Department of Geography, McGill University, Montreal, Quebec, Canada.
Am J Public Health. 2012 Jul;102(7):1260-6. doi: 10.2105/AJPH.2012.300752. Epub 2012 May 17.
Indigenous populations have been identified as vulnerable to climate change. This framing, however, is detached from the diverse geographies of how people experience, understand, and respond to climate-related health outcomes, and overlooks nonclimatic determinants. I reviewed research on indigenous health and climate change to capture place-based dimensions of vulnerability and broader determining factors. Studies focused primarily on Australia and the Arctic, and indicated significant adaptive capacity, with active responses to climate-related health risks. However, nonclimatic stresses including poverty, land dispossession, globalization, and associated sociocultural transitions challenge this adaptability. Addressing geographic gaps in existing studies alongside greater focus on indigenous conceptualizations on and approaches to health, examination of global-local interactions shaping local vulnerability, enhanced surveillance, and an evaluation of policy support opportunities are key foci for future research.
土著居民被认为易受气候变化的影响。然而,这种说法与人们体验、理解和应对与气候相关的健康结果的地理多样性以及忽视非气候决定因素脱节。我审查了关于土著居民健康和气候变化的研究,以捕捉脆弱性的基于地点的维度和更广泛的决定因素。研究主要集中在澳大利亚和北极地区,并表明存在显著的适应能力,对与气候相关的健康风险采取了积极的应对措施。然而,包括贫困、土地剥夺、全球化和相关社会文化转型在内的非气候压力挑战了这种适应能力。未来研究的重点是解决现有研究中的地域差距,更加关注土著居民对健康的概念化和方法,考察塑造当地脆弱性的全球-地方相互作用,加强监测,以及评估政策支持机会。