Department of Environmental Health Sciences, University of California, 650 Charles E. Young Drive South, 71-259 CHS, Los Angeles, CA, 90095, USA.
School of Public Health and Department of Environmental Science, Policy, and Management, University of California, Berkeley, CA, USA.
Curr Environ Health Rep. 2022 Sep;9(3):451-464. doi: 10.1007/s40572-022-00360-w. Epub 2022 May 28.
Climate change is causing warming over most parts of the USA and more extreme weather events. The health impacts of these changes are not experienced equally. We synthesize the recent evidence that climatic changes linked to global warming are having a disparate impact on the health of people of color, including children.
Multiple studies of heat, extreme cold, hurricanes, flooding, and wildfires find evidence that people of color, including Black, Latinx, Native American, Pacific Islander, and Asian communities are at higher risk of climate-related health impacts than Whites, although this is not always the case. Studies of adults have found evidence of racial disparities related to climatic changes with respect to mortality, respiratory and cardiovascular disease, mental health, and heat-related illness. Children are particularly vulnerable to the health impacts of climate change, and infants and children of color have experienced adverse perinatal outcomes, occupational heat stress, and increases in emergency department visits associated with extreme weather. The evidence strongly suggests climate change is an environmental injustice that is likely to exacerbate existing racial disparities across a broad range of health outcomes.
综述目的:气候变化正在导致美国大部分地区气温上升和极端天气事件增加。这些变化的健康影响并非平均分布。我们综合了最近的证据,证明与全球变暖相关的气候变化正对有色人种(包括儿童)的健康产生不同的影响。
最近的发现:多项关于高温、极寒、飓风、洪水和野火的研究发现,有色人种(包括黑人、拉丁裔、美国原住民、太平洋岛民和亚裔社区)比白人更容易受到与气候相关的健康影响,尽管并非总是如此。有关成年人的研究发现,与气候变化相关的死亡率、呼吸和心血管疾病、心理健康和与热相关的疾病方面存在种族差异的证据。儿童特别容易受到气候变化的健康影响,有色人种的婴儿和儿童经历了不良的围产期结局、职业热应激以及与极端天气相关的急诊就诊次数增加。这一证据强烈表明,气候变化是一种环境不公平现象,可能会加剧广泛的健康结果方面现有的种族差异。