterogeneity in heat-related health effects from year to year and by demographic or community feature, heatwave definition, and geographic region.</div></div><div><h3>Conclusion</h3><div>Chief heat officers, public health officials, philanthropic organizations, and others can use ClimaWATCH to develop data-driven, tailored heat action plans to address the needs of different vulnerable populations effectively and equitably, prioritize interventions based on their potential for impact, and improve community and health system resilience to extreme heat.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring menstrual hygiene management practices among displaced coastal women in Kerala, India","authors":"Jessy Prabhakar ,&nbsp;Aswin MG ,&nbsp;Asmi Fathima Nazar ,&nbsp;Adarsh MS ,&nbsp;Jibin Job PJ ,&nbsp;Nisam AP ,&nbsp;Krishna Priya MJ ,&nbsp;Mini GK","doi":"10.1016/j.joclim.2024.100375","DOIUrl":"10.1016/j.joclim.2024.100375","url":null,"abstract":"<div><h3>Introduction</h3><div>During climate related displacement, women face additional challenges in safely managing menstrual hygiene. The aim of this study is to evaluate menstrual hygiene management practices among displaced women of reproductive age in the coastal areas of Kerala, India.</div></div><div><h3>Materials and Methods</h3><div>A cross-sectional study was conducted among displaced costal women in Kerala. We collected data on their socio-demographic factors, WaSH facilities, and menstrual hygiene practices following displacement, using a pre-tested semi-structured interview questionnaire. The participants also completed the Menstrual Hygiene Practice Needs Scale. We performed both univariate and bivariate analyses.</div></div><div><h3>Results</h3><div>The average age of the participants was 32 years (SD±8.5). Around 59 % had completed some school education, 41 % had completed college education, 30 % were employed, and 59 % belonged to lower socioeconomic status. Over half of the participants had poor menstrual hygiene practices (55 %). Older women (OR:1.72, 95 % CI:1.08–2.72) and those with lower education (OR:2.22, 95 % CI:1.38–3.56) were more likely to have poor menstrual hygiene practices. Disposal of menstrual materials is problematic. Self-reported physician-diagnosed urinary tract infection (UTI) was 46 %, and reproductive tract infection was 8.4 %.</div></div><div><h3>Conclusion</h3><div>The research highlights the need to improve menstrual hygiene practices and address UTI prevalence through better facilities during sea invasions. Collaboration with local authorities to address related concerns is recommended.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative use of space-based technologies to address climate change and related global health crises","authors":"Farhan M. Asrar ,&nbsp;Helena J. Chapman","doi":"10.1016/j.joclim.2024.100406","DOIUrl":"10.1016/j.joclim.2024.100406","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to discussing linkages between climate change, human mobility and health in the Caribbean: The case of Dominica. A qualitative study","authors":"Patrick Cloos ,&nbsp;Maeva Belloiseau ,&nbsp;Nickez McPherson ,&nbsp;Fiona Harris-Glenville ,&nbsp;Debra D. Joseph ,&nbsp;Kate Zinszer","doi":"10.1016/j.joclim.2024.100358","DOIUrl":"10.1016/j.joclim.2024.100358","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of studies assessing the benefits of clean air and climate mitigation policies for child and adult health","authors":"Frederica Perera,&nbsp;Kathleen Lau","doi":"10.1016/j.joclim.2024.100369","DOIUrl":"10.1016/j.joclim.2024.100369","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to review the body of evidence on the health benefits of climate mitigation and clean air policies aimed at curbing emissions from fossil fuel sources.</div></div><div><h3>Methods</h3><div>We have built on and updated a prior review by Picetti et al. [<span><span>1</span></span>] of 16 peer-reviewed studies that focused primarily on child and adolescent health outcomes related to climate mitigation policies. We include the findings of 26 studies of the health benefits of clean air or climate policies, presenting estimates of the numbers of avoided cases of mortality or morbidity in infants, children, and/or adolescents, as well as adult illness or mortality when included in the same study. Where available, details on the economic savings associated with the avoidance of cases (13 studies) and distribution of benefits across racial/ethnic and socioeconomic groups (4 studies) are presented.</div></div><div><h3>Results</h3><div>All 26 studies found positive and substantial impacts of climate and clean air policies on the health of children and adults, along with substantial associated cost savings (reported in half of the studies). The benefits are likely to be serious undercounts as most studies included a limited suite of outcomes: economic savings generally considered only short-term costs; and the health benefits of climate policies were estimated as “co-benefits” of reduced air pollution, omitting those from fewer climate “shocks”.</div></div><div><h3>Conclusions</h3><div>The results of this review show positive and substantial benefits of climate and clean air policies and should incentivize and inform future policies to mitigate fossil-fuel related climate change and air pollution.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary health ethics: A Confucian alternative","authors":"Eric C. Ip","doi":"10.1016/j.joclim.2024.100404","DOIUrl":"10.1016/j.joclim.2024.100404","url":null,"abstract":"<div><div>Planetary health acknowledges that the disruptions and deterioration of natural systems pose a significant and pressing threat to human beings and the interconnected network of life. The perceived dichotomy between anthropocentrism and ecocentrism is a human construct that reflects the binary thinking that has dominated Western philosophy. The anthropocosmic perspective of Confucian ethics highlights the interdependence between humans, their communities, the environment, and the cosmos, emphasizing that environmental well-being is vital to personal health and wellness. Confucianism also asserts that humans are a product of nature and should embody the principles of life and growth to become compassionate individuals in harmony with the universe. Consequently, human existence is inherently tied to nature, and the deterioration of the environment eventually harms humanity. A Confucian planetary health ethic prioritizes the concept of humanity's oneness with all things. Given that the Earth system now experiences less stable patterns than before, humans must assume accountability for anthropogenic climate change, pollution, and biodiversity loss. We must begin to appreciate that the rest of the biosphere is closely linked to our physical body.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting to climate change: strategies and perspectives from humanitarian health workers – A qualitative study","authors":"Patricia Nayna Schwerdtle ,&nbsp;Carol Devine ,&nbsp;Astrid Berner-Rodoreda ,&nbsp;Shannon A. McMahon ,&nbsp;Kate Bärnighausen","doi":"10.1016/j.joclim.2024.100373","DOIUrl":"10.1016/j.joclim.2024.100373","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change is contributing to humanitarian health crises. However, research on the intersection of climate change and health in humanitarian settings often prioritises understanding impacts over identifying solutions. This study adopts a solutions-oriented approach, engaging humanitarians working in medical projects to explore both existing and potential adaptation strategies to mitigate the adverse health effects of climate change.</div></div><div><h3>Materials and Methods</h3><div>The study involved 49 semi-structured qualitative interviews with humanitarian health workers from Médecins Sans Frontières (MSF) across 30 countries. Conducted in English, French, Spanish, Portuguese, and Arabic, the interviews focused on identifying adaptation solutions to address climate-related health impacts at individual, community, and organizational levels. Data were analysed using a hybrid coding approach, combining deductive and inductive techniques informed by framework analysis.</div></div><div><h3>Results and Discussion</h3><div>The research highlights a perception of high vulnerability and low readiness to address climate change in the studied countries, exposing an adaptation gap—the disparity between adaptation needs and current efforts. Initially, participants found it challenging to identify adaptation strategies, often focussing on mitigation (emission reduction) rather than adaptation. From the adaptation activities identified, we developed an ‘Adaptation Continuum’ framework, which ranges from maladaptation to resilience-building. Additionally, we created a matrix of climate change adaptation (CCA) examples to illustrate how health risks can be addressed in contexts characterised by high vulnerability and low adaptive capacity.</div></div><div><h3>Conclusion</h3><div>Health and humanitarian actors are witnessing the profound impacts of climate change on communities and projects worldwide. Despite ongoing efforts to adapt, there remains a lack of consensus on how to effectively operationalize these initiatives. This research introduces the ‘Adaptation Continuum’, a conceptual framework designed to guide the planning, implementation, and evaluation of adaptation activities in four key domains: knowledge and awareness, infrastructure and technological solutions, operational adaptation, and policy and advocacy.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local level health preparedness for adverse weather: A review of Community Risk Registers in England","authors":"Agnes Jung ,&nbsp;Richard Kopnyicky ,&nbsp;Katya Brooks ,&nbsp;Emily Loud ,&nbsp;Sharif Ismail ,&nbsp;Agostinho Moreira de Sousa ,&nbsp;Daniel Blake","doi":"10.1016/j.joclim.2024.100403","DOIUrl":"10.1016/j.joclim.2024.100403","url":null,"abstract":"<div><h3>Background</h3><div>The increasing frequency of adverse weather events due to climate change poses challenges for emergency planning, response and recovery. While many countries have national plans for preparedness and response to specific hazards, the extent to which these plans influence local health risk management strategies is unclear.</div></div><div><h3>Methods</h3><div>An assessment of Community Risk Registers (CRRs) published by Local Resilience Forums (LRFs) in England was conducted in 2023. The assessment criteria applied spanned recognition of disaggregated adverse weather risks, through to incorporation of guidance from national agencies within the CRRs.</div></div><div><h3>Results</h3><div>Of the 33 (out of 38) CRRs reviewed, only half referenced adverse weather risks, and around half referenced relevant national and local guidance to support preparedness and response to minimise potential health impacts. Only two CRRs met all assessment criteria (i.e., the referencing of adverse weather risks, as well as national, local and UK Health Security Agency (UKHSA) specific public health guidance on adverse weather risks).</div></div><div><h3>Conclusions</h3><div>There is a need to support strengthened inclusion of national evidence and guidance into local risk assessments and the translation of these into relevant documents to raise public awareness of the health impacts from adverse weather.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}