School of Environmental Design & Rural Development, University of Guelph, Guelph, Ontario, Canada N1G 2W1.
Soc Sci Med. 2012 Aug;75(3):538-47. doi: 10.1016/j.socscimed.2012.03.043. Epub 2012 Apr 26.
As climate change impacts are felt around the globe, people are increasingly exposed to changes in weather patterns, wildlife and vegetation, and water and food quality, access and availability in their local regions. These changes can impact human health and well-being in a variety of ways: increased risk of foodborne and waterborne diseases; increased frequency and distribution of vector-borne disease; increased mortality and injury due to extreme weather events and heat waves; increased respiratory and cardiovascular disease due to changes in air quality and increased allergens in the air; and increased susceptibility to mental and emotional health challenges. While climate change is a global phenomenon, the impacts are experienced most acutely in place; as such, a sense of place, place-attachment, and place-based identities are important indicators for climate-related health and adaptation. Representing one of the first qualitative case studies to examine the connections among climate change, a changing sense of place, and health in an Inuit context, this research draws data from a multi-year community-driven case study situated in the Inuit community of Rigolet, Nunatsiavut, Canada. Data informing this paper were drawn from the narrative analysis of 72 in-depth interviews conducted from November 2009 to October 2010, as well as from the descriptive analysis of 112 questionnaires from a survey in October 2010 (95% response rate). The findings illustrated that climate change is negatively affecting feelings of place attachment by disrupting hunting, fishing, foraging, trapping, and traveling, and changing local landscapes-changes which subsequently impact physical, mental, and emotional health and well-being. These results also highlight the need to develop context-specific climate-health planning and adaptation programs, and call for an understanding of place-attachment as a vital indicator of health and well-being and for climate change to be framed as an important determinant of health.
随着气候变化的影响在全球范围内显现，人们越来越多地面临当地天气模式、野生动植物和水及食物质量、获取和供应的变化。这些变化可能以多种方式影响人类健康和福祉：食源性和水源性疾病的风险增加；媒介传播疾病的频率和分布增加；极端天气事件和热浪导致的死亡率和伤害增加；空气质量变化和空气中过敏原增加导致的呼吸道和心血管疾病增加；以及心理健康和情感健康挑战的易感性增加。虽然气候变化是一种全球性现象，但在地方层面上的影响最为严重；因此，地方感、地方依恋和基于地方的身份认同是与气候相关的健康和适应的重要指标。本研究是第一个对气候变化、地方感变化和因纽特人健康之间的联系进行定性案例研究的研究之一，该研究的数据来自加拿大努纳武特的里戈莱特因纽特社区的一项多年社区驱动的案例研究。本文的数据来自于 2009 年 11 月至 2010 年 10 月进行的 72 次深入访谈的叙事分析，以及 2010 年 10 月进行的 112 份问卷调查的描述性分析（95%的回复率）。研究结果表明，气候变化通过破坏狩猎、捕鱼、采集、诱捕和旅行以及改变当地景观，对地方依恋感产生负面影响，从而影响身心健康和幸福感。这些结果还强调了需要制定针对具体情况的气候-健康规划和适应计划，并呼吁将地方依恋感理解为健康和幸福感的重要指标，并将气候变化作为健康的重要决定因素。
