Sarfaty Mona, Bloodhart Brittany, Ewart Gary, Thurston George D, Balmes John R, Guidotti Tee L, Maibach Edward W
1 Center for Climate Change Communication, George Mason University, Fairfax, Virginia.
Ann Am Thorac Soc. 2015 Feb;12(2):274-8. doi: 10.1513/AnnalsATS.201410-460BC.
The American Thoracic Society (ATS), in collaboration with George Mason University, surveyed a random sample of ATS members to assess their perceptions of, clinical experiences with, and preferred policy responses to climate change. An e-mail containing an invitation from the ATS President and a link to an online survey was sent to 5,500 randomly selected U.S. members; up to four reminder e-mails were sent to nonrespondents. Responses were received from members in 49 states and the District of Columbia (n = 915); the response rate was 17%. Geographic distribution of respondents mirrored that of the sample. Survey estimates' confidence intervals were ±3.5% or smaller. Results indicate that a large majority of ATS members have concluded that climate change is happening (89%), that it is driven by human activity (68%), and that it is relevant to patient care ("a great deal"/"a moderate amount") (65%). A majority of respondents indicated they were already observing health impacts of climate change among their patients, most commonly as increases in chronic disease severity from air pollution (77%), allergic symptoms from exposure to plants or mold (58%), and severe weather injuries (57%). A larger majority anticipated seeing these climate-related health impacts in the next 2 decades. Respondents indicated that physicians and physician organizations should play an active role in educating patients, the public, and policy makers on the human health effects of climate change. Overall, ATS members are observing that human health is already adversely affected by climate change and support responses to address this situation.
美国胸科学会（ATS）与乔治梅森大学合作，对ATS成员的随机样本进行了调查，以评估他们对气候变化的看法、临床经验以及首选的应对政策。一封包含ATS主席邀请信和在线调查链接的电子邮件被发送给5500名随机挑选的美国成员；向未回复者发送了多达四封提醒邮件。收到了来自49个州和哥伦比亚特区的成员的回复（n = 915）；回复率为17%。受访者的地理分布反映了样本的分布情况。调查估计的置信区间为±3.5%或更小。结果表明，绝大多数ATS成员得出结论，气候变化正在发生（89%），是由人类活动驱动的（68%），并且与患者护理相关（“很大程度上”/“一定程度上”）（65%）。大多数受访者表示，他们已经在观察患者中气候变化的健康影响，最常见的是空气污染导致慢性病严重程度增加（77%）、接触植物或霉菌引起的过敏症状（58%）以及恶劣天气伤害（57%）。更大比例的受访者预计在未来20年内会看到这些与气候相关的健康影响。受访者表示，医生和医生组织应在就气候变化对人类健康的影响对患者、公众和政策制定者进行教育方面发挥积极作用。总体而言，ATS成员观察到人类健康已经受到气候变化的不利影响，并支持应对这种情况的措施。
