Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1010 Lausanne, Switzerland.
Int J Environ Res Public Health. 2021 Mar 20;18(6):3222. doi: 10.3390/ijerph18063222.
Health professionals are increasingly urged to act to protect individuals and populations against the negative effects of climate and environment change on health. However, the amount of evidence supporting initiatives to that end is unknown. We explored the literature examining the awareness, preparedness, and role of healthcare professionals to inform about the impact of climate change on health on the one hand, and literature about the effectiveness of interventions mediated by health professionals aiming at reducing the environmental impact of human activities on the other hand. We included 137 articles published between 2000 and 2020, mostly in general medical and nursing journals. The typical article was a perspective, commentary, or other special article aimed at alerting readers about the impact of climate and environment change on health. We identified 22 studies, of which only two reported interventions. Despite increasing efforts of health professionals to address climate and environment change and related health risks, health literature supporting such efforts remains scarce, and studies assessing the effectiveness of interventions are lacking. We need appropriate evidence to indicate which interventions should be prioritized, considering that the association of health issues with climate and environment change could constitute an effective lever for change.
健康专业人员越来越被敦促采取行动,保护个人和人群免受气候变化和环境变化对健康的负面影响。然而,支持这些举措的证据数量尚不清楚。我们探讨了研究卫生保健专业人员对气候变化对健康影响的认识、准备情况和作用的文献,以及研究卫生专业人员干预措施的有效性的文献,这些干预措施旨在减少人类活动对环境的影响。我们纳入了 2000 年至 2020 年间发表的 137 篇文章,主要发表在一般医学和护理期刊上。典型的文章是一篇观点、评论或其他特别文章,旨在提醒读者气候变化和环境变化对健康的影响。我们确定了 22 项研究,其中只有两项报告了干预措施。尽管健康专业人员越来越努力解决气候变化和环境变化以及相关的健康风险,但支持这些努力的健康文献仍然很少,而且缺乏评估干预措施效果的研究。我们需要适当的证据来表明哪些干预措施应该优先考虑,因为健康问题与气候变化和环境变化的关联可能构成有效的变革杠杆。