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气候暴露与儿童营养不足:来自印度尼西亚的证据。

Climate exposures and child undernutrition: Evidence from Indonesia.

机构信息

Pennsylvania State University, USA.

University of North Carolina at Chapel Hill, USA.

出版信息

Soc Sci Med. 2020 Nov;265:113298. doi: 10.1016/j.socscimed.2020.113298. Epub 2020 Aug 19.

Abstract

Global climate change has the potential to disrupt agricultural systems, undermine household socioeconomic status, and shape the prevalence and distribution of diseases. Each of these changes may influence children's nutritional status, which is sensitive to food availability, access, and utilization, and which may have lasting consequences for later-life health and socioeconomic outcomes. This paper contributes to the emerging literature on climate and child health by studying the effects of temperature and precipitation exposures on children's height and weight in Indonesia. Drawing on five rounds of the Indonesian Family Life Survey (IFLS) implemented between 1993 and 2015, we estimate fixed-effects regression models of height-for-age (HFA) and weight-for-height (WFH) among samples of children ages 24-59 months and 0-23 months, respectively. We test for heterogeneity in these effects across sub-populations expected to vary in their vulnerability. Results show that delays in monsoon onset are consistently associated with worse child health outcomes. Delays in monsoon onset during the prenatal period are associated with reduced child height among children age 2-4 years. The weight of young (<2 years) children is adversely affected by delays in the most recent monsoon season, and this relationship is particularly strong among residents of Java. Overall, our results underline the need for interventions that protect children's nutrition and underlying health against the effects of climate change.

摘要

全球气候变化有可能破坏农业系统,削弱家庭的社会经济地位,并影响疾病的流行和分布。这些变化中的每一个都可能影响儿童的营养状况,而儿童的营养状况对食物的可获得性、获取途径和利用情况敏感,可能会对以后的健康和社会经济结果产生持久的影响。本文通过研究温度和降水暴露对印度尼西亚儿童身高和体重的影响,为气候与儿童健康这一新兴领域的文献做出了贡献。本研究利用 1993 年至 2015 年期间实施的五轮印度尼西亚家庭生活调查(IFLS)的数据,分别针对 24-59 个月和 0-23 个月的儿童样本,估计了身高-年龄(HFA)和体重-身高(WFH)的固定效应回归模型。我们测试了这些效应在预期脆弱性不同的子群体中的异质性。结果表明,季风开始的延迟与儿童健康状况恶化始终相关。在产前期间,季风开始的延迟与 2-4 岁儿童的身高降低有关。最近的季风季节的延迟会对年幼(<2 岁)儿童的体重产生不利影响,而这种关系在爪哇岛居民中尤为明显。总体而言,我们的研究结果强调了需要采取干预措施,保护儿童的营养和基本健康,以应对气候变化的影响。

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