孟加拉国青少年心理健康、时间折扣和洪水暴露增加下的气候困扰：一项混合方法横断面研究。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health Pub Date : 2025-07-01 DOI:10.1016/j.lanplh.2025.05.003

Liza Goldberg BSc , Prof Stephen Luby MD , Noshin Sayiara Shuchi MPH , Titly Sen MSc , Nazmul Hossen MSc , Gabrielle-Wong Parodi PhD , Erik Jensen JD , Nicole M Ardoin PhD , Mahbubur Rahman MD , Farjana Jahan MD

{"title":"孟加拉国青少年心理健康、时间折扣和洪水暴露增加下的气候困扰：一项混合方法横断面研究。","authors":"Liza Goldberg BSc , Prof Stephen Luby MD , Noshin Sayiara Shuchi MPH , Titly Sen MSc , Nazmul Hossen MSc , Gabrielle-Wong Parodi PhD , Erik Jensen JD , Nicole M Ardoin PhD , Mahbubur Rahman MD , Farjana Jahan MD","doi":"10.1016/j.lanplh.2025.05.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Chronic exposure to climate stress disproportionately affects low-income households; however, the psychological health and climate distress levels of climate-vulnerable adolescents in low-resource settings has rarely been explored. We investigated the association between increased flood exposure and adolescent psychological health, climate distress, and temporal discounting (long-term planning capacity).</div></div><div><h3>Methods</h3><div>In this cross-sectional, mixed-methods study, we administered surveys to assess symptoms of anxiety and depression, temporal discounting, and climate distress. We surveyed 1200 adolescents aged 15–18 years from low-income households in Dhaka, Bangladesh (a low-flood-risk location) and Barisal, Bangladesh (a high-flood-risk location). We also conducted 16 focus group discussions among adolescents across both regions.</div></div><div><h3>Findings</h3><div>Between Aug 7 and Dec 15, 2023, adolescents living under higher flood exposure in Barisal had significantly greater odds of anxiety symptoms (adjusted odds ratio 1·94 [95% CI 1·41–2·65], p<0·0001) and depressive symptoms (3·52 [1·94–6·40], p<0·0001) relative to those under low flood exposure in Dhaka. Adolescents experiencing anxiety symptoms had significantly greater odds of exhibiting temporal discounting (2·00 [1·16–3·45], p=0·013). Our focus group discussions suggest pathways by which cognitive overload during extreme floods contribute to adolescent preferences against long-term flood adaptation planning.</div></div><div><h3>Interpretation</h3><div>An increased prevalence of anxiety and depressive symptoms among flood-vulnerable adolescents in low-income settings might be related to temporal discounting behaviour that could threaten their climate change resilience.</div></div><div><h3>Funding</h3><div>School of Medicine, Woods Institute for the Environment, and Freeman Spogli Institute for International Studies at Stanford University, and the National Geographic Society.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 7","pages":"Article 101273"},"PeriodicalIF":21.6000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Adolescent psychological health, temporal discounting, and climate distress under increased flood exposure in Bangladesh: a mixed-methods cross-sectional study\",\"authors\":\"Liza Goldberg BSc , Prof Stephen Luby MD , Noshin Sayiara Shuchi MPH , Titly Sen MSc , Nazmul Hossen MSc , Gabrielle-Wong Parodi PhD , Erik Jensen JD , Nicole M Ardoin PhD , Mahbubur Rahman MD , Farjana Jahan MD\",\"doi\":\"10.1016/j.lanplh.2025.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Chronic exposure to climate stress disproportionately affects low-income households; however, the psychological health and climate distress levels of climate-vulnerable adolescents in low-resource settings has rarely been explored. We investigated the association between increased flood exposure and adolescent psychological health, climate distress, and temporal discounting (long-term planning capacity).</div></div><div><h3>Methods</h3><div>In this cross-sectional, mixed-methods study, we administered surveys to assess symptoms of anxiety and depression, temporal discounting, and climate distress. We surveyed 1200 adolescents aged 15–18 years from low-income households in Dhaka, Bangladesh (a low-flood-risk location) and Barisal, Bangladesh (a high-flood-risk location). We also conducted 16 focus group discussions among adolescents across both regions.</div></div><div><h3>Findings</h3><div>Between Aug 7 and Dec 15, 2023, adolescents living under higher flood exposure in Barisal had significantly greater odds of anxiety symptoms (adjusted odds ratio 1·94 [95% CI 1·41–2·65], p<0·0001) and depressive symptoms (3·52 [1·94–6·40], p<0·0001) relative to those under low flood exposure in Dhaka. Adolescents experiencing anxiety symptoms had significantly greater odds of exhibiting temporal discounting (2·00 [1·16–3·45], p=0·013). Our focus group discussions suggest pathways by which cognitive overload during extreme floods contribute to adolescent preferences against long-term flood adaptation planning.</div></div><div><h3>Interpretation</h3><div>An increased prevalence of anxiety and depressive symptoms among flood-vulnerable adolescents in low-income settings might be related to temporal discounting behaviour that could threaten their climate change resilience.</div></div><div><h3>Funding</h3><div>School of Medicine, Woods Institute for the Environment, and Freeman Spogli Institute for International Studies at Stanford University, and the National Geographic Society.</div></div>\",\"PeriodicalId\":48548,\"journal\":{\"name\":\"Lancet Planetary Health\",\"volume\":\"9 7\",\"pages\":\"Article 101273\"},\"PeriodicalIF\":21.6000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Lancet Planetary Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2542519625001378\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lancet Planetary Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2542519625001378","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}

引用次数: 0

摘要

背景：长期暴露于气候压力对低收入家庭的影响不成比例；然而，在低资源环境中，气候脆弱青少年的心理健康和气候困扰水平很少被探索。我们调查了洪水暴露增加与青少年心理健康、气候窘迫和时间贴现（长期规划能力）之间的关系。方法：在这项横断面混合方法研究中，我们进行了调查，以评估焦虑和抑郁症状、时间折扣和气候窘迫。我们调查了来自孟加拉国达卡（低洪水风险地区）和孟加拉国巴里萨尔（高洪水风险地区）低收入家庭的1200名15-18岁青少年。我们还在这两个地区的青少年中进行了16次焦点小组讨论。研究结果：在2023年8月7日至12月15日期间，Barisal生活在高洪水暴露下的青少年出现焦虑症状的几率显著增加（调整后的优势比1.94 [95% CI 1.41 -2·65]）。解释：低收入环境中易受洪水影响的青少年中焦虑和抑郁症状的患病率增加可能与可能威胁其气候变化适应能力的时间折扣行为有关。资助：斯坦福大学医学院、伍兹环境研究所、弗里曼·斯波格利国际研究所以及美国国家地理学会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Adolescent psychological health, temporal discounting, and climate distress under increased flood exposure in Bangladesh: a mixed-methods cross-sectional study

Background

Chronic exposure to climate stress disproportionately affects low-income households; however, the psychological health and climate distress levels of climate-vulnerable adolescents in low-resource settings has rarely been explored. We investigated the association between increased flood exposure and adolescent psychological health, climate distress, and temporal discounting (long-term planning capacity).

Methods

In this cross-sectional, mixed-methods study, we administered surveys to assess symptoms of anxiety and depression, temporal discounting, and climate distress. We surveyed 1200 adolescents aged 15–18 years from low-income households in Dhaka, Bangladesh (a low-flood-risk location) and Barisal, Bangladesh (a high-flood-risk location). We also conducted 16 focus group discussions among adolescents across both regions.

Findings

Between Aug 7 and Dec 15, 2023, adolescents living under higher flood exposure in Barisal had significantly greater odds of anxiety symptoms (adjusted odds ratio 1·94 [95% CI 1·41–2·65], p<0·0001) and depressive symptoms (3·52 [1·94–6·40], p<0·0001) relative to those under low flood exposure in Dhaka. Adolescents experiencing anxiety symptoms had significantly greater odds of exhibiting temporal discounting (2·00 [1·16–3·45], p=0·013). Our focus group discussions suggest pathways by which cognitive overload during extreme floods contribute to adolescent preferences against long-term flood adaptation planning.

Interpretation

An increased prevalence of anxiety and depressive symptoms among flood-vulnerable adolescents in low-income settings might be related to temporal discounting behaviour that could threaten their climate change resilience.

Funding

School of Medicine, Woods Institute for the Environment, and Freeman Spogli Institute for International Studies at Stanford University, and the National Geographic Society.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Lancet Planetary Health Multiple-

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.