{"title":"保护孕妇免受极端高温:热健康行动计划的内容分析","authors":"Yohani Dalugoda , Dwan Vilcins , Darsy Darssan , Amie Steel , Dung Phung","doi":"10.1016/j.ijdrr.2025.105831","DOIUrl":null,"url":null,"abstract":"<div><div>Extreme heat exposure increases maternal vulnerability to adverse health outcomes. Heat Health Action Plans (HHAPs) are crucial to risk reduction and adaptive strategies for this vulnerable population. This study analyses the content of HHAPs to assess the extent to which they recognise pregnant women as a heat-vulnerable population, identify any maternal heat-health interventions, and develop recommendations to enhance HHAPs from a maternal health perspective. The grey literature search combined three strategies: 1) Google advanced searches for all HHAPs, 2) customised searches for country-specific HHAPs, and (3) targeted website searches for well-known HHAPs. The search included two phases: Phase 1 identified HHAPs published until August 2023; Phase 2 verified updates to the Phase 1 plans and identified newly released HHAPs from September 2023 to June 2025. Our analysis identified 36 HHAPs across thirteen countries that acknowledged the heightened vulnerability of pregnant women to extreme heat. Among these, 36 % (13/36) provided heat-health education interventions, 33 % (12/36) offered heat-risk communication interventions, 31 % (11/36) included support for health and social care and governance, while only 8 % (3/36) focused on indoor heat reduction for pregnant women. No plans included early warning systems, long-term plans or real-time surveillance targeting pregnant women. Our findings highlight the need to strengthen maternal health resilience in HHAPs through targeted communication, education, integrated health and social care, and indoor heat reduction strategies, along with governance frameworks for early warning systems, long-term heat-health interventions, and real-time surveillance.</div></div>","PeriodicalId":13915,"journal":{"name":"International journal of disaster risk reduction","volume":"130 ","pages":"Article 105831"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Protecting pregnant women from extreme heat: A content analysis of heat health action plans\",\"authors\":\"Yohani Dalugoda , Dwan Vilcins , Darsy Darssan , Amie Steel , Dung Phung\",\"doi\":\"10.1016/j.ijdrr.2025.105831\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Extreme heat exposure increases maternal vulnerability to adverse health outcomes. Heat Health Action Plans (HHAPs) are crucial to risk reduction and adaptive strategies for this vulnerable population. This study analyses the content of HHAPs to assess the extent to which they recognise pregnant women as a heat-vulnerable population, identify any maternal heat-health interventions, and develop recommendations to enhance HHAPs from a maternal health perspective. The grey literature search combined three strategies: 1) Google advanced searches for all HHAPs, 2) customised searches for country-specific HHAPs, and (3) targeted website searches for well-known HHAPs. The search included two phases: Phase 1 identified HHAPs published until August 2023; Phase 2 verified updates to the Phase 1 plans and identified newly released HHAPs from September 2023 to June 2025. Our analysis identified 36 HHAPs across thirteen countries that acknowledged the heightened vulnerability of pregnant women to extreme heat. Among these, 36 % (13/36) provided heat-health education interventions, 33 % (12/36) offered heat-risk communication interventions, 31 % (11/36) included support for health and social care and governance, while only 8 % (3/36) focused on indoor heat reduction for pregnant women. No plans included early warning systems, long-term plans or real-time surveillance targeting pregnant women. Our findings highlight the need to strengthen maternal health resilience in HHAPs through targeted communication, education, integrated health and social care, and indoor heat reduction strategies, along with governance frameworks for early warning systems, long-term heat-health interventions, and real-time surveillance.</div></div>\",\"PeriodicalId\":13915,\"journal\":{\"name\":\"International journal of disaster risk reduction\",\"volume\":\"130 \",\"pages\":\"Article 105831\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of disaster risk reduction\",\"FirstCategoryId\":\"89\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212420925006557\",\"RegionNum\":1,\"RegionCategory\":\"地球科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"GEOSCIENCES, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of disaster risk reduction","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212420925006557","RegionNum":1,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GEOSCIENCES, MULTIDISCIPLINARY","Score":null,"Total":0}
Protecting pregnant women from extreme heat: A content analysis of heat health action plans
Extreme heat exposure increases maternal vulnerability to adverse health outcomes. Heat Health Action Plans (HHAPs) are crucial to risk reduction and adaptive strategies for this vulnerable population. This study analyses the content of HHAPs to assess the extent to which they recognise pregnant women as a heat-vulnerable population, identify any maternal heat-health interventions, and develop recommendations to enhance HHAPs from a maternal health perspective. The grey literature search combined three strategies: 1) Google advanced searches for all HHAPs, 2) customised searches for country-specific HHAPs, and (3) targeted website searches for well-known HHAPs. The search included two phases: Phase 1 identified HHAPs published until August 2023; Phase 2 verified updates to the Phase 1 plans and identified newly released HHAPs from September 2023 to June 2025. Our analysis identified 36 HHAPs across thirteen countries that acknowledged the heightened vulnerability of pregnant women to extreme heat. Among these, 36 % (13/36) provided heat-health education interventions, 33 % (12/36) offered heat-risk communication interventions, 31 % (11/36) included support for health and social care and governance, while only 8 % (3/36) focused on indoor heat reduction for pregnant women. No plans included early warning systems, long-term plans or real-time surveillance targeting pregnant women. Our findings highlight the need to strengthen maternal health resilience in HHAPs through targeted communication, education, integrated health and social care, and indoor heat reduction strategies, along with governance frameworks for early warning systems, long-term heat-health interventions, and real-time surveillance.
期刊介绍:
The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international.
Key topics:-
-multifaceted disaster and cascading disasters
-the development of disaster risk reduction strategies and techniques
-discussion and development of effective warning and educational systems for risk management at all levels
-disasters associated with climate change
-vulnerability analysis and vulnerability trends
-emerging risks
-resilience against disasters.
The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.