Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.
The Natural Resources Defense Council, New York, New York.
JAMA Netw Open. 2020 May 1;3(5):e206609. doi: 10.1001/jamanetworkopen.2020.6609.
Researchers have published surveys on health professionals' perceptions of the possible association between climate change and health (climate-health) and assessed climate-health or planetary health curricula in medical schools. However, curricula on climate-health are still lacking and gaps in knowledge persist.
To understand the state of climate-health curricula among health professions institutions internationally.
DESIGN, SETTING, AND PARTICIPANTS: A survey of 160 institutional members of the Global Consortium on Climate and Health Education, which includes international health professions schools and programs, was conducted from August 3, 2017, to March 1, 2018. The survey, hosted by Columbia University Mailman School of Public Health, used an online survey tool for data collection.
The survey assessed climate-health curricular offerings across health professions institutions internationally, including existing climate-health educational offerings, method of teaching climate-health education, whether institutions are considering adding climate-health education, whether institutions received a positive response to adding climate-health curricula and/or encountered challenges in adding curricula, and opportunities to advance climate-health education.
Overall response rate to the survey was 53%, with 84 of 160 institutional responses collected; 59 of the responses (70%) were from schools/programs of public health, health sciences, or health professions; 15 (18%) were from medicine; 9 (11%) were from nursing; and 1 (1%) was from another type of health profession institution. Among respondents, 53 (63%) institutions offer climate-health education, most commonly as part of a required core course (41 [76%]). Sixty-one of 82 respondents (74%) reported that climate-health offerings are under discussion to add, 42 of 59 respondents (71%) encountered some challenges trying to institute the curriculum, and most respondents have received a positive response to adding content, mainly from students (39 of 58 [67%]), faculty (35 of 58 [60%]), and administration (23 of 58 [40%]).
Current climate-health educational offerings appear to vary considerably among health professions institutions. Students, faculty, and administration are important groups to engage when instituting curricula, and awareness, support, and resources may be able to assist in this effort.
研究人员已经发表了关于健康专业人员对气候变化与健康之间可能关联的看法的调查,并评估了医学院中的气候健康或行星健康课程。然而,气候健康课程仍然缺乏,知识差距依然存在。
了解国际上健康职业机构中气候健康课程的现状。
设计、设置和参与者:对全球气候与健康教育联盟的 160 个机构成员进行了调查,该联盟包括国际健康职业学校和项目。调查于 2017 年 8 月 3 日至 2018 年 3 月 1 日进行,由哥伦比亚大学梅尔曼公共卫生学院主办,使用在线调查工具进行数据收集。
该调查评估了国际上健康职业机构的气候健康课程提供情况,包括现有的气候健康教育课程、教授气候健康教育的方法、机构是否考虑增加气候健康教育、机构对增加气候健康课程的反应是否积极以及是否遇到了增加课程的挑战,以及推进气候健康教育的机会。
对调查的总体回复率为 53%,共收到 160 个机构中的 84 个回复;59 个回复(70%)来自公共卫生、健康科学或健康职业学校/项目;15 个(18%)来自医学;9 个(11%)来自护理;1 个(1%)来自其他类型的健康职业机构。在回复者中,53 个(63%)机构提供气候健康教育,最常见的是作为必修核心课程的一部分(41 个[76%])。82 个回复者中有 61 个(74%)报告称,正在讨论增加气候健康课程,59 个回复者中有 42 个(71%)在试图实施课程时遇到了一些挑战,大多数回复者对增加内容的反应是积极的,主要来自学生(58 个中的 39 个[67%])、教师(58 个中的 35 个[60%])和行政人员(58 个中的 23 个[40%])。
目前,健康职业机构的气候健康教育课程差异很大。在实施课程时,学生、教师和行政人员是重要的参与群体,意识、支持和资源可能有助于这一努力。