印度政策背景下的气候变化与心血管疾病回顾。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Shreya S Shrikhande, Ravivarman Lakshmanasamy, Martin Röösli, Mohamed Aqiel Dalvie, Jürg Utzinger, Guéladio Cissé
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引用次数: 0

摘要

越来越多的证据表明,气候变化对人类健康产生不利影响。多种疾病对气候变化都很敏感,包括心血管疾病(CVDs),这也是全球死亡的主要原因。印度等国家面临着多重挑战,心血管疾病负担日益加重,且极易受到气候变化的影响,因此需要采取协调一致的多部门应对措施。在本框架综述中,我们分析了印度的政策空间是否以及如何在气候变化方面应对心血管疾病。我们确定了 10 项相关的国家级政策,并采用框架法对其进行了分析。我们的分析框架包括四个主题:(i) 政治承诺;(ii) 卫生信息系统;(iii) 能力建设;(iv) 跨部门行动。此外,我们还利用内容分析法对这些政策的子集和 29 个州级气候变化与健康行动计划进行了分析,以确定健康方面的优先事项。我们的分析表明,各州在应对气候变化对健康的影响方面做出了政治承诺;然而,尽管心血管疾病已被公认为负担沉重,但由于大部分工作都集中在病媒传染病和其他传染性疾病上,因此心血管疾病的背景情况并不乐观。与热有关的疾病和心肺疾病也受到关注,但未能涵盖对气候最敏感的方面。现有的监测系统对心血管疾病的关注不够,尽管在一些政策和干预措施中,包括医院的应急准备和跨部门行动中,都提到了心血管疾病。只有少数国家级计划将心血管疾病作为单独章节提及,其中一些计划需要推动完成并纳入心血管疾病专项章节。我们还发现了一些针对特定疾病的气候健康政策,尽管不是针对心血管疾病的。这项研究发现了印度在针对特定疾病的气候变化应对措施方面存在的重要差距,可能有助于政策制定者加强这些政策的未来版本,并促进有关气候变化和心血管疾病的研究和针对具体情况的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of climate change and cardiovascular diseases in the Indian policy context.

There is growing evidence that climate change adversely affects human health. Multiple diseases are sensitive to climate change, including cardiovascular diseases (CVDs), which are also the leading cause of death globally. Countries such as India face a compounded challenge, with a growing burden of CVDs and a high vulnerability to climate change, requiring a co-ordinated, multi-sectoral response. In this framework synthesis, we analysed whether and how CVDs are addressed with respect to climate change in the Indian policy space. We identified 10 relevant national-level policies, which were analysed using the framework method. Our analytical framework consisted of four themes: (1) political commitment; (2) health information systems; (3) capacity building; and (4) cross-sectoral actions. Additionally, we analysed a subset of these policies and 29 state-level climate change and health action plans using content analysis to identify health priorities. Our analyses revealed a political commitment in addressing the health impacts of climate change; however, CVDs were poorly contextualized with most of the efforts focusing on vector-borne and other communicable diseases, despite their recognized burden. Heat-related illnesses and cardiopulmonary diseases were also focused on but failed to encompass the most climate-sensitive aspects. CVDs are insufficiently addressed in the existing surveillance systems, despite being mentioned in several policies and interventions, including emergency preparedness in hospitals and cross-sectoral actions. CVDs are mentioned as a separate section in only a small number of state-level plans, several of which need an impetus to complete and include CVD-specific sections. We also found several climate-health policies for specific diseases, albeit not for CVDs. This study identified important gaps in India's disease-specific climate change response and might aid policymakers in strengthening future versions of these policies and boost research and context-specific interventions on climate change and CVDs.

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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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