Boylan Sinead, Beyer Kathleen, Schlosberg David, Mortimer Anastasia, Hime Neil, Scalley Benjamin, Alders Robyn, Corvalan Carlos, Capon Anthony
School of Public Health, University of Sydney, NSW, Australia,
NSW Office of Environment and Heritage, Sydney, Australia.
Public Health Res Pract. 2018 Dec 6;28(4):2841826. doi: 10.17061/phrp2841826.
Changes in natural hazards related to climate change are evident in New South Wales (NSW), Australia, and are projected to become more frequent and intense. The impacts of climate change may adversely affect health and wellbeing, directly via extreme weather events such as heatwaves, storms and floods, and indirectly via impacts on food security, air and water quality, and other environmental amenities. The NSW Government's Climate Change Policy Framework recognises the need to reduce the effects of climate change on health and wellbeing. A conceptual framework can support the aims and objectives of the policy framework by depicting the effects of climate change on health, and individual and social wellbeing, and areas for policy actions and responses. A proposed conceptual framework has been developed, modelled on the Driving force, Pressure, State, Exposure, Effect and Action (DPSEEA) framework of the World Health Organization - a framework which shows the link between exposures and health effects as well as entry points for interventions. The proposed framework presented in this paper was developed in consultation with researchers and policy makers. The framework is guiding current research examining vulnerabilities to climate change and the effects of a range of exposures on health and wellbeing.
与气候变化相关的自然灾害变化在澳大利亚新南威尔士州（NSW）十分明显，并且预计会变得更加频繁和剧烈。气候变化的影响可能会对健康和福祉产生不利影响，直接通过热浪、风暴和洪水等极端天气事件，以及间接通过对粮食安全、空气和水质以及其他环境便利设施的影响。新南威尔士州政府的气候变化政策框架认识到有必要减少气候变化对健康和福祉的影响。一个概念框架可以通过描述气候变化对健康、个人和社会福祉的影响以及政策行动和应对领域来支持政策框架的目标。一个拟议的概念框架已经制定出来，它以世界卫生组织的驱动力、压力、状态、暴露、影响和行动（DPSEEA）框架为模型——该框架展示了暴露与健康影响之间的联系以及干预的切入点。本文提出的拟议框架是在与研究人员和政策制定者协商后制定的。该框架正在指导当前关于气候变化脆弱性以及一系列暴露对健康和福祉影响的研究。
