气候变化与妊娠结局:一种系统的数据回顾方法

IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY
Caroline B. Braun, Sonja A. Rasmussen, Denise J. Jamieson
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引用次数: 0

摘要

关于气候变化对人类健康的影响,越来越多的证据正在积累。2021年,世界卫生组织(世卫组织)确定了气候变化可能影响健康的六种接触途径:极端天气事件;热应力;空气质量;食品安全;水质和水量;以及媒介分布和生态。我们试图通过这些途径评估气候变化对孕妇和新生儿健康的相关影响。方法根据证据的质量和数量,对每个WHO气候变化暴露途径进行个性化的PubMed检索。热应激、空气质量、食品安全和保障、媒介分布和生态学的搜索仅包括系统综述,而其余暴露途径的搜索包括更广泛的定量研究参数。结果有证据表明,热应激、空气质量、媒介分布和生态与孕产妇和新生儿的几种不良结局有关。虽然有关极端天气事件、食品安全和保障以及水质和水量的证据也显示出对孕妇和新生儿的有害影响,但这些数据并不具有结论性。气候变化相关的影响对孕妇和新生儿的健康有不利影响,但需要进一步的研究来提高对气候变化如何对这些人群产生影响的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Climate Change and Pregnancy Outcomes: A Systematic Approach to Reviewing the Data

Background

Increasing evidence is accumulating regarding the effects of climate change on human health. In 2021, the World Health Organization (WHO) identified six exposure pathways through which climate change might affect health: extreme weather events; heat stress; air quality; food safety and security; water quality and quantity; and vector distribution and ecology. We sought to evaluate the climate change-related effects through these pathways on the health of pregnant persons and neonates.

Methods

Individual PubMed searches were tailored for each WHO climate change exposure pathway based on the quality and quantity of evidence. Searches for heat stress, air quality, food safety and security, and vector distribution and ecology included systematic reviews only, while those for the remaining exposure pathways included broader quantitative study parameters.

Results

Evidence links heat stress, air quality, and vector distribution and ecology to several adverse maternal and neonatal outcomes. While evidence regarding extreme weather events, food safety and security, and water quality and quantity also shows harmful effects on pregnant persons and neonates, the data are less conclusive.

Conclusions

Climate change-related effects detrimentally affect the health of pregnant persons and neonates, but additional research is required to improve understanding of how climate change exerts its effects on these populations.

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来源期刊
Birth Defects Research
Birth Defects Research Medicine-Embryology
CiteScore
3.60
自引率
9.50%
发文量
153
期刊介绍: The journal Birth Defects Research publishes original research and reviews in areas related to the etiology of adverse developmental and reproductive outcome. In particular the journal is devoted to the publication of original scientific research that contributes to the understanding of the biology of embryonic development and the prenatal causative factors and mechanisms leading to adverse pregnancy outcomes, namely structural and functional birth defects, pregnancy loss, postnatal functional defects in the human population, and to the identification of prenatal factors and biological mechanisms that reduce these risks. Adverse reproductive and developmental outcomes may have genetic, environmental, nutritional or epigenetic causes. Accordingly, the journal Birth Defects Research takes an integrated, multidisciplinary approach in its organization and publication strategy. The journal Birth Defects Research contains separate sections for clinical and molecular teratology, developmental and reproductive toxicology, and reviews in developmental biology to acknowledge and accommodate the integrative nature of research in this field. Each section has a dedicated editor who is a leader in his/her field and who has full editorial authority in his/her area.
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