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Shaw C, Mizdrak A, Gage R, McLeod M, Jones R, Woodward A, Cobiac L. Policy approaches to decarbonising the transport sector in Aotearoa New Zealand: modelling equity, population health, and health-system effects. Lancet Planet Health 2024; 8:e647-e656. [PMID: 39243780 DOI: 10.1016/s2542-5196(24)00171-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 07/05/2024] [Accepted: 07/22/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND Health co-benefits are a key potential advantage of transport decarbonisation policy. However, health effects will occur in the context of existing transport-health inequities and decarbonisation policies will themselves affect inequities. This research examines the effects of national decarbonisation pathways for transport on population health, health inequity, and health-system costs in Aotearoa New Zealand. METHODS We modelled the health, health-system, and environmental impacts of two pathways to net zero for transport developed by the New Zealand Climate Change Commission using a proportional multistate lifetable model. The behaviour pathway emphasises a mixed approach, including reduced driving, increased cycling and use of public transport, and light vehicle electrification, and the technology pathway focuses on vehicle electrification. We used data from transport, environmental, population health, and health-care sources to populate the model. We simulated changes in health effects through the pathways of physical activity, air pollution (PM2·5 and NO2), and injury for the Aotearoa New Zealand population from 2018 to 2050. We modelled impacts for Māori (the Indigenous People of Aotearoa) and non-Māori. For each pathway to net zero, we calculated changes in overall health-adjusted life-years (HALYs), age-standardised HALYs, and rate ratios for Māori and non-Māori. We also calculated changes in health-system costs and transport greenhouse gas emissions. 95% uncertainty intervals (95% UIs) were derived for all model outputs by use of a Monte Carlo simulation. FINDINGS Both pathways show improvements in population health, reductions in health-system costs, and reduced lifecycle greenhouse gas emissions compared with baseline, although health gains were substantially larger in the behaviour pathway. For example, an extra 2100 HALYs (95% UI 1500-3100) were gained in the behaviour scenario compared with baseline. Health gains were 20-30% larger for Māori than non-Māori in both pathways, although more HALYs were gained by Māori in the behaviour pathway. For the cohort aged 0-4 years in 2018, healthy life expectancy differences between Māori and non-Māori reduced by 0·5% in the behaviour pathway over their lifetime. HALYs gained by Māori and non-Māori were altered substantially depending on assumptions about the equity of the implemented pathway. INTERPRETATION Decarbonising transport might improve overall population health, save the health system money, and reduce health inequities between Māori and non-Māori. Pathways that increase physical activity have a larger effect on population health than those that rely on low-emission vehicles. The effects on inequity between Māori and non-Māori are larger in the behaviour pathway than in the technology pathway but dependent on how equitably policies supporting decarbonisation are implemented. FUNDING Health Research Council of New Zealand and University of Otago.
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Affiliation(s)
- Caroline Shaw
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand.
| | - Anja Mizdrak
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
| | - Ryan Gage
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
| | - Melissa McLeod
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
| | - Rhys Jones
- Te Kupenga Hauora Māori, University of Auckland, Auckland, New Zealand
| | - Alistair Woodward
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Linda Cobiac
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
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Liu J, Song R, Pan R, Yi W, Jin X, Song J, Cheng J, Zhang X, Su H. Extreme temperatures, PM 2.5 and trajectories of impaired thyroid hormone sensitivity: A longitudinal study of patients with schizophrenia. ENVIRONMENT INTERNATIONAL 2024; 191:108961. [PMID: 39173235 DOI: 10.1016/j.envint.2024.108961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 08/14/2024] [Accepted: 08/14/2024] [Indexed: 08/24/2024]
Abstract
BACKGROUND The climate change scenario has witnessed an increase in extreme temperature events (ETEs), including heat waves and cold spells, and a heightened occurrence of compounding with fine particulate matter (PM2.5). However, the impact of this phenomenon on the sensitivity to thyroid hormones (THs) in humans is unclear, especially in a group as specific as schizophrenia. METHODS A longitudinal study was constructed using longitudinal measurements of thyroid function in schizophrenia in the Anhui Mental Health Center. The latent growth mixture model was applied to assess the optimal trajectory of change in impaired THs sensitivity. We then used logistic regression to explore associations between heat waves, cold spells, and PM2.5 with impaired THs sensitivity trajectories in the total population and different gender and age subgroups. Furthermore, the effect of the frequency, intensity, and duration of ETEs in the above associations was explored, as well as an assessment of the interaction between ETEs and PM2.5. RESULTS Among 931 participants, we identified two classifications of trajectories of impaired THs sensitivity: "Low-stable" (n = 836, 89.80 %) and "Rise-slight down" (n = 95, 10.20 %). Logistic regression showed significant associations between each additional day of heat waves (≥3 days with temperature thresholds above the 95th percentile) and cold spells (≥3 days with temperature thresholds below the 5th percentile) and "Rise-slight down" trajectory, with odds ratios (95 % confidence intervals) of 1.06 (1.02, 1.10) and 1.19 (1.14, 1.24), respectively, and the strength of this association increased with the intensity and duration of ETEs. Subgroup analyses indicated that the association was more pronounced in males and the age group above 40 years. Furthermore, PM2.5 was found to interact with heat waves, with high concentrations exacerbating the effects of heat waves. CONCLUSIONS Our findings suggest that mitigating both ETEs and PM2.5 exposures may bring health co-benefits in preventing thyroid impairment in schizophrenia.
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Affiliation(s)
- Jintao Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Rong Song
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Rubing Pan
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Weizhuo Yi
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Xiaoyu Jin
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Jian Song
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Jian Cheng
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China
| | - Xulai Zhang
- Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China.
| | - Hong Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China; Center for Big Data and Population Health of IHM, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China; Anhui Mental Health Center (Affiliated Psychological Hospital of Anhui Medical University), Hefei, Anhui, China.
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Thiamwong L, Kim D, Emrich CT. Health Disparities and Maladaptive Behavior in Response to Extreme Heat: Impacts on Mental Health Among Older Adults. J Psychosoc Nurs Ment Health Serv 2024; 62:2-4. [PMID: 39110904 PMCID: PMC11348279 DOI: 10.3928/02793695-20240711-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2024]
Affiliation(s)
- Ladda Thiamwong
- College of Nursing and Disability Aging Technology Cluster University of Central Florida Orlando, Florida
| | - Dahee Kim
- College of Nursing University of Central Florida Orlando, Florida
| | - Christopher T Emrich
- School of Public Administration, College of Community Innovation and Education, and National Center for Integrated Coastal Research University of Central Florida Orlando, Florida
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Hanneman K, Szava-Kovats A, Burbridge B, Leswick D, Nadeau B, Islam O, Lee EJY, Harris A, Hamel C, Brown MJ. Canadian Association of Radiologists Statement on Environmental Sustainability in Medical Imaging. Can Assoc Radiol J 2024:8465371241260013. [PMID: 39080832 DOI: 10.1177/08465371241260013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2024] Open
Abstract
Immediate and strategic action is needed to improve environmental sustainability and reduce the detrimental effects of climate change. Climate change is already adversely affecting the health of Canadians related to worsening air pollution and wildfire smoke, increasing frequency and intensity of extreme weather events, and expansion of vector-borne and infectious illnesses. On one hand, radiology contributes to the climate crisis by generating greenhouse gas emissions and waste during the production, manufacture, transportation, and use of medical imaging equipment and supplies. On the other hand, radiology departments are also susceptible to equipment and infrastructure damage from flooding, extreme temperatures, and power failures, as well as workforce shortages due to injury and illness, potentially disrupting radiology services and increasing costs. The Canadian Association of Radiologists' (CAR) advocacy for environmentally sustainable radiology in Canada encompasses both minimizing the detrimental effects that delivery of radiology services has on the environment and optimizing the resilience of radiology departments to increasing health needs and changing patterns of disease on imaging related to climate change. This statement provides specific recommendations and pathways to help guide radiologists, medical imaging leadership teams, industry partners, governments, and other key stakeholders to transition to environmentally sustainable, net-zero, and climate-resilient radiology organizations. Specific consideration is given to unique aspects of medical imaging in Canada. Finally, environmentally sustainable radiology programs, policies, and achievements in Canada are highlighted.
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Affiliation(s)
- Kate Hanneman
- Department of Medical Imaging, University of Toronto, Toronto, ON, Canada
- University Medical Imaging Toronto, Joint Department of Medical Imaging, University Health Network (UHN), Toronto, ON, Canada
| | | | - Brent Burbridge
- Department of Medical Imaging, University of Saskatchewan, Saskatoon, SK, Canada
| | - David Leswick
- Department of Medical Imaging, University of Saskatchewan, Saskatoon, SK, Canada
| | - Brandon Nadeau
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada
| | - Omar Islam
- Department of Diagnostic Radiology, Queen's University, Kingston, ON, Canada
| | - Emil J Y Lee
- Department of Medical Imaging, Fraser Health Authority, Vancouver, BC, Canada
| | - Alison Harris
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada
| | - Candyce Hamel
- Canadian Association of Radiologists, Ottawa, ON, Canada
| | - Maura J Brown
- Diagnostic Imaging, BC Cancer, University of British Columbia, Vancouver, BC, Canada
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5
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Zhao X, Wu T, Zhou W, Han L, Neophytou AM. Reducing air pollution does not necessarily reduce related adults' mortality burden: Variations in 177 countries with different economic levels. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 933:173037. [PMID: 38740214 DOI: 10.1016/j.scitotenv.2024.173037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 04/08/2024] [Accepted: 05/05/2024] [Indexed: 05/16/2024]
Abstract
Prolonged exposure to PM2.5 is associated with increased mortality. However, reducing air pollution concentrations does not necessarily reduce the related burden of deaths. Here, we aim to estimate the variations in PM2.5-related mortality due to contributions from key factors - PM2.5 concentration, population exposure, and healthcare levels - for 177 countries from 2000 to 2018 at the 1-km grid scale according to the Global Mortality Exposure Model (GEMM) model. We find that global reductions in PM2.5-related deaths mainly come from high and upper-middle income countries, where lowered air pollutant concentration and better healthcare can offset mortality burdens caused by increasing exposed populations. Changes in population exposure to PM2.5 contribute the most (54 %) to change in global related deaths over the examined period, followed by changes in healthcare (-42 %) and pollution concentrations (4 %). The impacts vary across countries and regions within them due to other drivers, which are significantly influenced by development status. Policies aiming at reducing PM2.5 associated health risks need to account for country-specific balances of these key socioeconomic drivers.
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Affiliation(s)
- Xiuling Zhao
- State Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, 18 Shuangqing Road, Haidian District, Beijing 100085, China; Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA
| | - Tong Wu
- The Natural Capital Project, Stanford University, Stanford, CA 94305, USA
| | - Weiqi Zhou
- State Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, 18 Shuangqing Road, Haidian District, Beijing 100085, China; University of Chinese Academy of Sciences, No. 19A Yuquan Road, Beijing 100049, China; Beijing Urban Ecosystem Research Station, 18 Shuangqing Road, Haidian District, Beijing 100085, China.
| | - Lijian Han
- State Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, 18 Shuangqing Road, Haidian District, Beijing 100085, China
| | - Andreas M Neophytou
- Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA
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6
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van Daalen KR, Tonne C, Semenza JC, Rocklöv J, Markandya A, Dasandi N, Jankin S, Achebak H, Ballester J, Bechara H, Beck TM, Callaghan MW, Carvalho BM, Chambers J, Pradas MC, Courtenay O, Dasgupta S, Eckelman MJ, Farooq Z, Fransson P, Gallo E, Gasparyan O, Gonzalez-Reviriego N, Hamilton I, Hänninen R, Hatfield C, He K, Kazmierczak A, Kendrovski V, Kennard H, Kiesewetter G, Kouznetsov R, Kriit HK, Llabrés-Brustenga A, Lloyd SJ, Batista ML, Maia C, Martinez-Urtaza J, Mi Z, Milà C, Minx JC, Nieuwenhuijsen M, Palamarchuk J, Pantera DK, Quijal-Zamorano M, Rafaj P, Robinson EJZ, Sánchez-Valdivia N, Scamman D, Schmoll O, Sewe MO, Sherman JD, Singh P, Sirotkina E, Sjödin H, Sofiev M, Solaraju-Murali B, Springmann M, Treskova M, Triñanes J, Vanuytrecht E, Wagner F, Walawender M, Warnecke L, Zhang R, Romanello M, Antó JM, Nilsson M, Lowe R. The 2024 Europe report of the Lancet Countdown on health and climate change: unprecedented warming demands unprecedented action. Lancet Public Health 2024; 9:e495-e522. [PMID: 38749451 PMCID: PMC11209670 DOI: 10.1016/s2468-2667(24)00055-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 03/08/2024] [Accepted: 03/12/2024] [Indexed: 06/30/2024]
Affiliation(s)
- Kim R van Daalen
- Barcelona Supercomputing Center (BSC), Barcelona, Spain; British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
| | - Cathryn Tonne
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Jan C Semenza
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
| | - Joacim Rocklöv
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Interdisciplinary Center of Scientific Computing, Heidelberg University, Heidelberg, Germany; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | | | - Niheer Dasandi
- School of Government, University of Birmingham, Birmingham, UK
| | - Slava Jankin
- School of Government, University of Birmingham, Birmingham, UK
| | - Hicham Achebak
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Institut National de la Santé et de la Recherche Médicale (Inserm), Paris, France
| | - Joan Ballester
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
| | | | - Thessa M Beck
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Max W Callaghan
- Mercator Research Institute on Global Commons and Climate Change (MCC), Berlin, Germany
| | | | - Jonathan Chambers
- Energy Efficiency Group, Institute for Environmental Sciences (ISE), University of Geneva, Geneva, Switzerland
| | - Marta Cirah Pradas
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Orin Courtenay
- The Zeeman Institute and School of Life Sciences, University of Warwick, Coventry, UK
| | - Shouro Dasgupta
- Centro Euro-Mediterraneo sui Cambiamenti Climatici (CMCC), Venice, Italy; Grantham Research Institute on Climate Change and the Environment, London School of Economics and Political Sciences, London, UK
| | - Matthew J Eckelman
- Department of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA
| | - Zia Farooq
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Peter Fransson
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Interdisciplinary Center of Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Elisa Gallo
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Olga Gasparyan
- Department of Political Science, Florida State University, Tallahassee, FL, USA
| | - Nube Gonzalez-Reviriego
- Barcelona Supercomputing Center (BSC), Barcelona, Spain; European Centre for Medium-Range Weather Forecast (ECMWF), Bonn, Germany
| | - Ian Hamilton
- Energy Institute, University College London, London, UK
| | - Risto Hänninen
- Finnish Meteorological Institute (FMI), Helsinki, Finland
| | - Charles Hatfield
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Heidelberg Institute for Geoinformation Technology (HeiGIT), Heidelberg University, Heidelberg, Germany
| | - Kehan He
- The Bartlett School of Sustainable Construction, University College London, London, UK
| | | | - Vladimir Kendrovski
- European Centre for Environment and Health, WHO Regional Office for Europe, Bonn, Germany
| | - Harry Kennard
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | - Gregor Kiesewetter
- Pollution Management Research Group, Energy, Climate, and Environment Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | | | - Hedi Katre Kriit
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Interdisciplinary Center of Scientific Computing, Heidelberg University, Heidelberg, Germany
| | | | - Simon J Lloyd
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Martín Lotto Batista
- Barcelona Supercomputing Center (BSC), Barcelona, Spain; Medical School of Hannover, Hannover, Germany
| | - Carla Maia
- Global Health and Tropical Medicine (GHTM), Associate Laboratory in Translation and Innovation Towards Global Health (LA-REAL), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, UNL, Lisboa, Portugal
| | - Jaime Martinez-Urtaza
- Department of Genetics and Microbiology, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Zhifu Mi
- The Bartlett School of Sustainable Construction, University College London, London, UK
| | - Carles Milà
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Jan C Minx
- Mercator Research Institute on Global Commons and Climate Change (MCC), Berlin, Germany
| | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | | | | | - Marcos Quijal-Zamorano
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Peter Rafaj
- Pollution Management Research Group, Energy, Climate, and Environment Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Elizabeth J Z Robinson
- Grantham Research Institute on Climate Change and the Environment, London School of Economics and Political Sciences, London, UK
| | | | - Daniel Scamman
- Institute for Sustainable Resources, University College London, London, UK
| | - Oliver Schmoll
- European Centre for Environment and Health, WHO Regional Office for Europe, Bonn, Germany
| | | | - Jodi D Sherman
- Yale University School of Medicine, Yale University, New Haven, CT, USA
| | - Pratik Singh
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
| | - Elena Sirotkina
- Department of Political Science, The University of North Carolina, Chapel Hill, NC, USA
| | - Henrik Sjödin
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Mikhail Sofiev
- Finnish Meteorological Institute (FMI), Helsinki, Finland
| | | | - Marco Springmann
- Centre for Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK; Environmental Change Institute, University of Oxford, Oxford, UK
| | - Marina Treskova
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany; Interdisciplinary Center of Scientific Computing, Heidelberg University, Heidelberg, Germany; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Joaquin Triñanes
- Department of Electronics and Computer Science, Universidade de Santiago de Compostela, Santiago, Spain
| | | | - Fabian Wagner
- The Bartlett School of Sustainable Construction, University College London, London, UK
| | - Maria Walawender
- Institute for Global Health, University College London, London, UK
| | | | - Ran Zhang
- University of Mannheim, Mannheim, Germany
| | - Marina Romanello
- Institute for Global Health, University College London, London, UK
| | - Josep M Antó
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Maria Nilsson
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - Rachel Lowe
- Barcelona Supercomputing Center (BSC), Barcelona, Spain; Centre for Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK; Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain.
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Parker G, Hunter S, Born K, Miller FA. Mapping the Environmental Co-Benefits of Reducing Low-Value Care: A Scoping Review and Bibliometric Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:818. [PMID: 39063397 PMCID: PMC11276457 DOI: 10.3390/ijerph21070818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Revised: 06/07/2024] [Accepted: 06/18/2024] [Indexed: 07/28/2024]
Abstract
Reducing low-value care (LVC) and improving healthcare's climate readiness are critical factors for improving the sustainability of health systems. Care practices that have been deemed low or no-value generate carbon emissions, waste and pollution without improving patient or population health. There is nascent, but growing, research and evaluation to inform practice change focused on the environmental co-benefits of reducing LVC. The objective of this study was to develop foundational knowledge of this field through a scoping review and bibliometric analysis. We searched four databases, Medline, Embase, Scopus and CINAHL, and followed established scoping review and bibliometric analysis methodology to collect and analyze the data. A total of 145 publications met the inclusion criteria and were published between 2013 and July 2023, with over 80% published since 2020. Empirical studies comprised 21%, while commentary or opinions comprised 51% of publications. The majority focused on healthcare generally (27%), laboratory testing (14%), and medications (14%). Empirical publications covered a broad range of environmental issues with general and practice-specific 'Greenhouse gas (GHG) emissions', 'waste management' and 'resource use' as most common topics. Reducing practice-specific 'GHG emissions' was the most commonly reported environmental outcome. The bibliometric analysis revealed nine international collaboration networks producing work on eight key healthcare areas. The nineteen 'top' authors were primarily from the US, Australia and Canada.
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Affiliation(s)
| | | | | | - Fiona A. Miller
- Collaborative Centre for Climate, Health & Sustainable Care, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada
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8
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Beltrán V, Muñoz-Sepúlveda F, Acevedo C, Navarro P, Venegas B, Salgado C, Uribe P, Engelke W. A rural teledentistry care experience: a geriatric approach to assessing oral health status and treatment needs in older adults from a Mapuche community in Chile. Front Public Health 2024; 12:1356622. [PMID: 38903581 PMCID: PMC11188396 DOI: 10.3389/fpubh.2024.1356622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 05/08/2024] [Indexed: 06/22/2024] Open
Abstract
Background Limited attention has been given to oral health challenges faced by older Indigenous populations, especially in rural settings, where disparities exist. This study aims to assess oral health in a rural Mapuche community in southern Chile, utilizing geriatric technology support, and exploring the connection between geriatric health and oral well-being to fill a gap in this context. Methods A cross-sectional study was conducted involving 76 independent older adults from a rural Mapuche community who required dental care. Assessments were in a remote care setting gathering extensive data including comprehensive geriatric assessments, medical and dental conditions using a geriatric teledentistry platform (TEGO®). Statistical analysis involved descriptive analysis, logistic regression, and both multiple correspondence analysis and k-means cluster analysis. Results The sample comprised individuals with limited formal education and a high degree of vulnerability. Geriatric assessments unveiled cognitive deterioration, frailty, depression risk, and multimorbidity. A distribution of the DMFT index, number of remaining teeth, number of occluding pairs, number of teeth with restorative needs and other relevant clinical findings was conducted based on sociodemographic, and medical-geriatric-dental characteristics, and additionally, a Multinomial Logistic Regression Analysis of Dentition Variables in Relation to Geriatric Assessments was performed. The dental burden was substantial, with an average DMFT index of 25.96 (SD 4.38), high prevalence of non-functional dentition (89.3%), periodontal disease (83%), xerostomia (63.2%) and oral mucosal lesions (31.5%). Age, lower education, depression, daily medication number and sugary consumption frequency were associated with a decreased average number of teeth (p < 0.05). Multiple correspondence analysis and k-means cluster analysis identified 4 clusters, with the edentulous and functional dentition groups being the most distinct. Conclusion This study uncovers a substantial dental burden and intricate medical-geriatric conditions interlinked among Indigenous older adults in a rural Chilean Mapuche community. The implementation of a geriatric technological ecosystem in the community enabled the resolution of less complex oral health issues and facilitated remote consultations with specialists, reducing the necessity for travel to health centers. This underscores the need for innovative dental public health initiatives to address health disparities and improve the overall well-being of older Indigenous adults.
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Affiliation(s)
- Víctor Beltrán
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile
| | - Fernanda Muñoz-Sepúlveda
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile
- Program of Master in Dental Science, Dental School, Universidad de La Frontera, Temuco, Chile
| | - Claudia Acevedo
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile
| | - Pablo Navarro
- Research Center for Dental Sciences (CICO), Dental School, Universidad de La Frontera, Temuco, Chile
- Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
| | - Bernardo Venegas
- Stomatology Department, Faculty of Dentistry, Universidad de Talca, Talca, Chile
| | | | - Pablo Uribe
- Dental School, Universidad de La Frontera, Temuco, Chile
| | - Wilfried Engelke
- Faculty of Medicine, Georg-August University of Göttingen, Göttingen, Germany
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9
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Rivera BD, Friedman SR. What would it really take to solve the overdose epidemic in the United States? THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 128:104435. [PMID: 38729061 PMCID: PMC11220856 DOI: 10.1016/j.drugpo.2024.104435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Revised: 04/17/2024] [Accepted: 04/18/2024] [Indexed: 05/12/2024]
Abstract
The high overdose mortality rates in the United States poses several questions: Why have they been increasing exponentially since 1979? Why are they so high? And how can they be greatly reduced? Building on past research, the causes of the increase seem to be deeply rooted in US social and economic structures and processes, rather than due only to opioid prescription patterns or the advent of synthetic opioids. Given this, we consider what changes might be needed to reverse the exponentially-increasing overdose mortality. We use a path dependency argument to argue that the United States political, economic, and public health systems have helped create this crisis and, unfortunately, continue to heighten it. These same systems suggest that proposals to expand harm reduction and drug treatment capacity, to decriminalize or legalize drugs, or to re-industrialize the country sufficiently to reduce "communities of despair" will not be enacted at a scale sufficient to end the overdose crisis. We thus suggest that in the United States serious improvements in overdose rates and related policies and structures require massive social movements with a broad social change agenda.
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Affiliation(s)
- Bianca D Rivera
- SUNY Downstate Health Sciences University School of Public Health, Brooklyn, NY, USA
| | - Samuel R Friedman
- Center for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, USA.
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10
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Bolanis D, Orri M, Vergunst F, Bouchard S, Robitaille É, Philippe F, Ouellet-Morin I, Girard A, Paquin V, Gauvin L, Côté S, Geoffroy MC. Increased urban greenspace in childhood associated with lower inattention deficit among adolescents. Soc Psychiatry Psychiatr Epidemiol 2024; 59:947-956. [PMID: 37837487 DOI: 10.1007/s00127-023-02575-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 09/28/2023] [Indexed: 10/16/2023]
Abstract
PURPOSE There is a growing interest in assessing the benefits of exposure to urban greenspace on mental health due to the increased urbanization of youth and concerns for their mental health. We investigated the prospective associations of residential greenspace in childhood and mental health in adolescence. Use of a well-characterized birth cohort permitted adjustment for a range of potential confounding factors including family and neighborhood characteristics in addition to prior mental health problems, and exploration of moderation effects by sex and family socioeconomic status. METHODS We analyzed longitudinal data collected from 742 urban-dwelling participants of the Quebec Longitudinal Study of Children Development. The Normalized Difference Vegetation Index (NDVI) within 250, 500, and 1000 m buffer zones surrounding the home residence was used to indicate childhood exposure to greenspace. Six self-reported mental health problems at 15/17 years were examined using the Mental Health and Social Inadaptation questionnaire: inattention, hyperactivity/impulsivity, conduct, depression, anxiety, and suicidal ideation. RESULTS Childhood urban greenspace was associated with lower inattention problems in both females and males. We observed a 0.14 reduced standard deviation (SD) (β = - 0.14, SE = 0.05, p < 0.01) in relation to an interquartile range (IQR) increase of NDVI (0.15) at the 250 m buffer zone, and similar results were found in 500 m and 1000 m buffer zones. These associations only slightly attenuated after adjustment for individual (sex, childhood mental health), family (family SES, maternal age at birth, parental mental health, family composition), and neighborhood (material and social deprivation) characteristics (β = - 0.13, SE = 0.06, p = 0.03). No association was found for other mental health problems, and no moderation associations of sex or family socioeconomic status were observed. CONCLUSION These findings suggest that increasing residential greenspace in cities may be associated with modest benefits in attentional capacities in youth, necessitating further research to elucidate the underlying mechanisms.
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Affiliation(s)
- Despina Bolanis
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada
| | | | | | - Samantha Bouchard
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada
| | - Éric Robitaille
- Department of Social and Preventive Medicine, University of Montreal, Montreal, QC, Canada
| | - Frederick Philippe
- Department of Psychology, University of Quebec at Montreal, Montreal, QC, Canada
| | | | - Alain Girard
- CHU Sainte-Justine Research Center, Montreal, QC, Canada
| | - Vincent Paquin
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Lise Gauvin
- Department of Social and Preventive Medicine, University of Montreal, Montreal, QC, Canada
| | - Sylvana Côté
- Department of Social and Preventive Medicine, University of Montreal, Montreal, QC, Canada
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11
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Slotnick MJ, Falbe J, Wolfson JA, Jones AD, Leung CW. Environmental-, Climate-, and Health-Related Dietary Motivations Are Associated With Higher Diet Quality in a National Sample of US Adults With Lower Incomes. J Acad Nutr Diet 2024; 124:594-606. [PMID: 38048878 DOI: 10.1016/j.jand.2023.11.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 11/17/2023] [Accepted: 11/29/2023] [Indexed: 12/06/2023]
Abstract
BACKGROUND Plant-based diets can have co-benefits for human and planetary health. Associations between environmental, climate, and health concerns and dietary intake in US adults are understudied, particularly in underserved populations. OBJECTIVE The study objectives were to assess how dietary choices motivated by the environment, climate, and health vary by sociodemographic characteristics and how they relate to diet quality and intake frequency of different food groups in US adults with lower incomes. DESIGN The study design was cross-sectional. PARTICIPANTS/SETTING A web-based survey was fielded in December 2022 to 1,798 US adults with lower incomes (<250% of federal poverty guidelines). MAIN OUTCOME MEASURES Environmental-, climate-, and health-related dietary motivations and diet quality and dietary food group intake frequency were assessed. STATISTICAL ANALYSES Differences in mean dietary outcomes and dietary motivation ratings by sociodemographic characteristics were evaluated using analysis of variance and Kruskal-Wallis tests. Associations between dietary motivations and diet quality scores and dietary intake frequency were examined using generalized linear models adjusted for sociodemographic covariates. RESULTS Younger adults, women, nonbinary people, racial and ethnic minoritized groups, and adults experiencing food insecurity reported higher environmental and climate dietary motivations; older adults, higher-income adults, and food-secure adults reported higher health motivations. Agreeing with environmental- (β = 2.28, 95% CI 1.09 to 3.47), climate- (β = 2.15, 95% CI 0.90 to 3.40), and health-related (β = 5.27, 95% CI 3.98 to 6.56) dietary motivations was associated with higher diet quality scores compared with those with neutral rankings. Similarly, agreement with environmental-, climate-, and health-related dietary motivations was associated with higher intake frequency of fish, fruits and vegetables, and plant proteins, but not with red and processed meat intake frequency. Of several climate-mitigation behaviors presented, participants perceived meat reduction as least effective (P < .001). CONCLUSIONS Environment, climate, and health were positive motivators of several healthy dietary choices in US adults with lower incomes. Such motivators did not translate to lower intake frequency of red and processed meat.
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Affiliation(s)
- Melissa J Slotnick
- Department of Nutritional Sciences, The University of Michigan School of Public Health, Ann Arbor, Michigan.
| | - Jennifer Falbe
- Department of Human Ecology, University of California Davis, Davis, California
| | - Julia A Wolfson
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Andrew D Jones
- Department of Nutritional Sciences, The University of Michigan School of Public Health, Ann Arbor, Michigan
| | - Cindy W Leung
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
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12
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Wu T. How can open public data promote efficient and equitable green production? Evidence from eco-efficiency in China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:35173-35193. [PMID: 38722519 DOI: 10.1007/s11356-024-33464-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 04/21/2024] [Indexed: 05/30/2024]
Abstract
Nowadays, concurrent attention to economic development and ecological issues is becoming an important trend. In this paper, we measure the eco-efficiency of 285 Chinese cities from 2003 to 2019 using a non-radial directional distance function and the data envelopment analysis method, based on which we analyze the club convergence of cities' eco-efficiency using the logt test; we estimate the impact of open public data platforms on eco-efficiency and its convergence using a multi-period difference in difference model and panel-ordered logit model, respectively. We find that, first, open public data platforms improve cities' eco-efficiency by about 6.5%, and the impact mechanisms include scale efficiency, technical efficiency, and total factor productivity, or, at the micro level, increasing the economic agglomeration degree, boosting the amount of foreign investment used, and increasing green innovation level. Second, there are three convergence clubs of eco-efficiency in China's cities, whose average eco-efficiency trends are above, close to, and below average, respectively. Third, public data platforms significantly increase the probability of cities belonging to the convergence clubs of high and medium eco-efficiency (Clubs 1 and 2) and decrease the probability of belonging to the low one (Club 3). However, the mechanisms only include technical efficiency and total factor productivity, or the amount of foreign investment used and the green innovation level at the micro level.
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Affiliation(s)
- Tielong Wu
- School of Applied Economics, Renmin University of China, No.59 Zhongguancun Street, Haidian District, Beijing, 100872, China.
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13
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van Daalen KR, Wyma N, Schauer-Berg J, Blom IM, Mattijsen J, Othman R, Eissa M, Parks RM, Wyns A, Aboushady AT, Hassan M, Ezzine T, Khan S, Zayed MAE, Neggazi S, Alqodmani L, Lowe R. The global health community at international climate change negotiations. BMJ Glob Health 2024; 9:e015292. [PMID: 38637120 PMCID: PMC11029429 DOI: 10.1136/bmjgh-2024-015292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 03/31/2024] [Indexed: 04/20/2024] Open
Affiliation(s)
- Kim Robin van Daalen
- Barcelona Supercomputing Center (BSC), Barcelona, Spain
- British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
- Heart and Lung Research Institute, University of Cambridge, Cambridge, UK
| | - Nanine Wyma
- African Unit for Transdisciplinary Health Research (AUTHeR), North-West University, Potchefstroom, South Africa
- Physicians Association for Nutrition South Africa, Pinelands, South Africa
| | - Johanna Schauer-Berg
- Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University (PMU), Salzburg, Austria
| | - Iris M Blom
- Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Juliette Mattijsen
- Julius Center for Health Sciences and Primary Health, University Medical Centre Utrecht, Utrecht, Netherlands
- Department of Public Health, Erasmus Medical Center, Rotterdam, Zuid-Holland, Netherlands
| | - Razan Othman
- The National Ribat University, Khartoum, Khartoum, Sudan
| | - Mohamed Eissa
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Robbie M Parks
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA
| | - Arthur Wyns
- Melbourne Climate Futures, The University of Melbourne, Melbourne, Victoria, Australia
| | - Ahmed Taha Aboushady
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Muha Hassan
- Wye Valley NHS Trust, Hereford, Herefordshire, UK
| | - Tarek Ezzine
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Salman Khan
- Grant Government Medical College and Sir J J Group of Hospitals, Mumbai, Maharashtra, India
- International Federation of Medical Students' Associations (IFMSA), Copenhagen, Denmark
| | - Menna-Allah Elsayed Zayed
- Faculty of Pharmacy, Alexandria University, Alexandria, Egypt
- International Pharmaceutical Federation, The Hague, South Holland, Netherlands
| | - Sarah Neggazi
- Faculty of Pharmacy, University of Algiers 1, Alger, Algeria
- International Pharmaceutical Students' Federation, the Hague, Netherlands
| | | | - Rachel Lowe
- Barcelona Supercomputing Center (BSC), Barcelona, Spain
- Centre on Climate Change & Planetary Health and Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
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14
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Issa R, Forbes C, Baker C, Morgan M, Womersley K, Klaber B, Mulcahy E, Stancliffe R. Sustainability is critical for future proofing the NHS. BMJ 2024; 385:e079259. [PMID: 38604667 DOI: 10.1136/bmj-2024-079259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Affiliation(s)
- Rita Issa
- School of Global Development, University of East Anglia, Norwich, UK
- FXB Center for Health and Human Rights, T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- Institute for Global Health, University College London, London, UK
| | - Callum Forbes
- Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - Catherine Baker
- Royal Sussex County Hospital, University Hospitals Sussex, Brighton, UK
| | - Matt Morgan
- Cardiff University, Cardiff, UK
- University Hospital of Wales, Cardiff, UK
- Curtin University, Perth, WA, Australia
| | - Kate Womersley
- The George Institute for Global Health at Imperial College London, London, UK
- NHS Lothian, Scotland, UK
| | - Bob Klaber
- Imperial College Healthcare NHS Trust, London, UK
- School of Public Health, Imperial College London, London, UK
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15
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Stein PJS, Stein MA, Groce N, Kett M, Akyeampong EK, Alford WP, Chakraborty J, Daniels-Mayes S, Eriksen SH, Fracht A, Gallegos L, Grech S, Gurung P, Hans A, Harpur P, Jodoin S, Lord JE, Macanawai SS, McClain-Nhlapo CV, Mezmur BD, Moore RJ, Muñoz Y, Patel V, Pham PN, Quinn G, Sadlier SA, Shachar C, Smith MS, Van Susteren L. Advancing disability-inclusive climate research and action, climate justice, and climate-resilient development. Lancet Planet Health 2024; 8:e242-e255. [PMID: 38580426 DOI: 10.1016/s2542-5196(24)00024-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 11/30/2023] [Accepted: 02/14/2024] [Indexed: 04/07/2024]
Abstract
Globally, more than 1 billion people with disabilities are disproportionately and differentially at risk from the climate crisis. Yet there is a notable absence of climate policy, programming, and research at the intersection of disability and climate change. Advancing climate justice urgently requires accelerated disability-inclusive climate action. We present pivotal research recommendations and guidance to advance disability-inclusive climate research and responses identified by a global interdisciplinary group of experts in disability, climate change, sustainable development, public health, environmental justice, humanitarianism, gender, Indigeneity, mental health, law, and planetary health. Climate-resilient development is a framework for enabling universal sustainable development. Advancing inclusive climate-resilient development requires a disability human rights approach that deepens understanding of how societal choices and actions-characterised by meaningful participation, inclusion, knowledge diversity in decision making, and co-design by and with people with disabilities and their representative organisations-build collective climate resilience benefiting disability communities and society at large while advancing planetary health.
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Affiliation(s)
- Penelope J S Stein
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA
| | - Michael Ashley Stein
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA.
| | - Nora Groce
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; International Disability Research Centre, University College London, London, UK
| | - Maria Kett
- International Disability Research Centre, University College London, London, UK
| | - Emmanuel K Akyeampong
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; Department of African and African American Studies, Harvard University, Cambridge, MA, USA
| | - Willliam P Alford
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA
| | - Jayajit Chakraborty
- Bren School of Environmental Science and Management, University of California-Santa Barbara, Santa Barbara, CA, USA
| | | | - Siri H Eriksen
- Faculty of Landscape and Society, Norwegian University of Life Sciences, Ås, Norway
| | - Anne Fracht
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA
| | - Luis Gallegos
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; The United Nations Institute for Training and Research, Quito, Ecuador
| | - Shaun Grech
- Community Based Inclusive Development Initiative, CBM, Bensheim, Germany
| | - Pratima Gurung
- National Indigenous Disabled Women Association Nepal, Kusunti, Nepal
| | - Asha Hans
- School of Women's Studies, Utkal University, Bhubaneswar, India
| | - Paul Harpur
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; TC Beirne School of Law, University of Queensland, Brisbane, QLD, Australia
| | | | - Janet E Lord
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; Center for International and Comparative Law, University of Baltimore, Baltimore, MD, USA
| | | | | | | | - Rhonda J Moore
- All of US Research Program, National Institutes of Health, Washington, DC, USA
| | | | - Vikram Patel
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; Department of Global Health and Social Medicine, Harvard Medical School, Cambridge, MA, USA
| | - Phuong N Pham
- Harvard Humanitarian Initiative, Cambridge, MA, USA; Harvard T H Chan School of Public Health, Boston, MA, USA
| | - Gerard Quinn
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA; Faculty of Law, University of Galway, Galway, Ireland
| | | | - Carmel Shachar
- Health Law and Policy Clinic at the Center for Health Law and Policy Innovation, Harvard Law School, Cambridge, MA, USA
| | - Matthew S Smith
- Harvard Law School Project on Disability, Harvard Law School, Cambridge, MA, USA
| | - Lise Van Susteren
- Department of Psychiatry and Behavorial Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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16
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Girardi G, Bremer AA. Climate and environmental changes exacerbate health disparities in pregnant people and their offspring. How can we protect women and their babies? Birth Defects Res 2024; 116:e2313. [PMID: 38348550 DOI: 10.1002/bdr2.2313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/19/2024] [Accepted: 01/23/2024] [Indexed: 02/15/2024]
Abstract
BACKGROUND The effects of climate and environmental changes (CEC) are being felt globally and will worsen over the next decade unless significant changes are made on a global level. Climate change is having serious consequences for health, particularly for vulnerable women and their offspring and less resilient individuals in communities with socioeconomic inequalities. To protect human health from CEC effects, efforts need to be directed toward building resilience strategies. Building political and economic power, as well as directly addressing CEC-related challenges, are critical components of climate resilience. Effective communication and tailored methods to engage women in preventive strategies are also necessary to ameliorate the deleterious effects of CEC on women's health. Furthermore, women from marginalized communities face more CEC-associated challenges. CONCLUSIONS Therefore, effective policies and programs targeting these at-risk populations-are crucial to improve the overall state of global health. In closing, it is time to increase awareness of the effects of CECs on women's health and their transgenerational effects in order to ensure that all people, regardless of race, ethnicity, education and income are protected from the detrimental effects of CECs.
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Affiliation(s)
- Guillermina Girardi
- Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA
| | - Andrew A Bremer
- Pediatric Growth and Nutrition Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland, USA
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17
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Dougherty RJ, Fins JJ. Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics. Camb Q Healthc Ethics 2024; 33:6-16. [PMID: 37622652 DOI: 10.1017/s0963180123000452] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
Recent global events demonstrate that analytical frameworks to aid professionals in healthcare ethics must consider the pervasive role of social structures in the emergence of bioethical issues. To address this, the authors propose a new sociologically informed approach to healthcare ethics that they term "social bioethics." Their approach is animated by the interpretive social sciences to highlight how social structures operate vis-à-vis the everyday practices and moral reasoning of individuals, a phenomenon known as social discourse. As an exemplar, the authors use social bioethics to reframe common ethical issues in psychiatric services and discuss potential implications. Lastly, the authors discuss how social bioethics illuminates the ways healthcare ethics consultants in both policy and clinical decision-making participate in and shape broader social, political, and economic systems, which then cyclically informs the design and delivery of healthcare.
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Affiliation(s)
- Ryan J Dougherty
- Baylor College of Medicine, Center for Medical Ethics and Health Policy, Houston, TX, USA
| | - Joseph J Fins
- Weill Cornell Medicine, Division of Medical Ethics, New York, NY, USA
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18
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Romanello M, Napoli CD, Green C, Kennard H, Lampard P, Scamman D, Walawender M, Ali Z, Ameli N, Ayeb-Karlsson S, Beggs PJ, Belesova K, Berrang Ford L, Bowen K, Cai W, Callaghan M, Campbell-Lendrum D, Chambers J, Cross TJ, van Daalen KR, Dalin C, Dasandi N, Dasgupta S, Davies M, Dominguez-Salas P, Dubrow R, Ebi KL, Eckelman M, Ekins P, Freyberg C, Gasparyan O, Gordon-Strachan G, Graham H, Gunther SH, Hamilton I, Hang Y, Hänninen R, Hartinger S, He K, Heidecke J, Hess JJ, Hsu SC, Jamart L, Jankin S, Jay O, Kelman I, Kiesewetter G, Kinney P, Kniveton D, Kouznetsov R, Larosa F, Lee JKW, Lemke B, Liu Y, Liu Z, Lott M, Lotto Batista M, Lowe R, Odhiambo Sewe M, Martinez-Urtaza J, Maslin M, McAllister L, McMichael C, Mi Z, Milner J, Minor K, Minx JC, Mohajeri N, Momen NC, Moradi-Lakeh M, Morrissey K, Munzert S, Murray KA, Neville T, Nilsson M, Obradovich N, O'Hare MB, Oliveira C, Oreszczyn T, Otto M, Owfi F, Pearman O, Pega F, Pershing A, Rabbaniha M, Rickman J, Robinson EJZ, Rocklöv J, Salas RN, Semenza JC, Sherman JD, Shumake-Guillemot J, Silbert G, Sofiev M, Springmann M, Stowell JD, Tabatabaei M, Taylor J, Thompson R, Tonne C, Treskova M, Trinanes JA, Wagner F, Warnecke L, Whitcombe H, Winning M, Wyns A, Yglesias-González M, Zhang S, Zhang Y, Zhu Q, Gong P, Montgomery H, Costello A. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. Lancet 2023; 402:2346-2394. [PMID: 37977174 DOI: 10.1016/s0140-6736(23)01859-7] [Citation(s) in RCA: 99] [Impact Index Per Article: 99.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/07/2023] [Accepted: 08/31/2023] [Indexed: 11/19/2023]
Affiliation(s)
- Marina Romanello
- Institute for Global Health, University College London, London, UK.
| | - Claudia di Napoli
- School of Agriculture, Policy and Development, University of Reading, Reading, UK
| | - Carole Green
- Department of Global Health, University of Washington, Washington, DC, USA
| | - Harry Kennard
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | - Pete Lampard
- Department of Health Sciences, University of York, York, UK
| | - Daniel Scamman
- Institute for Sustainable Resources, University College London, London, UK
| | - Maria Walawender
- Institute for Global Health, University College London, London, UK
| | - Zakari Ali
- Medical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, London, UK
| | - Nadia Ameli
- Institute for Sustainable Resources, University College London, London, UK
| | - Sonja Ayeb-Karlsson
- Institute for Risk and Disaster Reduction, University College London, London, UK
| | - Paul J Beggs
- School of Natural Sciences, Macquarie University, Sydney, NSW, Australia
| | | | | | - Kathryn Bowen
- School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Wenjia Cai
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Max Callaghan
- Mercator Research Institute on Global Commons and Climate Change, Berlin, Germany
| | - Diarmid Campbell-Lendrum
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Jonathan Chambers
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Troy J Cross
- Heat and Health Research Incubator, University of Sydney, Sydney, NSW, Australia
| | | | - Carole Dalin
- Institute for Sustainable Resources, University College London, London, UK
| | - Niheer Dasandi
- International Development Department, University of Birmingham, Birmingham, UK
| | - Shouro Dasgupta
- Euro-Mediterranean Center on Climate Change Foundation, Lecce, Italy
| | - Michael Davies
- Institute for Risk and Disaster Reduction, University College London, London, UK
| | | | - Robert Dubrow
- School of Public Health, Yale University, New Haven, CT, USA
| | - Kristie L Ebi
- Department of Global Health, University of Washington, Washington, DC, USA
| | - Matthew Eckelman
- Department of Civil & Environmental Engineering, Northeastern University, Boston, MA, USA
| | - Paul Ekins
- Institute for Sustainable Resources, University College London, London, UK
| | - Chris Freyberg
- Department of Information Systems, Massey University, Palmerston North, New Zealand
| | - Olga Gasparyan
- Department of Political Science, Florida State University, Tallahassee, FL, USA
| | | | - Hilary Graham
- Department of Health Sciences, University of York, York, UK
| | - Samuel H Gunther
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Ian Hamilton
- Energy Institute, University College London, London, UK
| | - Yun Hang
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | | | - Stella Hartinger
- Carlos Vidal Layseca School of Public Health and Management, Cayetano Heredia Pervuvian University, Lima, Peru
| | - Kehan He
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - Julian Heidecke
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Jeremy J Hess
- Centre for Health and the Global Environment, University of Washington, Washington, DC, USA
| | - Shih-Che Hsu
- Energy Institute, University College London, London, UK
| | - Louis Jamart
- Institute for Global Health, University College London, London, UK
| | - Slava Jankin
- Centre for AI in Government, University of Birmingham, Birmingham, UK
| | - Ollie Jay
- Heat and Health Research Incubator, University of Sydney, Sydney, NSW, Australia
| | - Ilan Kelman
- Institute for Global Health, University College London, London, UK
| | - Gregor Kiesewetter
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Patrick Kinney
- Department of Environmental Health, Boston University, Boston, MA, USA
| | - Dominic Kniveton
- School of Global Studies, University of Sussex, Brighton and Hove, UK
| | | | - Francesca Larosa
- Engineering Mechanics, KTH Royal Institute of Technology, Stockholm, Sweden
| | - Jason K W Lee
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Bruno Lemke
- School of Health, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Yang Liu
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | - Zhao Liu
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Melissa Lott
- Center on Global Energy Policy, Columbia University, New York, NY, USA
| | | | - Rachel Lowe
- Catalan Institution for Research and Advanced Studies, Barcelona, Spain
| | | | - Jaime Martinez-Urtaza
- Department of Genetics and Microbiology, Autonomous University of Barcelona, Bellaterra, Spain
| | - Mark Maslin
- Department of Geography, University College London, London, UK
| | - Lucy McAllister
- Environmental Studies Program, Denison University, Granville, OH, USA
| | - Celia McMichael
- School of Geography, Earth and Atmospheric Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Zhifu Mi
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - James Milner
- Department of Public Health Environments and Society, London School of Hygiene and Tropical Medicine, London, UK
| | - Kelton Minor
- Data Science Institute, Columbia University, New York, NY, USA
| | - Jan C Minx
- Mercator Research Institute on Global Commons and Climate Change, Berlin, Germany
| | - Nahid Mohajeri
- Bartlett School of Sustainable Construction, University College London, London, UK
| | - Natalie C Momen
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Maziar Moradi-Lakeh
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Karyn Morrissey
- Department of Technology Management and Economics, Technical University of Denmark, Kongens Lyngby, Denmark
| | | | - Kris A Murray
- Medical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, London, UK
| | - Tara Neville
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | - Maria Nilsson
- Department for Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | | | - Megan B O'Hare
- Institute for Global Health, University College London, London, UK
| | - Camile Oliveira
- Institute for Global Health, University College London, London, UK
| | | | - Matthias Otto
- School of Health, Nelson Marlborough Institute of Technology, Nelson, New Zealand
| | - Fereidoon Owfi
- Iranian Fisheries Science Research Institute, Tehran, Iran
| | - Olivia Pearman
- Center for Science and Technology Policy, University of Colorado Boulder, Boulder, CO, USA
| | - Frank Pega
- Department of Environment, Climate Change and Health, World Health Organisation, Geneva, Switzerland
| | | | | | - Jamie Rickman
- Institute for Sustainable Resources, University College London, London, UK
| | - Elizabeth J Z Robinson
- Grantham Research Institute on Climate Change and the Environment, London School of Economics and Political Science, London, UK
| | - Joacim Rocklöv
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Renee N Salas
- Harvard Medical School, Harvard University, Boston, MA, USA
| | - Jan C Semenza
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Jodi D Sherman
- Department of Anesthesiology, Yale University, New Haven, CT, USA
| | | | - Grant Silbert
- Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia
| | | | - Marco Springmann
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | | | - Meisam Tabatabaei
- Institute of Tropical Aquaculture and Fisheries, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | - Jonathon Taylor
- Department of Civil Engineering, Tampere University, Tampere, Finland
| | | | - Cathryn Tonne
- Barcelona Institute for Global Health, Barcelona, Spain
| | - Marina Treskova
- Interdisciplinary Center for Scientific Computing, Heidelberg University, Heidelberg, Germany
| | - Joaquin A Trinanes
- Department of Electronics and Computer Science, University of Santiago de Compostela, Santiago, Spain
| | - Fabian Wagner
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Laura Warnecke
- International Institute for Applied Systems Analysis Energy, Climate, and Environment Program, Laxenburg, Austria
| | - Hannah Whitcombe
- Institute for Global Health, University College London, London, UK
| | - Matthew Winning
- Institute for Sustainable Resources, University College London, London, UK
| | - Arthur Wyns
- Melbourne Climate Futures, The University of Melbourne, Melbourne, VIC, Australia
| | - Marisol Yglesias-González
- Centro Latinoamericano de Excelencia en Cambio Climatico y Salud, Cayetano Heredia Pervuvian University, Lima, Peru
| | - Shihui Zhang
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Ying Zhang
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Qiao Zhu
- Gangarosa Department of Environmental Health, Emory University, Atlanta, GA
| | - Peng Gong
- Department of Geography, University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Hugh Montgomery
- Department of Experimental and Translational Medicine and Division of Medicine, University College London, London, UK
| | - Anthony Costello
- Institute for Global Health, University College London, London, UK
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de Lourdes Berrios Cintrón M, Broomandi P, Cárdenas-Escudero J, Cáceres JO, Galán-Madruga D. Elucidating Best Geospatial Estimation Method Applied to Environmental Sciences. BULLETIN OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY 2023; 112:6. [PMID: 38063862 PMCID: PMC10709237 DOI: 10.1007/s00128-023-03835-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 11/09/2023] [Indexed: 12/18/2023]
Abstract
The aim of this study is to assess and identify the most suitable geospatial interpolation algorithm for environmental sciences. The research focuses on evaluating six different interpolation methods using annual average PM10 concentrations as a reference dataset. The dataset includes measurements obtained from a target air quality network (scenery 1) and a sub-dataset derived from a partitive clustering technique (scenery 2). By comparing the performance of each interpolation algorithm using various indicators, the study aims to determine the most reliable method. The findings reveal that the kriging method demonstrates the highest performance within environmental sciences, with a spatial similarity of approximately 70% between the two scenery datasets. The performance indicators for the kriging method, including RMSE (root mean square error), MAE (mean absolute error), and MAPE (mean absolute percentage error), are measured at 3.2 µg/m3, 10.2 µg/m3, and 7.3%, respectively.This study addresses the existing gap in scientific knowledge regarding the comparison of geospatial interpolation techniques. The findings provide valuable insights for environmental managers and decision-makers, enabling them to implement effective control and mitigation strategies based on reliable geospatial information and data. In summary, this research evaluates and identifies the most suitable geospatial interpolation algorithm for environmental sciences, with the kriging method emerging as the most reliable option. The study's findings contribute to the advancement of knowledge in the field and offer practical implications for environmental management and planning.
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Affiliation(s)
- María de Lourdes Berrios Cintrón
- Department of Health Sciences, Inter American University of Puerto Rico, Barranquitas Campus, Bo. Helechal Street 156, Barranquitas, Puerto Rico
| | - Parya Broomandi
- Department of Civil and Environmental Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Kabanbay Batyr Ave. 53, Astana, 010000, Kazakhstan
| | - Jafet Cárdenas-Escudero
- Analytical Chemistry Department, FCNET, University of Panama, University City, University Mail, Panama City, 3366, Panama
- Laser Chemistry Research Group, Department of Analytical Chemistry, Faculty of Chemistry, Complutense University of Madrid, Plaza de Ciencias 1, Madrid, 28040, Spain
| | - Jorge O Cáceres
- Laser Chemistry Research Group, Department of Analytical Chemistry, Faculty of Chemistry, Complutense University of Madrid, Plaza de Ciencias 1, Madrid, 28040, Spain
| | - David Galán-Madruga
- National Reference Laboratory of Air Quality, National Centre for Environmental Health (CNSA), Carlos III Health Institute (ISCIII), Ctra. Majadahonda a Pozuelo, Madrid, 28222, Spain.
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20
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Liu J, Varghese BM, Hansen A, Dear K, Morgan G, Driscoll T, Zhang Y, Gourley M, Capon A, Bi P. Projection of high temperature-related burden of kidney disease in Australia under different climate change, population and adaptation scenarios: population-based study. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2023; 41:100916. [PMID: 37867620 PMCID: PMC10587708 DOI: 10.1016/j.lanwpc.2023.100916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 08/21/2023] [Accepted: 09/11/2023] [Indexed: 10/24/2023]
Abstract
Background The dual impacts of a warming climate and population ageing lead to an increasing kidney disease prevalence, highlighting the importance of quantifying the burden of kidney disease (BoKD) attributable to high temperature, yet studies on this subject are limited. The study aims to quantify the BoKD attributable to high temperatures in Australia across all states and territories, and project future BoKD under climatic, population and adaptation scenarios. Methods Data on disability-adjusted-life-years (DALYs) due to kidney disease, including years of life lost (YLL), and years lived with disability (YLD), were collected during 2003-2018 (baseline) across all states and territories in Australia. The temperature-response association was estimated using a meta-regression model. Future temperature projections were calculated using eight downscaled climate models to estimate changes in attributable BoKD centred around 2030s and 2050s, under two greenhouse gas emissions scenarios (RCP4.5 and RCP8.5), while considering changes in population size and age structure, and human adaptation to climate change. Findings Over the baseline (2003-2018), high-temperature contributed to 2.7% (Standard Deviation: 0.4%) of the observed BoKD in Australia. The future population attributable fraction and the attributable BoKD, projected using RCP4.5 and RCP8.5, showed a gradually increasing trend when assuming no human adaptation. Future projections were most strongly influenced by the population change, with the high temperature-related BoKD increasing by 18.4-67.4% compared to the baseline under constant population and by 100.2-291.2% when accounting for changes in population size and age structure. However, when human adaptation was adopted (from no to partial to full), the high temperature-related BoKD became smaller. Interpretation It is expected that increasing high temperature exposure will substantially contribute to higher BoKD across Australia, underscoring the urgent need for public health interventions to mitigate the negative health impacts of a warming climate on BoKD. Funding Australian Research Council Discovery Program.
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Affiliation(s)
- Jingwen Liu
- School of Public Health, The University of Adelaide, Australia
| | | | - Alana Hansen
- School of Public Health, The University of Adelaide, Australia
| | - Keith Dear
- School of Public Health, The University of Adelaide, Australia
| | - Geoffrey Morgan
- Sydney School of Public Health, The University of Sydney, Australia
| | - Timothy Driscoll
- Sydney School of Public Health, The University of Sydney, Australia
| | - Ying Zhang
- Sydney School of Public Health, The University of Sydney, Australia
| | - Michelle Gourley
- Burden of Disease and Mortality Unit, Australian Institute of Health and Welfare, Australia
| | - Anthony Capon
- Monash Sustainable Development Institute, Monash University, Australia
| | - Peng Bi
- School of Public Health, The University of Adelaide, Australia
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Lugo-Candelas C. Mental Health in a Changing Planet. JAMA Psychiatry 2023; 80:1181-1182. [PMID: 37792332 DOI: 10.1001/jamapsychiatry.2023.3410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
Abstract
This Viewpoint discusses climate change and its effect on mental health.
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Affiliation(s)
- Claudia Lugo-Candelas
- New York State Psychiatric Institute, Columbia University Irving Medical Center, New York
- Editorial Fellow, JAMA Psychiatry
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22
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Davis KM, Knauft K, Lewis L, Petriello M, Petrick L, Luca F, Joseph NT, Fritz H, Cutchin M, Rappaport L, Levy P, Engeland CG, Zilioli S. The heart of Detroit study: a window into urban middle-aged and older African Americans' daily lives to understand psychosocial determinants of cardiovascular disease risk. BMC Psychiatry 2023; 23:766. [PMID: 37853373 PMCID: PMC10585810 DOI: 10.1186/s12888-023-05148-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 08/28/2023] [Indexed: 10/20/2023] Open
Abstract
BACKGROUND Cardiovascular disease disproportionately affects African Americans. Psychosocial factors, including the experience of and emotional reactivity to racism and interpersonal stressors, contribute to the etiology and progression of cardiovascular disease through effects on health behaviors, stress-responsive neuroendocrine axes, and immune processes. The full pathway and complexities of these associations remain underexamined in African Americans. The Heart of Detroit Study aims to identify and model the biopsychosocial pathways that influence cardiovascular disease risk in a sample of urban middle-aged and older African American adults. METHODS The proposed sample will be composed of 500 African American adults between the ages of 55 and 75 from the Detroit urban area. This longitudinal study will consist of two waves of data collection, two years apart. Biomarkers of stress, inflammation, and cardiovascular surrogate endpoints (i.e., heart rate variability and blood pressure) will be collected at each wave. Ecological momentary assessments will characterize momentary and daily experiences of stress, affect, and health behaviors during the first wave. A proposed subsample of 60 individuals will also complete an in-depth qualitative interview to contextualize quantitative results. The central hypothesis of this project is that interpersonal stressors predict poor cardiovascular outcomes, cumulative physiological stress, poor sleep, and inflammation by altering daily affect, daily health behaviors, and daily physiological stress. DISCUSSION This study will provide insight into the biopsychosocial pathways through which experiences of stress and discrimination increase cardiovascular disease risk over micro and macro time scales among urban African American adults. Its discoveries will guide the design of future contextualized, time-sensitive, and culturally tailored behavioral interventions to reduce racial disparities in cardiovascular disease risk.
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Affiliation(s)
- Kristin M Davis
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA
| | - Katherine Knauft
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA
| | - Lena Lewis
- College of Human Medicine, Michigan State University, East Lansing, MI, 48824, USA
| | - Michael Petriello
- Institute of Environmental Health Sciences, Department of Pharmacology, Wayne State University, Detroit, MI, 48201, USA
| | - Lauren Petrick
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
| | - Francesca Luca
- Center for Molecular Medicine and Genetics, Wayne State University, Detroit, MI, 48201, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, 48201, USA
| | - Nataria T Joseph
- Department of Psychology, Pepperdine University, Malibu, CA, 90265, USA
| | - Heather Fritz
- School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, WA, 98901, USA
| | - Malcolm Cutchin
- School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, WA, 98901, USA
| | - Lance Rappaport
- Department of Psychology, University of Windsor, Windsor, ON, N9B 1B4, Canada
| | - Phillip Levy
- Departments of Emergency Medicine and Physiology, Wayne State University, Detroit, MI, 48201, USA
| | - Christopher G Engeland
- Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, 16802, USA
- Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, 16802, USA
| | - Samuele Zilioli
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA.
- Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, 48201, USA.
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Redvers N, Aubrey P, Celidwen Y, Hill K. Indigenous Peoples: Traditional knowledges, climate change, and health. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0002474. [PMID: 37831713 PMCID: PMC10575522 DOI: 10.1371/journal.pgph.0002474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2023]
Abstract
Indigenous Peoples around the globe make up approximately six percent of the global population, yet they sustainably care for around eighty percent of the world's remaining biodiversity. Despite continued political, economic, and racial marginalization, as well as some of the worst health inequities on the planet, Indigenous Peoples have worked hard to maintain their cultures and languages against all odds. Indigenous Peoples' close connections to land, water, and ecosystems, however, have placed them at increasing vulnerability from the effects of climate change. With this, the health risks from climate change have unique considerations within Indigenous Nations for both mitigation and adaptation responses that are largely unappreciated. This Indigenous narrative review will synthesis the current climate and health landscape of Indigenous Peoples at a global, high-level scale, including relevant international mechanisms and considerations for Indigenous Peoples' health. This Indigenous narrative review will also explore and reflect on the strengths of Indigenous traditional knowledges as it pertains to climate change and health.
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Affiliation(s)
- Nicole Redvers
- Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
- Arctic Indigenous Wellness Foundation, Yellowknife, Northwest Territories, Canada
- Department of Indigenous Health, University of North Dakota School of Medicine & Health Sciences, Grand Forks, North Dakota, United States of America
| | - Paula Aubrey
- Department of Indigenous Health, University of North Dakota School of Medicine & Health Sciences, Grand Forks, North Dakota, United States of America
| | - Yuria Celidwen
- Department of Psychology, University of California at Berkeley, Berkeley, California, United States of America
| | - Kyle Hill
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States of America
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24
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de Morais Sato P, Brandão L. Lessons on planetary health from traditional Quilombola communities of the Brazilian Amazon. BMJ 2023; 383:2188. [PMID: 37798010 DOI: 10.1136/bmj.p2188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/07/2023]
Affiliation(s)
| | - Leonaldo Brandão
- School of Agricultural Engineering, State University of Campinas, São Paulo, Brazil
- Association of Quilombola Communities of the Abaetetuba Islands (ARAQUIA), Algodoal, Pará, Brazil
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Andrieu B, Marrauld L, Vidal O, Egnell M, Boyer L, Fond G. Health-care systems' resource footprints and their access and quality in 49 regions between 1995 and 2015: an input-output analysis. Lancet Planet Health 2023; 7:e747-e758. [PMID: 37673545 PMCID: PMC10495829 DOI: 10.1016/s2542-5196(23)00169-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 07/15/2023] [Accepted: 07/16/2023] [Indexed: 09/08/2023]
Abstract
BACKGROUND Strategies to reduce the environmental impact of health care are often limited to greenhouse gas emissions. To broaden their scope, our aim was to determine the evolution of the resource footprints, dependency, and efficiency of health-care systems and to determine the relationship between this evolution and their Healthcare Access and Quality (HAQ) index. METHODS We carried out an input-output analysis of 49 health-care systems from 1995 to 2015. We harmonised the EXIOBASE v3.8.2 database-providing data for 49 world regions-to the World Health Organization Health Expenditures Database. We then performed a panel data analysis to understand the relationship between Healthcare Access and Quality index and energy footprint per capita of health-care systems. EXIOBASE3 does not provide measurement errors so it was not possible to propagate the uncertainties as can be done with other input-output databases. FINDINGS Health-care systems' footprint increased over the past two decades, reaching 7% of global non-metallic minerals footprint, 4% of global metal ores footprint, and 5% of global fossil fuels footprint in 2013. This increase was mostly due to China, rising from 7% of the non-metallic minerals footprint in 1995 to 45% in 2013. 80% of the health-care systems studied were dependent at more than 50% on fossil fuel imports. The energy footprint per capita was correlated exponentially with the HAQ index but some countries performed much better than others at a given energy footprint. Health-care systems have not become more efficient between 2002 and 2015. INTERPRETATION Health-care systems' resources footprint are exponentially linked to their HAQ. Both prevention and efficiency measures will be needed to change this relationship. If it is not enough, high-income countries will have to choose between further reducing the resource consumption of their health-care systems or shifting the efforts to other sectors, health being considered an incompressible need. We call for the creation of a HAQE (health-care access, quality, and efficiency) index that would add resource efficiency to access and quality when ranking health-care systems. FUNDING The Shift Project.
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Affiliation(s)
- Baptiste Andrieu
- Institut de Sciences de la Terre (ISTerre), CNRS-University of Grenoble, Grenoble, France; The Shift Project, Paris, France.
| | - Laurie Marrauld
- The Shift Project, Paris, France; Université Rennes, EHESP, CNRS, Inserm, Arènes-UMR 6051, RSMS (Recherche sur les Services et Management en Santé)-U 1309, Rennes, France
| | - Olivier Vidal
- Institut de Sciences de la Terre (ISTerre), CNRS-University of Grenoble, Grenoble, France
| | - Mathis Egnell
- P4H Network-World Health Organization, Geneva, Switzerland
| | - Laurent Boyer
- Faculté des sciences médicales et paramédicales, AP-HM, Aix-Marseille Université, Marseille, France; CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de vie, Marseille, France; Fondation FondaMental, Créteil, France
| | - Guillaume Fond
- Faculté des sciences médicales et paramédicales, AP-HM, Aix-Marseille Université, Marseille, France; CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de vie, Marseille, France; Fondation FondaMental, Créteil, France
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26
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van Daalen KR, Tonne C, Borrell C, Nilsson M, Lowe R. Approaching unsafe limits: climate-related health inequities within and beyond Europe. THE LANCET REGIONAL HEALTH. EUROPE 2023; 31:100683. [PMID: 37520669 PMCID: PMC10372306 DOI: 10.1016/j.lanepe.2023.100683] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 06/29/2023] [Indexed: 08/01/2023]
Affiliation(s)
| | - Cathryn Tonne
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Carme Borrell
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Agència de Salut Pùblica de Barcelona (ASPB), Barcelona, Spain
- Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain
| | - Maria Nilsson
- Department of Epidemiology and Global Health, Umeå University, Sweden
| | - Rachel Lowe
- Barcelona Supercomputing Center (BSC), Barcelona, Spain
- Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, UK
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
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27
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Rae M, Van Hove M, Göpfert A. Effect of climate related flooding on health and healthcare worldwide. BMJ 2023; 381:p1331. [PMID: 37315953 DOI: 10.1136/bmj.p1331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- Maggie Rae
- Epidemiology and Public Health Section, Royal Society of Medicine, London, UK
| | - Maria Van Hove
- South West Region Public Health Specialist Training Programme, UK
| | - Anya Göpfert
- South West Region Public Health Specialist Training Programme, UK
| |
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